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BY- Anugya Jaiswal
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Seizure Disorders
Disorders of Development
Degenerative Disorders
 Partial seizures– does not involve the whole brain
 Generalized seizures – involves the entire brain, widespread.
 Absence (Petit mal) – generalized, absence of behavior
 Causes:
 Injury, stroke, developmental abnormality, effect of a growing tumor
 Febrile seizures
 Infantile fever
 Alcohol or barbiturate withdrawal
 Genetic factors
 Treatment - Anticonvulsant drugs, surgery, diet
DISORDERS OF DEVELOPMENT
 Toxic Chemicals
 During pregnancy, impairs fetal development
 Mother contracts rubella (German measles)
 Mother ingests alcohol during pregnancy
 Inherited Metabolic Disorders
 Phenylketonuria (PKU)
 Tay-Sachs disease
DISORDERS OF DEVELOPMENT
Inherited Metabolic Disorders :-
 Tay-Sachs disease
 Causes brain to swell and damage itself against the inside of the skull and dura mater
 Metabolic “storage” disease
 1 or more enzymes are missing, waste products cannot be destroyed by lysosomes, accumulation
 Lysosomes get larger, cells get larger, brain swells
 Symptoms begin around 4 months
 Exaggerated startle response, listlessness, irritability, spasticity, seizures, dementia,
death
Duplication of a portion of chromosome 21
 Region of chromosome 21 will undergo a duplication (rare)
 Leads to extra copies of some, but not all, of the genes on chromosome 21
 If the duplicated region has genes that are responsible for Down syndrome physical
and mental characteristics, such individuals will show those characteristics
 Very rare
 Consequences
 Disfigurement
 Flattened skull and nose
 Folds of skin over the inner corners of the eyes
 Short fingers
 Retarded intellectual development
 Often serious medical complications
 Parkinson’s Disease
 A disease caused by degeneration of the nigrostriatal system – the dopamine-secreting
neurons of the substantia nigra (send axons to BG)
 Lewy Body – abnormal circular structures with a dense core consisting of -synuclein
protein (presynaptic protein); found in dopaminergic nigrostriatal neurons of Parkinson’s
patients
 Symptoms:
 Muscular rigidity
 Slowness of movement
 Resting tremor
 Postural instability
 Difficulties with handwriting or making facial expressions
ALZHEIMER’S DISEASE
 Degenerative brain disorder of unknown origin; causes progressive
memory loss, motor deficits, and death.
 10% of the population over 65 years old and 50% of the population
over 85
 Severe degeneration of the hippocampus, entorhinal cortex and
neocortex (prefrontal and temporal association areas), Locus
coeruleus, Raphe nucleus
1. Memory loss that disrupts daily life
2. Challenges in planning or solving problems
3. Difficulty completing familiar tasks at home, at work or at leisure
4. Confusion with time or place
5. Trouble understanding visual images and spatial relationships
6. New problems with words in speaking or writing
7. Misplacing things and losing the ability to retrace steps
8. Decreased or poor judgment
 Amyloid plaques formed by defective β-amyloid protein (Aβ)
 Gene encodes the production of the β-amyloid precursor protein (APP; ~700 a.a.
long)
 APP is then cut in 2 places by secretases to produce β-amyloid protein
 β-secretase
 γ-secretase
 Results in Aβ-40 or Aβ-42
 Normal brain ~95% of Aβ is short
 AD brain Aβ-42 is as high as 40%
 Folds improperly and form aggregates
 System cannot ubiquinate the high amounts of long Aβ proteins

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NEUROLOGICAL DISORDERS & THEIR DIAGNOSIS

  • 2. PREVIEW:- Seizure Disorders Disorders of Development Degenerative Disorders
  • 3.  Partial seizures– does not involve the whole brain  Generalized seizures – involves the entire brain, widespread.  Absence (Petit mal) – generalized, absence of behavior  Causes:  Injury, stroke, developmental abnormality, effect of a growing tumor  Febrile seizures  Infantile fever  Alcohol or barbiturate withdrawal  Genetic factors  Treatment - Anticonvulsant drugs, surgery, diet
  • 4. DISORDERS OF DEVELOPMENT  Toxic Chemicals  During pregnancy, impairs fetal development  Mother contracts rubella (German measles)  Mother ingests alcohol during pregnancy  Inherited Metabolic Disorders  Phenylketonuria (PKU)  Tay-Sachs disease
  • 5. DISORDERS OF DEVELOPMENT Inherited Metabolic Disorders :-  Tay-Sachs disease  Causes brain to swell and damage itself against the inside of the skull and dura mater  Metabolic “storage” disease  1 or more enzymes are missing, waste products cannot be destroyed by lysosomes, accumulation  Lysosomes get larger, cells get larger, brain swells  Symptoms begin around 4 months  Exaggerated startle response, listlessness, irritability, spasticity, seizures, dementia, death
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  • 9. Duplication of a portion of chromosome 21  Region of chromosome 21 will undergo a duplication (rare)  Leads to extra copies of some, but not all, of the genes on chromosome 21  If the duplicated region has genes that are responsible for Down syndrome physical and mental characteristics, such individuals will show those characteristics  Very rare
  • 10.  Consequences  Disfigurement  Flattened skull and nose  Folds of skin over the inner corners of the eyes  Short fingers  Retarded intellectual development  Often serious medical complications
  • 11.  Parkinson’s Disease  A disease caused by degeneration of the nigrostriatal system – the dopamine-secreting neurons of the substantia nigra (send axons to BG)  Lewy Body – abnormal circular structures with a dense core consisting of -synuclein protein (presynaptic protein); found in dopaminergic nigrostriatal neurons of Parkinson’s patients  Symptoms:  Muscular rigidity  Slowness of movement  Resting tremor  Postural instability  Difficulties with handwriting or making facial expressions
  • 12.
  • 13. ALZHEIMER’S DISEASE  Degenerative brain disorder of unknown origin; causes progressive memory loss, motor deficits, and death.  10% of the population over 65 years old and 50% of the population over 85  Severe degeneration of the hippocampus, entorhinal cortex and neocortex (prefrontal and temporal association areas), Locus coeruleus, Raphe nucleus
  • 14. 1. Memory loss that disrupts daily life 2. Challenges in planning or solving problems 3. Difficulty completing familiar tasks at home, at work or at leisure 4. Confusion with time or place 5. Trouble understanding visual images and spatial relationships 6. New problems with words in speaking or writing 7. Misplacing things and losing the ability to retrace steps 8. Decreased or poor judgment
  • 15.  Amyloid plaques formed by defective β-amyloid protein (Aβ)  Gene encodes the production of the β-amyloid precursor protein (APP; ~700 a.a. long)  APP is then cut in 2 places by secretases to produce β-amyloid protein  β-secretase  γ-secretase  Results in Aβ-40 or Aβ-42  Normal brain ~95% of Aβ is short  AD brain Aβ-42 is as high as 40%  Folds improperly and form aggregates  System cannot ubiquinate the high amounts of long Aβ proteins