aging and trauma key points increased longevity results in increased neurological disorders...

23
AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative diseases – abnormal changes with age Basic knowledge of Alzheimer’s disease – neuropathology, genes Basic understanding of Parkinson’s disease Role of genetic versus environmental factors Stroke – infarct and haemorrhage Traumatic injuries to brain and spinal cord, primary - secondary events Knowledge of reactions to axonal injury Glial cell changes Differences between CNS and PNS injury Reading Crossman and Neary. pgs 13-17, 21, 27, 54-56, 127, 158 Kiernan (7th Ed), pgs 31-35, 38, 59-62, 103-104 Nolte (4th Ed), pgs 35, 89-94, 490-492 Fitzgerald, pgs 47-48, 53-55, 102-105, 215-217, 225, 234- 235

Upload: josephine-ward

Post on 24-Dec-2015

224 views

Category:

Documents


4 download

TRANSCRIPT

Page 1: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

AGING AND TRAUMA

Key PointsIncreased longevity results in increased neurological disorders‘Normal’ age-related changes in brain structure Neurodegenerative diseases – abnormal changes with ageBasic knowledge of Alzheimer’s disease – neuropathology, genesBasic understanding of Parkinson’s diseaseRole of genetic versus environmental factorsStroke – infarct and haemorrhageTraumatic injuries to brain and spinal cord, primary - secondary eventsKnowledge of reactions to axonal injuryGlial cell changesDifferences between CNS and PNS injury

ReadingCrossman and Neary. pgs 13-17, 21, 27, 54-56, 127, 158Kiernan (7th Ed), pgs 31-35, 38, 59-62, 103-104Nolte (4th Ed), pgs 35, 89-94, 490-492Fitzgerald, pgs 47-48, 53-55, 102-105, 215-217, 225, 234-235

Page 2: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

AUSTRALIA

Page 3: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Changes associated with ‘normal’ aging

Brain shrinkage, regression of processes/synapses

Inclusions

Changes in levels of neurotransmitters and their receptors

Degenerative diseases – abnormal aging

Cortical plaques containing irregular cell processes and beta-amyloid, activated glial cells.

Cellular changes in Alzheimer’s disease.

Neurofibrillary tangles in hippocampal neurons

Altered blood vessels

Page 4: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 5: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Older adults actually use different regions of the brain and more of the brain than younger adults to perform the same memory and information processing tasks. Overall, Reuter-Lorenz believes that older adults benefit from bi-hemispheric processing. Using two hemispheres instead of one, and more of the brain overall, may allow seniors to compensate for some of the mental declines that come with age.

Page 6: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Exercise and trophic factor production in the adult brain

Page 7: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 8: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Alzheimer’s Disease

Amyloid plaques, tangles

Early versus late-onset Alzheimer’s disease

APP, apoE, presenilins, tau

Changes in neurochemistry (acetylcholine), receptor levels

Page 9: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 10: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 11: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Parkinson’s disease and dopamine cell loss

Neurodegenerative diseases

Page 12: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 13: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Early diagnosis and neuroprotection, or cell replacement?

Parkinson’s Disease

**

Page 14: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Huntington’s Normal

Page 16: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Traumatic and vascular accidents

Page 17: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 18: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 19: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 20: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

The mammalian nervous system

brain

spinal cord

CNS

PNS

Page 21: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative
Page 22: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative

Spinal Cord Injury

Page 23: AGING AND TRAUMA Key Points Increased longevity results in increased neurological disorders ‘Normal’ age-related changes in brain structure Neurodegenerative