aging and trauma key points

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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

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Page 1: AGING AND TRAUMA Key Points

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

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AUSTRALIA

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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

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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.

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Exercise and trophic factor production in the adult brain

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Alzheimer’s Disease

Amyloid plaques, tangles

Early versus late-onset Alzheimer’s disease

APP, apoE, presenilins, tau

Changes in neurochemistry (acetylcholine), receptor levels

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Parkinson’s disease and dopamine cell loss

Neurodegenerative diseases

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Early diagnosis and neuroprotection, or cell replacement?

Parkinson’s Disease

**

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Huntington’s Normal

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Traumatic and vascular accidents

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The mammalian nervous system

brain

spinal cord

CNS

PNS

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Spinal Cord Injury

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