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Created by: Beven Livingston, Becky Huot, & Wendy Hasenkamp Graduate Students Emory University Graduate Program in Neuroscience Edited by: Jordan Rose Outreach Coordinator Center for Behavioral Neuroscience http://www.cbn-atl.org/education/outreach.html Please send questions or comments to [email protected] Common Bonds Potpourri What’s that for? When it goes wrong $200 $200 $200 $200 $400 $400 $400 $400 $600 $600 $600 $600 $800 $800 $800 $800 COMMON BONDS - 200 A disease affecting the following people: Vincent van Gogh Kurt Cobain Ted Turner Jim Carrey Winston Churchill Harrison Ford Charles Dickens Robin Williams Monica Seles Emily Dickinson Sting Roseanne What is Depression? There are two major types of depression: UNIPOLAR – major depression – Affects 17.6 million Americans/year – Affects 1/5 women – Affects 1/15 men – Treatment cost $30 billion in 1990 BIPOLAR – manic depression – Affects 2-3 million Americans/year – men and women equally affected – treated with Lithium Symptoms of Depression Unipolar – – – – – – – – (major) persistent sadness loss of interest loss of energy changes in appetite low self-esteem changes in sleep poor concentration school/work absences Bipolar (manic) – Recurrent episodes of mania and depression – euphoric mood – irritability – racing thoughts – excessive spending – decreased sleep Causes of Depression GENETIC – most important predisposing factor vulnerability to depression vulnerability to environmental factors ENVIRONMENTAL – – – – – stress (major/chronic) serious loss chronic illness separation chemical dysfunction Back > COMMON BONDS - 400 A disease affecting the following people: Michael J. Fox Muhammad Ali Pope John Paul Janet Reno What is Parkinson’s Disease? movement disorder slowly progressive tremor at rest Akinesia: inability to move Bradykinesia: slow movements postural reflex impairment affects over 1 million Americans Avg. age of onset: 58 40% of PD patients are under age 60 Decrease in neurotransmitter dopamine Back > COMMON BONDS - 600 disease of aging gradual memory loss dementia affects 1 million Americans Ronald Reagan What is Alzheimer’s Disease? EPIDEMIOLOGY – Usually does not occur before age 45 – rare before age 65 – affects 11% of people over 65 – unknown cause DIAGNOSIS – Memory loss – Rule out other possible factors Head injury, PD, Huntington’s, Stroke, tumor, infection, metabolic diseases – Post mortem histology Alzheimer’s Histology Loss of neurons Change in neuronal morphology Accumulation of ß-amyloid protein “plaques” (extracellular) Cytoskeletal abnormalities (intracellular), “neurofibrillary tangles” Normal Aging - T1 axial Normal Young Adult Brain normal Normal 88-yr old Brain enlarged Compare ventricular volumes relative to the whole brain mass Periventricular white matter hyperintensity Alzheimer’s Disease - T1 coronal Normal 88 yr. old w/ moderately advanced Alzheimer’s Disease * Hippocampal shrinkage Ventricular enlargement Cortical shrinkage (increased space around the brain) Back > COMMON BONDS - 800 A disease affecting the following people: Drew Barrymore Mickey Mantle Ernest Hemingway William Faulkner John Steinbeck What is Alcoholism? SYMPTOMS – – – – depressed mood appetite disturbance memory deficits psychomotor agitation – self deprecation COMORBIDITY – mood disorder – anxiety – antisocial personality disorder Lifetime Prevalence ALCOHOL – 10-20% – 5:1 male:female – 1/10 drinkers develops problem OTHER – – – – – – DRUGS Marijuana 4% Stimulants 2% Sedatives 1% Heroin 0.7% Hallucinogens 0.4% Cocaine 0.2% Questions about Drug Abuse Why certain drugs? – Reinforcing properties – Reward pathway in the brain Why – – – – certain people? Genetics Personality Environment (stress) Comorbidity Back > POTPOURRI - 200 The major cell type of the nervous system What is the Neuron? a neuron consists of a cell body (C), an axon (B), dendrites (D) and a myelin sheath (A) message transmission between neurons occurs through neurotransmitters (serotonin, dopamine) learning occurs as connections between neurons are strengthened Back > POTPOURRI - 400 The part of the body injured by actor Christopher Reeves. What is the Spinal Cord? When the spinal cord is damaged, information travelling along descending motor tracts and ascending sensory tracts is blocked. Motor and sensory deficits can be predicted from the level and location of the lesion in the spinal cord. Spinal Cord Spinal Cord Injury (SCI): The Big Picture Estimated 250,000 SCI people in the U.S. 11,000 new injuries reported annually Paraplegia (paralysis of legs) affects 55% of the SCI population Quadriplegia (paralysis of all extremities) affects 44% of the SCI population Causes of SCI in the U.S. Vehicular Accidents Violence Falls Diving accidents Work/Sports Related 40% 25% 21% 10% 4% Age Distribution of SCI Population Approximately 60% of SCI population were injured between 15-30 years of age Most frequently occurring age is 19 years. Male 70% Female 30% Ninety percent of SCI population lives normal lifespan Costs Associated with SCI In 1992, approximately 10,000 SCI’s were reported. Estimated lifetime costs associated with these SCI’s are $10 Billion. Individual suffering and loss to society are impossible to calculate. Back > POTPOURRI - 600 An immediate muscular response to a specific stimulus. Like when the doctor hits your kneecap with a hammer. What is a Reflex? Tapping a tendon to elicit a contraction of the muscle can determine the status of the nerve that supplies that muscle. Back > POTPOURRI - 800 The part of the retina that has no photoreceptors. (optic _______ ) What is the Optic Disc? Blind Spot Back > WHAT’S THAT FOR? - 200 The largest structure of the brain, it is divided into two hemispheres and each containing four lobes. What is the Cerebral Cortex? Cerebral Cortex Frontal Lobe = Motor Parietal Lobe = Sensory Temporal Lobe = Hearing, Language Occipital Lobe = Vision Back > WHAT’S THAT FOR? - 400 The part of the brain that is composed of the midbrain, the pons, and the medulla. What is the Brain Stem? Controls heart beat and respiration (breathing). Contains the major ascending and descending pathways. It is a link between the cerebral cortex, the cerebellum, and the spinal cord. Contain the cranial nerve nuclei 12 C.N. Midbrain Pons Medulla Back > WHAT’S THAT FOR? - 600 A tennis ball-sized structure at the base of the brain that is important for coordination of movement and balance. What is the Cerebellum? 2 main functions: – Coordinates skilled voluntary movements by influencing muscle activity – Helps to control equilibrium and muscle tone through connections with the vestibular system Cerebellum When the cerebellum is damaged (commonly from tumors, trauma or alcohol), patients exhibit: – – – – Hypotonia (diminished muscle tone) Ataxia (loss of coordinated, smooth movements) balance Intention tremor (a tremor that arises when voluntary movements are attempted) Back > WHAT’S THAT FOR? - 800 The part of the brain that controls HOMEOSTASIS: Thermoregulation Circadian rhythms Appetite control Stress Response Reproduction What is the Hypothalamus? Fight or Flight Response Blood pressure control Endocrine Control – Reproduction – Stress Back > WHEN IT GOES WRONG - 200 The mental disorder portrayed by Dustin Hoffman as Raymond in Rain Man What is Autism? Developmental – – – – – – Disorder Impaired communication (verbal/nonverbal) Impaired social interactions Behavior - stereotyped, self injury Hypersensitivity of senses (light, touch) Large variability in symptoms Not a mental illness Autism PREVALENCE – 1/500 children – 3-4 times more common in boys – >1/2 million people in US today – 3rd most common developmental disorder CAUSE – – – – Not known Not psychological Genetic link Major area of research Autistic Savant 10% of autistics have spectacular abilities (like Rain Man’s ability to count the number of toothpicks that fell on the floor just by looking at the mess for a second). Skills like math, music, memory, and art are extremely advanced while social skills remain impaired. less than 1% of non-autistic population has these abilities underlying changes in brain unknown; major area of research Back > WHEN IT GOES WRONG - 400 The neuromuscular disease named after an older baseball player for the New York Yankee’s. It is fatal and has no known cause or cure. What is Amyotrophic Lateral Sclerosis (Lou Gehrig’s disease)? EPIDEMIOLOGY – uncommon – 4 to 6/100,000 – men and women equally – age 40-70 SIGNS & SYMPTOMS – degeneration of motor neurons in the brain and spinal cord – muscle weakness and atrophy – doesn’t affect intellect, or sensory Neurons in ALS Back > WHEN IT GOES WRONG - 600 The mental disorder characterized by disturbances in thinking, emotional reactions, and social behavior, as well as delusions and hallucinations. What is SCHIZOPHRENIA? Commonly misunderstood as “multiple personality disorder” Devastating psychiatric disease that affects 1% of the population – 1/3 of homeless in America are afflicted ‘Positive’ symptoms: delusions, hallucinations, disorganized speech & thoughts ‘Negative’ symptoms: flattened affect, apathy, social withdrawal, poverty of speech SCHIZOPHRENIA Age of onset is generally from 16-25, but males tend to develop the disorder earlier than females Excessive dopamine neurotransmission within the brain is hypothesized to be the cause of schizophrenia As you might expect, the most common drugs used to treat schizophrenia are dopamine antagonists (block dopamine neurotransmission) Back > WHEN IT GOES WRONG - 800 The disease characterized by irrational fear of open spaces. Sigourney Weaver’s character had this condition in Copycat. What is Agoraphobia? Often accompanies panic disorder, fear of having an attack in an unsafe place PANIC DISORDER = sudden, unpredictable onset of terror – people believe they are having a heart attack or dying – average length of attack is 10 minutes Phobias Specific Phobia (of particular object or situation) – affects 1 in 10 people Social Phobia (of becoming humiliated in social situations) – runs in families, begins in early adolescence – associated with depression or alcoholism Back >