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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 >
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                            