Chapter 15 Nervous System and Behavioral Health

brain

major portion of the central nervous system

cerebrum

largest portion of the brain, divided into left and right hemispheres; it controls the skeletal muscles, interprets general senses (such as temperature, pain, and touch), and contains centers for sight and hearing.

ventricles

spaces withing the brain that contain a fluid called cerebrospinal fluid; the cerebrospinal fluid flows through the subarachnoid space around the brain and spinal cord

cerebellum

located under the posterior portion of the cerebrum; its function is to assist in the coordination of skeletal muscles and to maintain balance; also called hindbrain

brainstem

stemlike portion of the brain that connects with the spinal cord; ten of the twelve cranial nerves originate in the brainstem

pons

literally means bridge; it connects the cerebrum with the cerebellum and brainstem

medulla oblongata

located between the pons and spinal cord; it contain centers that control respiration, heart rate, and the muscles in the blood vessel walls, which assist in determining blood pressure

midbrain

most superior portion of the brainstem

cerebrospinal fluid (CSF)

clear, colorless fluid contained in the ventricles that flows through the subarachnoid space around the brain and spinal cord; it cushions the brain and spinal cord from shock, transports nurtrients, and clears metabolic waste

spinal cord

passes through the vertebral canal extending from the medulla oblongata to the level of the second lumbar vertebra; the spinal cord conducts nerve impulses to and from the brain and initiates reflex action to sensory information without input from the brain

meninges

three layers of membrane that cover the brain and spinal cord

dura mater

tough outer layer of the meninges

arachnoid

delicate middle layer of the meninges; the arachnoid membrane is loosely attached to the pia mater by weblike fibers, which allow for the subarachnoid space

pia mater

thin inner layer of the meninges

nerve

cordlike structure that carries impulses form one part of the body to another; there are twelve pairs of cranial neves and 31 pairs of spinal nerves

ganglion

group of nerve cell bodies located outside the central nervous system

glia

cells that form support and nourish nervous tissue; some cells assist in the secretion of cerebrospinal fluid and others assist with phagocytosis; they do not conduct impulses; three types astroglia, oligodendroglia, microglia; also called neuroglia

neuron

conducts nerve impulses to carry out the function of the nervous system; destroyed neurons cannot be replaced

cerebell/o

cerebellum

cerebr/o

cerebrum, brain

dur/o

hard, dura mater

encephal/o

brain

gangli/o, ganglion/o

ganglion

gli/o

glia

meningi/o, mening/o

meninges

myel/o

spinal cord

neur/o

nerve

radic/o, radicul/o, rhiz/o

nerve root (proximal end of a peripheral nerve, closes to the spinal cord)

esthesi/o

sensation, sensitivity, feeling

ment/o, psych/o

mind

mon/o

one, single

phas/o

speech

poli/o

gray matter

quadr/i

four

#NAME?

specialist, physician

#NAME?

tratment, specialty

#NAME?

seizure, attack

#NAME?

slight paralysis

cerebellitis

inflammation of the cerbellum

cerebral thrombosis

pertaining to the cerebrum, abnormal condition of a clot (blood clot in a blood vessel of the brain); a type of ischemic stroke

duritis

inflammation of the dura mater

encephalitis

inflammation of the brain

encephalomalacia

softening of the brain

encephalomyeloradiculitis

inflammation of the brain, spinal cord, and nerve roots

gangliitis

inflammation of a ganglion

glioblastoma

tumor composed of developing glial tissue (the most malignant and most common primary tumor of the brain)

glioma

tumor composed of the glial tissue

meningitis

inflammation of the meninges

meningioma

tumor of the meninges (benign and slow growing)

meningocele

protrusion of the meninges

meningomyelocele

protrusion of the meninges and spinal cord; also called myelomeningocele

mononeuropathy

disease affecting a single nerve

neuralgia

pain in a nerve

neurasthenia

nerve weakness

neuritis

inflammation of a nerve

neuroarthropathy

disease of nerves and joints

neuroma

tumor made up of nerve (cells)

neuropathy

disease of the nerves

poliomyelitis

inflammation of the gray matter of the spinal cord

polyneuritis

inflammation of many nerves

polyneuropathy

disease of many nerves

radiculitis

inflammation of the nerve roots

radiculopathy

disease of the nerve roots

rhizomeningomyelitis

inflammation of the nerve root, meninges, and spinal cord

subdural hematoma

pertaining to below the dura mater, tumor of blood

alzheimer disease (AD)

disease charaterized by early senility confusion, loss of recognition of persons or familiar surrounding, restlessness, and impaired memory

amyotrophic lateral sclerosis (ALS)

progressive muscle atrophy caused by hardening of nerve tissue on the lateral columns of the spinal cord; also called Lou Gehrig disease)

bell palsy

paralysis of muscles on one side of the face, usually a temporary condition; symptoms include a sagging mouth on the affected side and nonclosure of the eyelid

cerebral aneurysm

aneurysm in the cerebrum

cerebral embolism

an embolus (usually a blood clot or a piece of atherosclerotic plaque arising from a distant site) lodges in a cerebral artery, causing sudden blockage of blood supply to the brain tissue; a common cause is atrial fibrillation

cerebral palsy (CP)

condition characterized by lack of muscle control and partial paralysis, caused by a brain defect or lesion present at birth or shortly after

dementia

cognitive impairment characterized by a loss of intellectual brain function

epilepsy

disorder in which the main symptom is recurring seizures

hydrocephalus

increased amount of cerebrospinal fluid in the ventricles of the brain, which can cause enlargement of the cranium in infants

intracerebral hemorrhage

bleeding into the brain as a result of a ruptured blood vessel within the brain; a type of ischemic stroke frequently associated with high blood pressure

multiple sclerosis (MS)

degenerative disease characterized by sclerotic patches along the brain and spinal cord

parkinson disease (PD)

chronic degenerative disease of the central nervous system; symptoms include resting tremors of the hands and feet, rigidity, expressionless face, and shuffling gait

sciatica

inflammation of the sciatic nerve, causing pain that travels from the thigh through the leg to the foot and toes; can be caused by injury, infection, arthritis, herniated disk, or from prolonged pressure on the nerve from sitting for long periods

shingles

viral disease that affects the peripheral nerves and causes blisters on the skin that follow the course of the affected nerves; also called herpes zoster

stroke

occurs when there is an interruption of blood supply to a region of the brain, depriving nerve cells in the affected area of oxygen and nutrients;

subarachnoid hemorrhage

bleeding caused by a ruptured blood vessel just outside the brain (usually a ruptured cerebral aneurysm) that rapidly fills the space between the brain and skull (subarachnoid space) with blood; the patient may experience an intense, sudden headache accompanied by nausea, vomiting, and neck pain

transient ischemic attack (TIA)

sudden deficient supply of blood to the brain lasting a short time; the symptoms may be similar to those of stroke, but with TIA the symptoms are temporary and the usual outcome is complete recovery

ganglionectomy

excision of a ganglion; also called gangliectomy

neurectomy

excision of a nerve

neurolysis

separating a nerve (from adhesions)

neuroplasty

surgical repair of a nerve

neurorrhaphy

suture of a nerve

neurotomy

incision into a nerve

radicotomy, rhizotomy

incision into a nerve root

cerebral angiography

radiographic imaging of the blood vessels in the brain (after an injection of contrast medium)

CT myelography

process of recording (scan) the spinal cord (after an injections of a contrast agent into the subarachnoid space by lumbar puncture

electroencephalogram (EEG)

record of the electrical impulses of the brain

electroencephalograph

instrument used to record the electrical impulses of the brain

electroencephalography

process of recording the electrical impulses of the brain

computed tomography of the brain (CT scan)

process that includes the use of a computer to produce a series of brain tissue images at any desired depth

magnetic resonance imaging of the brain or spine (MRI scan)

a noninvasive technique that produces sectional images of soft tissues of the brain or spine through a strong magnetic field

positron emission tomography of the brain (PET scan)

an imaging technique with a readioactive substance that produces sectional imaging of the brain to examine blood flow and metabolic activity; images are projected on a viewing screen

evoked potential studies (EP studies)

a group of diagnostic tests that measure changes and responses in brain waves elicited by visual, auditory, or somatosensory stimuli; visual evoked response (VER) is a response to visual stimuli; auditory evoked response (AER) is a response to auditory stimuli

lumbar puncture (LP)

insertion of a needle into the subarachnoid space usually between the third and fourth lumbar vertebrae; also called spinal tap

anethesia

without (loss of) feeling or sensation

aphasia

condition of without speaking (loss or impairment of the ability to speak)

cephalalgia

pain in the head (headache); also called cephalgia

cerebral

pertaining to the cerebrum

craniocerebral

pertaining to the cranium and cerebrum

dysphasia

condition of difficulty speaking

encephalosclerosis

hardening of the brain

gliocyte

glial cell

hemiparesis

slight paralysis of half (right or left side of the body)

hemiplegia

paralysis of half (right or left side of the body); stroke is the most common cause

hyperesthesia

excessive sensitivity (to stimuli)

interictal

(occuring) between seizures or attacks

intracerebral

pertaining to within the cerebrum

monoparesis

slight paralysis of one (limb)

monoplegia

paralysis of one (limb)

myelomalacia

softening of the spinal cord

neuroid

resembling a nerve

neurologist

physician who studies and treats diseases of the nerves (nervous system)

neurology

study of nerves (branch of medicine dealing with diseases of the nervous system)

panplegia

total paralysis; also called pamplegia

paresthesia

abnormal sensation (such as burning, prickling, or tingling sensation, often in the extremities; may be caused by nerve damage or peripheral neuropathy

postictal

(occurring) before a seizure or attack

preictal

(occurring) before a seizure or attack

quadriplegia

paralysis of four (limbs)

subdural

pertaining to below the dura mater

afferent

conveying toward a center

ataxia

lack of muscle coordination

cognitive

pertaining to the mental processes of comprehension, judgment, memory, and reason

coma

state of profound unconsciousness

concussion

jarring or shaking that results in an injury

conscious

awake, alert, aware of one's surroundings

convulsion

sudden, involuntary contraction of a group of muscles (synonymous with seizure)

disorientation

a state of mental confusion as to time, place, or identity

dysarthria

the inability to use speech that is distinct and connected because of a loss of muscle control after damage to the peripheral or central nervous system

efferent

conveying away from the center

gait

a manner or style of walking

incoherent

unable to express one's thoughts or ideas in an orderly, intelligible manner

paraplegia

paralysis from the waist down caused by damage to the lower level of the spinal cord

seizure

sudden attack with an involuntary series of contractions (synonymous with convulsion)

shunt

tube implanted in the body to redirect the flow of fluid

syncope

fainting or sudden loss of consciousness caused by lack of blood supply to the cerebrum

unconsciousness

state of being unaware of surroundings and incapable of responding to stimuli as a result of injury, shock, or illness

psychiatrist

a physician who studies and treats disorders of the mind

psychiatry

specialty of the mind (branch of medicine that deals with the treatment of mental disorders)

psychogenic

originating in the mind

psychologist

specialist of the mind

psychology

study of the mind (a profession that involves dealing with the mind and mental processes in relation to human behavior)

psychopathy

(any) disease of the mind

psychosis

abnormal condition of the mind (major mental disorder characterized by extreme derangement, often with delusions and hallucinations)

psychosomatic

pertaining to the mind and body

anorexia nervosa

an eating disorder characterized by a disturbed perception of body image resulting in failure to maintain body weight, intensive fear of gaining weight, pronounced desire for thinness, and, in females, amenorrhea

anxiety disorder

an emotional disorder characterized by feelings of apprehension, tension, or uneasines arising typically from the anticipation of unreal or imagined danger

attention deficit hyperativity disorder (ADHD)

a disorder of learning and behaviroal problems characterized by marked inattention, distractability, impulsiveness, and hyperactivity

autism

a mental disorder, the features of which include onset during infancy or childhood, preoccupation with subjective mental activity, inability to interact socially, impaired communication, and repetitive body movements

bipolar disorder

a major psychological disorder typified by a disturbance in mood; the disorder is manifested by manic and depressive episodes that may alternate or elements of both may occur simultaneously

bulimia nervosa

an eating disorder characterized by uncontrolled binge eating followed by purging (induced vomiting)

major depression

a mood disturbance characterized by feelings of sadness, despair, discouragement, hopelessness, lack of joy, altered sleep patterns, and difficulty with decision making and daily function; also referred to as clinical depression, mood disorder)

obsessive-compulsive disorder (OCD)

a disorder characterized by intrusive, unwanted thoughts that result in the tendency to perform repetitive acts or rituals (compulsions), usually as a means of releasing tension or anxiety

panic attack

an episode of sudden onset of acute anxiety, occurring unpredictably, with feelings of acute apprehension, dyspnea, dizziness, sweating, and/or chest pain, depersonalization, paresthesia and fear of dying, loss of mind or control

phobia

a marked and persistent fear that is excessive or unreasonable cued by the presence or anticipation of a specific situation or object

pica

compulsive eating of nonnutritive substances such as clay or ice; this condition is often a result of an iron deficiency

posttraumatic stress disorder (PTSD)

a disorder characterized by an acute emotional response to a traumatic event perceived as life threatening or severe emotional stress

schizophrenia

any one of a large group of psychotic disorders characterized by gross distortions of reality, disturbance of language and communication, withdrawal from social interaction, and the disorganization and fragmentation of thought, perception, and emotional reaction

somatoform disorders

disorders characterized by physical symptoms for which no known physical cause exists

AD

alzheimer disease

ADHD

attention deficit hyperactivity disorder

ALS

amyotrophic lateral sclerosis

CNS

central nervous system

CP

cerebral palsy

CSF

cerebrospinal fluid

CVA

cerebrovascular accident

EEG

electroencephalogram

EP studies

evoked potential studies

LP

lumbar puncture

MRI scan

magnetic resonance imaging scan

MS

multiple sclerosis

OCD

obsessive-compulsive disorder

PD

parkinson disease

PET scan

positron emission tomography scan

PNS

peripheral nervous system

PTSD

posttraumatic stress disorder

TIA

transient ischemic attack