Trauma and more disorders.. Psychology 2617

Introduction Lesions Lesions Anoxia a hypoxia Anoxia a hypoxia Anoxia is a complete cutoff of oxygen while hypoxia is a decrease Anoxia is a complete cutoff of oxygen while hypoxia is a decrease Hypoxia is usually caused by some environmental factor Hypoxia is usually caused by some environmental factor

Cerebrovascular disorders Stroke Stroke Aka CVA Aka CVA Used to be treated basically like there was nothing you could do Used to be treated basically like there was nothing you could do Now more like a ‘brain attack’ Now more like a ‘brain attack’

Ischemia Usually short lived Usually short lived Usually a near complete or complete recovery occurs Usually a near complete or complete recovery occurs More likely later on to have a big time stroke More likely later on to have a big time stroke Usually involves impairment of speech, vision, maybe neglect Usually involves impairment of speech, vision, maybe neglect

Infarctions Thrombosis Thrombosis Basically a blockage Basically a blockage Embolism Embolism Clot that moves to the brain Clot that moves to the brain Both are related to fat type build ups in the arteries Both are related to fat type build ups in the arteries

hemorrhage Rupture and spilling of blood in the brain Rupture and spilling of blood in the brain Usually a weak spot (aneurysm) Usually a weak spot (aneurysm) Intracerebral Intracerebral Subarachnoid Subarachnoid

diagnosis Depends on the problem Depends on the problem Tough sometimes for TIAs Tough sometimes for TIAs Easier with other problems, hemorrhage is easy, but the outlook is not that good anyway Easier with other problems, hemorrhage is easy, but the outlook is not that good anyway Use of imaging Use of imaging

Psychological problems post event Sensory problems Sensory problems Cognitive issues Cognitive issues Memory Memory Motor Motor Speech Speech Abstract reasoning Abstract reasoning Not always associated with where the injury happened! Not always associated with where the injury happened!

Tumors Malignant or benign Malignant or benign Infiltrative or encapsulated Infiltrative or encapsulated MUCH easier to diagnose nowadays what with MRI and CT scanning MUCH easier to diagnose nowadays what with MRI and CT scanning Radiation and chemo Radiation and chemo Chemo best when the tumor is growing Chemo best when the tumor is growing Early detection is key then Early detection is key then

Head injury Is it just me or is all of this stuff getting depressing…. Is it just me or is all of this stuff getting depressing…. We didn’t evolve in an environment that allowed us to travel at hundreds of km/h We didn’t evolve in an environment that allowed us to travel at hundreds of km/h Penetrating injury Penetrating injury Closed head injury Closed head injury

Glasgow Coma Scale Eye opening Eye opening Verbal response Verbal response Motor response Motor response From 3-15, 15 is ok, 3 is very bad From 3-15, 15 is ok, 3 is very bad The funny funny story of Donnie… The funny funny story of Donnie…

Types of injuries Edema Edema Herniation Herniation Hemorrhage Hemorrhage Bleeding Bleeding Skull fractures Skull fractures

Concussion A mild form of closed head injury A mild form of closed head injury Well mild sure, but, you should get looked at Well mild sure, but, you should get looked at They are cumulative They are cumulative The funny story of Donnie maybe ain’t that funny The funny story of Donnie maybe ain’t that funny Brett is the smart Lindros Brett is the smart Lindros Post concussion syndrome Post concussion syndrome

Treatment Amnesia is often the result or one of them Amnesia is often the result or one of them Neuropsychological evaluations Neuropsychological evaluations Coping skills can be taught Coping skills can be taught As usual, less severe, easier to treat As usual, less severe, easier to treat