Glossary of FM

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Created by jamiegallup

What was damaged in Phillipa's brain?
L frontal lobe,
moderate R frontal lobe
most of the prefrontal removed

7 neuropsych of Phillipa:
1. weakness R side of body
2. inappropriate behaviors: vulgar
3. lacked modesty
4. r side neglect: fail to copy r side of pick, embellish left
5. couldn't determine tactile, kept rule breaking
6. poor attn/motivation
7. little knowledge of her deficit

Rehab for phillipa:
physical therapy, couldn't complete simple tasks in therapy though
some R-side weakness disappears
Penetrating TBI
skull is pierced/broken and brain damage

Crushing TBI:
skull is smashed b/w two objects, most serious brain damage b/c affects nerves
Closed head injury:
most common, damage by movement of soft brain mass in the skull
damage to nerve fibers b/c stretching and shearing of fibers as the brain rotates on its axis
Coup TBI:
injury where brain hits the skulll, damage at the site of impact
impact causes brain acceleration in the skull, skull hits opp point of impact and damage in the opp part of impact
Neurology of Sam's case:
In a coma, Glasgow Coma Scale 6
Hemorrhaging of posterior parts of lateral ventricles: 4th ventricle and brain stem
Contusion of L cerebellar hemi and frontal both hemi

Verbal impairments of Sam:
trouble w/ WM, reading and speech slow but fluent
Visuospatial impairments of Sam:
couuldn't do object assembly tasks - forming a jigsaw puzzle
Frontal lobe probs w/ Sam:
hard time planning and organizing: Rey COmplex Figure
Hard time w/ Verbal abstractions into Rules: WI card sorting
Memory impairments of Sam:
digit span of 6: ok
anterograde amnesia: trouble learning new verbal/visual info
recognition memory task showed bilateral temporal and frontal lobe damage

Rehab for sam:
holistic apporach: multiple therapies w/ family
give pt a purpose and restore independence
7 Risk factors for AD:
1. slow virus
2. neurotoxins
3. oxidative stress w/ formation of free radicals
4. history of TBI
5. genetic predisposition: ApOE 4 genotype on chormosome 1 and 14, genetic relative
6. mild cognitive impairment
7. low cognitive abilities

5 protective factors against AD:
1. ApOE 2 genotype
2. High linguistic capability when younger
3. Vit E
4. anti-inflammatory agents
5. reduction of LDL cholesterol

2 things happen in brain w/ AD:
1. neurofibral tangles
2. amyloid plaques
Salient neurobehavioral effects of AD:
Forgetfullness/confusion/disorientation usually played off
speech and language impairments w/ abstract learning played off/covered up by family and person
Neurology of Sophia's case:
Minor cortical atrophy (decaying)
lateral ventricles larger than normal
Areas affected: frontal (plainning and motivation) occipital (visuospatial)
Post motum: AD confiremed w/ tangles and plaques

What is the MIni Mental State Exam? How did Sophia score?
Screens for dementia, she was mod. impaired
HOw did Sophia do on the National Adult Reading Test? What does this signifiy?
DId better than normal, this is premorbid IQ
How did Sophia perform on the WAIS:
avg then low
How did she perform on the Rey Complex Figure task initially and later?
Initially: 2 SD below normal, thought to be fatigue
Later: got much worse, cannot plan and copy
WI Card Sorting and Sophia:
Perservation, couldn't do new rule
Recognition Memory Taska nd Sophia:
Poor couldn't recognize word or faces
Short Subtests from aphasia battery and sophia:
could do meaningful rep
couldn't do non meaningful rep

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