Professional Documents
Culture Documents
Warning:
Sheila (UK)
Sheila fell in her English garden, cutting her leg. She was taken to local ER
where the wound was cleaned and stitched. But she was forced to seek
further help 3 days later when her face began to ache and she had difficulty
opening her mouth.
She looked unwell and complained of diffuse pain. Her condition worsened; 24
hours later she developed jaw stiffness, and severe back and limb spasms.
She was transferred to ICU.
My diagnosis of Sheila is
0% 0% 0% 0%
s
it y
ity
ha
nc
tiv
tiv
ie
he
ac
ac
fic
ts
n
de
e
ha
ni
in
to
e
yc
w
in
ro
gl
ea
m
se
e
id
pa
siv
no
Do
ir e
s
ce
e
pa
av
Ex
Im
20
Ih
The Big Picture
Ionic Forces Underlie Electrical Signaling
Resting
Potential
Cell membrane is a lipid bilayer
Fugu 河豚
Axon hillock
the inactivation gate acts just like the deadbolt on your apartment front door
Action potentials travel in one direction because of the refractory state of the
membrane after a depolarization
Conduction Speed
– myelin vs. unmyelinated
axons
Ion channels are selective filters
Cell body
axon hillock
Axon hillock
Sequence of Transmission at Chemical Synapses
Reuptake:
Neurotransmitter degradation
breakdown/inactivation of
transmitter by an enzyme
Example: acetylcholinesterase
(AChE) breaks down acetylcholine
(Ach)
Acetylcholine
Receptor
Number of receptors in a neuron varies over time
Receptor number changes rapidly – esp. during development, with drug use,
learning
Normal EEG
Seizure Disorders
whole-body convulsion
Generalized convulsions –
abnormal activity throughout
the brain
Seizure is followed by
confusion and sleep
Seizure Disorders
Abnormal EEG
Seizure Disorders
Myoclonic Seizures
rapid, brief contractions of bodily muscles, which usually occur
at the same time on both sides of the body
Categories of seizures - summary
Partial onset
• simple partial seizures (normal awareness)
• complex partial seizures (awareness impaired)
Generalized onset
• absence seizures (petit-mal)
• myoclonic seizures
• generalized tonic-clonic seizures (grand-mal)