Common Disorders of the Nervous System – PST04103 Human Anatomy and Physiology

NTA Level 4 • Semester 1 • PST04103

Common Disorders of the Nervous System

Human Anatomy and Physiology • Source Session/Topic 36
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 36: Common Disorders of the Nervous System

Total Session Time: 120 minutes

Prerequisites

• Session 30 and 31; Structure and Functions of the Central And

Autonomic Nervous System

Learning Tasks

By the end of this session students are expected to be able to:

• Define Disorder of Nervous System
• List Disorders of Nervous System
• Explain the Parkinson’s Disease and Alzheimer’s Disease
• Explain the Neuroleptic Disorders
• Explain the Hydrocephalus

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers
• Overhead projector (OHP) and computer

SESSION OVERVIEW

|Step |Time |Activity/ |Content |

| | |Method | |

|1 |05 minutes |Presentation |Introduction, Learning Tasks |

|2 |15 Minutes |Presentation |Disorders of Nervous System |

| | |Buzzing | |

|3 | |Presentation |Parkinson’s Disease and Alzheimer’s |

| |30 minutes |Small Group |Disease |

| | |Discussion | |

|4 | |Presentation |Neuroleptic Disorders |

| |45 minutes |Small Group | |

| | |Discussion | |

|5 |15minutes |Presentation |Hydrocephalus |

| | |Brainstorming | |

|6 |05 minutes |Presentation |Key Points |

| 7 |05 minutes |Presentation |Evaluation |

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing

STEP 2: Disorders of Nervous System (15 minutes)

|Activity: Buzzing (5 minutes) |

| |

|ASK learners to pair and buzz on the following question for 2 minutes|

| |

|What is nervous disorder? |

| |

|ALLOW few pairs to respond and let others pairs to add on points not |

|mentioned |

| |

|WRITE their response on the flip chart/board |

| |

|CLARIFY and SUMMARIZE by using content below |

Nervous system disorders are the disorders of the brain, spinal cord,

sensory organs, and all of the nerves that connect these organs with the

rest of the body.

The common nervous system disorders:

• Psychosis
• Depression
• Schizophrenia
• Epilepsy
• Multiple sclerosis
• Parkinson’s disease
• Alzheimer’s disease
• Hydrocephalus

STEP 3: Parkinson’s disease and Alzheimer ’s disease (30 minutes)

|Activity: Small Group Discussion ( 30 minutes) |

| |

|DIVIDE students into small manageable groups |

| |

|ASK students to discuss on the following question |

|What are Parkinson’s disease and Alzheimer’s disease? |

| |

|ALLOW students to discuss for 15 minutes |

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|CLARIFY and SUMMARIZE by using the contents below |

• Parkinson’s disease

o This is a disorder of the basal ganglia

o The cause is unknown, and though there is a genetic component in some

families, itis probably not the only factor

o The disease usually begins after the age of 60

o Neurons in the basal ganglia that produce the neurotransmitter

dopamine begin to degenerate and die, and the deficiency of dopamine

causes specific kinds of muscular symptoms.

▪ Tremor, or involuntary shaking, of the hands is probably the most

common symptom.

▪ The accessory movements regulated by the basal ganglia gradually

diminish, and the affected person walks slowly without swinging the

arms.

• Alzheimer’s disease

o This is the genetic disorder of the nervous system.

o It is due to presence of abnormal fibrous proteins in the cells of

cerebral cortex in areas important for memory and reasoning.

o The symptoms include

▪ Memory lapse and slight personality changes.
▪ As the disease progresses, there is total loss of memory,

reasoning ability, and personality, and those with advanced disease

are unable to perform even the simplest tasks or self-care.

STEP 4: Neuroleptic Disorders (45 minutes)

|Activity: Small Group Discussion ( 30 minutes) |

| |

|DIVIDE students into small manageable groups |

| |

|ASK students to discuss on the following question |

|What are neuroleptic disorders? |

| |

|ALLOW students to discuss for 15 minutes |

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|CLARIFY and SUMMARIZE by using the contents below |

• Neuroleptic disorders are mixtures of symptoms, especially anxiety and

depressive ones.

• Psychosis and Depression

o They are due to imbalance of chemicals in the brain

o Psychosis is mostly presented by;

▪ Hallucinations
▪ Delusions
▪ Emotional withdraw
▪ Lack of attention to personal hygiene

o Depression is presented by:

▪ Feeling empty
▪ Inability to enjoy anything
▪ Hopelessness
▪ Loss of sexual desire
▪ Loss of warm feelings for family or friends
▪ Feelings of self-blame or guilt
▪ Loss of self esteem
• Schizophrenia

o It is defined by a group of characteristic positive and negative

symptoms of deterioration in social, occupational, or interpersonal

relationships.

o It distorts thinking and perception capabilities.

o It is not an excess of dopamine.

o Schizophrenia can be diagnosed by the following symptoms:

▪ Hallucinations
▪ Delusions
▪ Disorganized speech
▪ Disorganized or catatonic behaviour
▪ Negative symptoms
• Epilepsy

o Epilepsy is a recurrent seizures of not more than 24 hours

o Seizure is a clinical manifestation of synchronized electrical

discharges of neurons.

o Some seizures can be originated outside the brain due to fever,

infection, syncope, head trauma, hypoxia, toxins and cardiac

arrhythmias.

o Status epileptics (SE) is the continuous convulsion lasting longer

than 30 minutes or occurrence of serial convulsions between which

there is no return of consciousness

o Seizures can be due to cerebral damage or cerebral malformation like

hydrocephalus

o They are mostly presented by convulsions.

• Multiple sclerosis

o Refers to autoimmune demyelinating disease

o It involves deterioration of the myelin sheath of neurons in the

central nervous system.

o Without the myelin sheath, the impulses of these neurons are short-

circuited and do not reach their proper destinations, and the neuron

axons are damaged and gradually die.

o The first symptoms usually appear between the ages of 20 and 40

years, and the disease may progress either slowly or rapidly.

STEP 5: Hydrocephalus (15 minutes)

|Activity: Brainstorming (5 minutes) |

| |

|Ask students to brainstorm on the following question: |

| |

|What is hydrocephalus? |

| |

|ALLOW few students to respond |

| |

|WRITE their responses on the flip chart/ board |

| |

|CLARIFY and SUMMARISE by using the content below |

• Hydrocephalus

o Refers to the accumulation of excessive CSF within the ventricular

system.

o Most cases occur as a consequence of:

▪ Impaired flow of CSF
▪ Impaired resorption of CSF,
▪ rare instances (e.g. tumours of the choroid plexus)
▪ Overproduction of CSF may be responsible.

o When hydrocephalus develops in infancy before closure of the cranial

sutures, there is enlargement of the head.

o Hydrocephalus developing after fusion of the sutures, in contrast, is

associated with expansion of the ventricles and increased

intracranial pressure, without a change in head circumference.

o If there is an obstacle to the flow of CSF within the ventricular

system, then a portion of the ventricles enlarges while the remainder

does not.

STEP 5: Key Points (5 minutes)

• The common nervous system disorders:

o Psychosis

o Depression

o Schizophrenia

o Epilepsy

o Multiple sclerosis

o Parkinson’s disease

o Alzheimer’s disease

o Hydrocephalus

• A person affected by Parkinson’s disease walks slowly without swinging

the arms.

• Alzheimer’s disease is a genetic disorder of the nervous system
• The neuroleptic disorders include psychosis, depression, schizophrenia,

epilepsy and multiple sclerosis

• Hydrocephalus is the accumulation of excessive CSF within the

ventricular system

STEP 6: Evaluation (5 minutes)

• What are the nervous system disorders?
• What is Parkinson’s disease?
• What is the Alzheimer’s?
• What are the neuroleptic disorders?
• What is the Hydrocephalus?

References

Scalon, V.C., & Sanders, T. (2007). Essentials of anatomy and physiology

(5th ed.).

Philadelphia,NY: F.A Davis

Tortora, J.G., & Derrickson, B. (2009). Principles of anatomy and

physiology (12th

ed.).Danvers, MA:John Wiley & Sons

Waugh,A.,& Wilson, J.W.K. (2001): Anatomy and Physiology in Health and

Illness(9th

ed.). Totternham, London: Churchill Livingstone

Additional

www.who.int/mental health/…/neurological disorders

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