Nervous system disease

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Nervous system disease
Specialty Neurology

Nervous system diseases, also known as nervous system or neurological disorders, refers to a small class of medical conditions affecting the nervous system. This category encompasses over 600 different conditions, including genetic disorders, infections, cancer, seizure disorders (such as epilepsy), conditions with a cardiovascular origin (such as stroke), congenital and developmental disorders (such as spina bifida), and degenerative disorders (such as multiple sclerosis, Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis). [1]

Contents

Signs and symptoms

Signs and symptoms can vary depending on the condition. Given the significance of the nervous system in human physiology, symptoms can involve other organ systems and result in motor dysfunction, sensory impairment, pain, etc.

Causes

Genetic

Some nervous system diseases are due to genetic mutations. [2] For example, Huntington's disease is an inherited disease characterized by progressive neurodegeneration. [3] Huntington's disease results from a mutation in either copy of the HTT gene, which results in an abnormally folded protein. [4] The accumulation of mutated proteins results in brain damage of the basal ganglia. [4]

Congenital/developmental defect

Developing babies can have birth defects that affect the formation of the nervous system. [5] For example, Anencephaly (or spina bifida) causes abnormalities in the nervous system due to neural tube defects. [5]

Cancer

This figure illustrates how glioblastoma affects brain tissue. AFIP-00405562-GiantCellGlioblastoma-Gross.jpg
This figure illustrates how glioblastoma affects brain tissue.

Specialized cells in the central nervous system, such as glial cells, may proliferate abnormally and form gliomas. [6] Glioblastoma is an aggressive form of glioma. [7]

Infection

Pathogens like fungi, bacteria, and viruses can affect the nervous system. [8] For example, meningitis is a common infection of the central nervous system, where bacterial or viral infections cause an inflammation of the meninges. [9]

Seizure disorder

It is suspected that seizures occur because of synchronized brain activity. [10] Epilepsy, for example, is characterized by an abnormal electrical activity in the brain, which causes repeated seizures. [11]

Vascular

The brain is rich in blood vessels because it requires a lot of nutrients and oxygen. [12] A stroke may result from a blood clot or hemorrhage. [13]

Degenerative

This diagram shows the myelin sheath around axons of healthy neurons looks like, and the result of demyelination of neurons in Multiple Sclerosis. Myelin sheath damage in multiple sclerosis.png
This diagram shows the myelin sheath around axons of healthy neurons looks like, and the result of demyelination of neurons in Multiple Sclerosis.

A neurodegenerative disease is a disease that causes damage to neurons. Examples of neurodegenerative disease include Alzheimer's disease, [14] Parkinson's disease, [15] and amyotrophic lateral sclerosis. [16] For example, multiple sclerosis (MS) is an inflammatory neurodegenerative disease where the body initiate an inflammatory reaction in the central nervous system, and causes damage to neurons. [17] [18] Neurodegeneration is different in each disease; for example, MS is a result of a degenerative process called demyelination. [17] On the other hand, Parkinson's disease results from damage of neurons in the Substantia Nigra, which is important to initiate motor behavior. [19]

Anatomy

Central nervous system (CNS)

According to Tim Newman, the central nervous system is made up of the brain and spinal cord, it collects information from the entire body and it also controls functions throughout the entire body. [20]

Brain

Newman's research also shows that the brain is the most complex organ in the entire body. The brain is split up into 4 lobes: the temporal, parietal the occipital, and the frontal.The brain has over 100 billion neurons and it uses about 20% of the body's oxygen. [21]

Spinal cord

The spinal cord runs through most of the back. The spinal cord contains a total of 31 spinal nerves in between each vertebra. The nerves connect to the peripheral nervous system. [20]

Peripheral nervous system

The peripheral nervous system connects to the muscles and glands and sends information to the central nervous system. [22]

Diagnosis

There are a number of different tests that can be used to diagnose neurological disorders.

Lumbar puncture

A lumbar puncture (LP), also known as a spinal tap, is a procedure where a hollow needle is inserted into the subarachnoid space of the spinal cord, allowing for the collection of cerebrospinal fluid (CSF) for collection and subsequent analysis. Red and white blood cell counts, protein and glucose levels, and the presence of abnormal cells or pathogens such as bacteria and viruses can all be screened for. The opacity and color of the fluid can also yield useful information that can assist in a diagnosis.

Treatments

The treatments for nervous system disorders varies depending on the condition, and can include interventions such as medication, surgery, and therapy.

See also

References [23]

  1. "Nervous System Diseases – Neurologic Diseases". MedlinePlus. Retrieved 2018-02-02.
  2. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 364. ISBN   9781605357430.
  3. Podvin, Sonia; Reardon, Holly T.; Yin, Katrina; Mosier, Charles; Hook, Vivian (March 2019). "Multiple clinical features of Huntington's disease correlate with mutant HTT gene CAG repeat lengths and neurodegeneration". Journal of Neurology. 266 (3): 551–564. doi:10.1007/s00415-018-8940-6. ISSN   0340-5354. PMID   29956026. S2CID   49530265.
  4. 1 2 Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 365. ISBN   9781605357430.
  5. 1 2 Johnson, Candice Y.; Honein, Margaret A.; Flanders, W. Dana; Howards, Penelope P.; Oakley, Godfrey P.; Rasmussen, Sonja A. (2012). "Pregnancy termination following prenatal diagnosis of anencephaly or spina bifida: A systematic review of the literature". Birth Defects Research Part A: Clinical and Molecular Teratology. 94 (11): 857–863. doi:10.1002/bdra.23086. ISSN   1542-0760. PMC   4589245 . PMID   23097374.
  6. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 208. ISBN   9781605357430.
  7. Lim, Michael; Xia, Yuanxuan; Bettegowda, Chetan; Weller, Michael (July 2018). "Current state of immunotherapy for glioblastoma". Nature Reviews Clinical Oncology. 15 (7): 422–442. doi:10.1038/s41571-018-0003-5. ISSN   1759-4774. PMID   29643471. S2CID   4797336.
  8. Houlihan, Catherine F.; Bharucha, Tehmina; Breuer, Judith (June 2019). "Advances in molecular diagnostic testing for central nervous system infections". Current Opinion in Infectious Diseases. 32 (3): 244–250. doi:10.1097/QCO.0000000000000548. ISSN   0951-7375. PMID   30950854. S2CID   96435953.
  9. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 49. ISBN   9781605357430.
  10. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 89. ISBN   9781605357430.
  11. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 88. ISBN   9781605357430.
  12. Breedloe, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 50. ISBN   9781605357430.
  13. Alsharif, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Publisher. p. 51. ISBN   9781605357430.
  14. Hurtley, Stella M. (1998-11-06). "Neurodegeneration". Science. 282 (5391): 1071. doi:10.1126/science.282.5391.1071. ISSN   0036-8075. S2CID   220112630.
  15. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 361. ISBN   9781605357430.
  16. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 350. ISBN   9781605357430.
  17. 1 2 Shroff, Geeta (2018-02-12). "A review on stem cell therapy for multiple sclerosis: special focus on human embryonic stem cells". Stem Cells and Cloning: Advances and Applications. 11: 1–11. doi: 10.2147/SCCAA.S135415 . ISSN   1178-6957. PMC   5813951 . PMID   29483778.
  18. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 35. ISBN   9781605357430.
  19. Breedlove, S. Mark (2018). Behavioral Neuroscience. New York: Oxford University Press. p. 47. ISBN   9781605357430.
  20. 1 2 "Central nervous system: Structure, function, and diseases". Medical News Today. 22 December 2017.
  21. "Central nervous system: Structure, function, and diseases". 22 December 2017.
  22. "Peripheral Nervous System". www.indiana.edu.
  23. "Nervous System Side Effects". Cancer.Net. 2012-07-02. Retrieved 2019-04-05.

Related Research Articles

<span class="mw-page-title-main">Central nervous system</span> Brain and spinal cord

The central nervous system (CNS) is the part of the nervous system consisting of the brain and spinal cord, the retina and optic nerve, and the olfactory nerve and epithelia. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all parts of the bodies of bilaterally symmetric and triploblastic animals—that is, all multicellular animals except sponges and diploblasts. It is a structure composed of nervous tissue positioned along the rostral to caudal axis of the body and may have an enlarged section at the rostral end which is a brain. Only arthropods, cephalopods and vertebrates have a true brain, though precursor structures exist in onychophorans, gastropods and lancelets.

<span class="mw-page-title-main">Neuron</span> Electrically excitable cell found in the nervous system of animals

Within a nervous system, a neuron, neurone, or nerve cell is an electrically excitable cell that fires electric signals called action potentials across a neural network. Neurons communicate with other cells via synapses, which are specialized connections that commonly use minute amounts of chemical neurotransmitters to pass the electric signal from the presynaptic neuron to the target cell through the synaptic gap.

<span class="mw-page-title-main">Neuroscience</span> Scientific study of the nervous system

Neuroscience is the scientific study of the nervous system, its functions and disorders. It is a multidisciplinary science that combines physiology, anatomy, molecular biology, developmental biology, cytology, psychology, physics, computer science, chemistry, medicine, statistics, and mathematical modeling to understand the fundamental and emergent properties of neurons, glia and neural circuits. The understanding of the biological basis of learning, memory, behavior, perception, and consciousness has been described by Eric Kandel as the "epic challenge" of the biological sciences.

<span class="mw-page-title-main">Nerve</span> Enclosed, cable-like bundle of axons in the peripheral nervous system

A nerve is an enclosed, cable-like bundle of nerve fibers in the peripheral nervous system.

<span class="mw-page-title-main">Neurotransmitter</span> Chemical substance that enables neurotransmission

A neurotransmitter is a signaling molecule secreted by a neuron to affect another cell across a synapse. The cell receiving the signal, or target cell, may be another neuron, but could also be a gland or muscle cell.

<span class="mw-page-title-main">Nervous system</span> Part of an animal that coordinates actions and senses

In biology, the nervous system is the highly complex part of an animal that coordinates its actions and sensory information by transmitting signals to and from different parts of its body. The nervous system detects environmental changes that impact the body, then works in tandem with the endocrine system to respond to such events. Nervous tissue first arose in wormlike organisms about 550 to 600 million years ago. In vertebrates, it consists of two main parts, the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS consists of the brain and spinal cord. The PNS consists mainly of nerves, which are enclosed bundles of the long fibers, or axons, that connect the CNS to every other part of the body. Nerves that transmit signals from the brain are called motor nerves or efferent nerves, while those nerves that transmit information from the body to the CNS are called sensory nerves or afferent. Spinal nerves are mixed nerves that serve both functions. The PNS is divided into three separate subsystems, the somatic, autonomic, and enteric nervous systems. Somatic nerves mediate voluntary movement. The autonomic nervous system is further subdivided into the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system is activated in cases of emergencies to mobilize energy, while the parasympathetic nervous system is activated when organisms are in a relaxed state. The enteric nervous system functions to control the gastrointestinal system. Both autonomic and enteric nervous systems function involuntarily. Nerves that exit from the cranium are called cranial nerves while those exiting from the spinal cord are called spinal nerves.

<span class="mw-page-title-main">Neuropil</span> Type of area in the nervous system

Neuropil is any area in the nervous system composed of mostly unmyelinated axons, dendrites and glial cell processes that forms a synaptically dense region containing a relatively low number of cell bodies. The most prevalent anatomical region of neuropil is the brain which, although not completely composed of neuropil, does have the largest and highest synaptically concentrated areas of neuropil in the body. For example, the neocortex and olfactory bulb both contain neuropil.

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<span class="mw-page-title-main">Oligodendrocyte</span> Neural cell type

Oligodendrocytes, also known as oligodendroglia, are a type of neuroglia whose main functions are to provide support and insulation to axons within the central nervous system (CNS) of jawed vertebrates. Their function is similar to that of Schwann cells, which perform the same task in the peripheral nervous system (PNS). Oligodendrocytes accomplish this by forming the myelin sheath around axons. Unlike Schwann cells, a single oligodendrocyte can extend its processes to cover around 50 axons, with each axon being wrapped in approximately 1 μm of myelin sheath. Furthermore, an oligodendrocyte can provide myelin segments for multiple adjacent axons.

<span class="mw-page-title-main">Glia</span> Support cells in the nervous system

Glia, also called glial cells (gliocytes) or neuroglia, are non-neuronal cells in the central nervous system and the peripheral nervous system that do not produce electrical impulses. The neuroglia make up more than one half the volume of neural tissue in our body. They maintain homeostasis, form myelin in the peripheral nervous system, and provide support and protection for neurons. In the central nervous system, glial cells include oligodendrocytes, astrocytes, ependymal cells and microglia, and in the peripheral nervous system they include Schwann cells and satellite cells.

<span class="mw-page-title-main">Behavioral neuroscience</span> Field of study

Behavioral neuroscience, also known as biological psychology, biopsychology, or psychobiology, is the application of the principles of biology to the study of physiological, genetic, and developmental mechanisms of behavior in humans and other animals.

<span class="mw-page-title-main">Excitotoxicity</span> Process that kills nerve cells

In excitotoxicity, nerve cells suffer damage or death when the levels of otherwise necessary and safe neurotransmitters such as glutamate become pathologically high, resulting in excessive stimulation of receptors. For example, when glutamate receptors such as the NMDA receptor or AMPA receptor encounter excessive levels of the excitatory neurotransmitter, glutamate, significant neuronal damage might ensue. Excess glutamate allows high levels of calcium ions (Ca2+) to enter the cell. Ca2+ influx into cells activates a number of enzymes, including phospholipases, endonucleases, and proteases such as calpain. These enzymes go on to damage cell structures such as components of the cytoskeleton, membrane, and DNA. In evolved, complex adaptive systems such as biological life it must be understood that mechanisms are rarely, if ever, simplistically direct. For example, NMDA in subtoxic amounts induces neuronal survival of otherwise toxic levels of glutamate.

Neuroimmunology is a field combining neuroscience, the study of the nervous system, and immunology, the study of the immune system. Neuroimmunologists seek to better understand the interactions of these two complex systems during development, homeostasis, and response to injuries. A long-term goal of this rapidly developing research area is to further develop our understanding of the pathology of certain neurological diseases, some of which have no clear etiology. In doing so, neuroimmunology contributes to development of new pharmacological treatments for several neurological conditions. Many types of interactions involve both the nervous and immune systems including the physiological functioning of the two systems in health and disease, malfunction of either and or both systems that leads to disorders, and the physical, chemical, and environmental stressors that affect the two systems on a daily basis.

<span class="mw-page-title-main">Neurodegenerative disease</span> Central nervous system disease

A neurodegenerative disease is caused by the progressive loss of structure or function of neurons, in the process known as neurodegeneration. Such neuronal damage may ultimately involve cell death. Neurodegenerative diseases include amyotrophic lateral sclerosis, multiple sclerosis, Parkinson's disease, Alzheimer's disease, Huntington's disease, multiple system atrophy, tauopathies, and prion diseases. Neurodegeneration can be found in the brain at many different levels of neuronal circuitry, ranging from molecular to systemic. Because there is no known way to reverse the progressive degeneration of neurons, these diseases are considered to be incurable; however research has shown that the two major contributing factors to neurodegeneration are oxidative stress and inflammation. Biomedical research has revealed many similarities between these diseases at the subcellular level, including atypical protein assemblies and induced cell death. These similarities suggest that therapeutic advances against one neurodegenerative disease might ameliorate other diseases as well.

<span class="mw-page-title-main">Central nervous system disease</span> Disease of the brain or spinal cord

Central nervous system diseases or central nervous system disorders are a group of neurological disorders that affect the structure or function of the brain or spinal cord, which collectively form the central nervous system (CNS). These disorders may be caused by such things as infection, injury, blood clots, age related degeneration, cancer, autoimmune disfunction, and birth defects. The symptoms vary widely, as do the treatments.

<span class="mw-page-title-main">Neurological disorder</span> Any disorder of the nervous system

A neurological disorder is any disorder of the nervous system. Structural, biochemical or electrical abnormalities in the brain, spinal cord or other nerves can result in a range of symptoms. Examples of symptoms include paralysis, muscle weakness, poor coordination, loss of sensation, seizures, confusion, pain, tauopathies, and altered levels of consciousness. There are many recognized neurological disorders, some relatively common, but many rare. They may be assessed by neurological examination, and studied and treated within the specialties of neurology and clinical neuropsychology.

Neuroinflammation is inflammation of the nervous tissue. It may be initiated in response to a variety of cues, including infection, traumatic brain injury, toxic metabolites, or autoimmunity. In the central nervous system (CNS), including the brain and spinal cord, microglia are the resident innate immune cells that are activated in response to these cues. The CNS is typically an immunologically privileged site because peripheral immune cells are generally blocked by the blood–brain barrier (BBB), a specialized structure composed of astrocytes and endothelial cells. However, circulating peripheral immune cells may surpass a compromised BBB and encounter neurons and glial cells expressing major histocompatibility complex molecules, perpetuating the immune response. Although the response is initiated to protect the central nervous system from the infectious agent, the effect may be toxic and widespread inflammation as well as further migration of leukocytes through the blood–brain barrier may occur.

The following outline is provided as an overview of and topical guide to the human brain:

<span class="mw-page-title-main">Rajiv Ratan</span> American physician

Rajiv Ratan is an Indian American academic, professor, administrator and scientist based in New York. He is the Burke Professor of Neurology and Neuroscience at Weill Cornell Medicine. Since 2003, he has served as the executive director of Burke Neurological Institute and as a member of the Council of Affiliated Deans of Weill Cornell Medicine.

<span class="mw-page-title-main">Katerina Akassoglou</span> Greek neuroimmunologist

Katerina Akassoglou is a neuroimmunologist who is a Senior Investigator and Director of In Vivo Imaging Research at the Gladstone Institutes. Akassoglou holds faculty positions as a Professor of Neurology at the University of California, San Francisco. Akassoglou has pioneered investigations of blood-brain barrier integrity and development of neurological diseases. She found that compromised blood-brain barrier integrity leads to fibrinogen leakage into the brain inducing neurodegeneration. Akassoglou is internationally recognized for her scientific discoveries.