Intercranial regulation
INTERCRANIAL REGULATION
Definition of Intracranial Regulation
Processes and mechanisms: Affect the normal functioning of the brain and other structures within the cranial vault.
Layman's terms: Refers to how the brain performs its necessary functions.
STRUCTURE AND PHYSIOLOGY OF THE CENTRAL NERVOUS SYSTEM
The Brain
Divisions: The brain is divided into three parts: - Cerebrum: Largest part; manages conscious thoughts, actions, and sensory input. - Cerebellum: Coordinates and regulates balance, movement, and posture. - Brainstem: Responsible for basic life functions.
The Four Lobes of the Cerebrum
Frontal Lobes: - Functions: Motor movement, personality.
Parietal Lobes: - Functions: Sensation, perception.
Temporal Lobes: - Location: Beneath parietal lobes. - Functions: Control of sound and language.
Occipital Lobe: - Functions: Vision.
Central Nervous System Composition
Components: Brain (and brainstem) and spinal cord.
**Spinal Cord Segments: ** - Cervical: C1-C7 - Thoracic: T1-T12 - Lumbar: L1-L5 - Sacral: S1-S5 - Coccygeal: Co1.
Functions of the Central Nervous System (CNS)
Responsibilities: Central nervous system controls body functions including: - Physical functions. - Emotional responses. - Mental processes.
Key Structures and their Functions: - Thalamus: Sensory processing, sleep, and wakefulness. - Basal Ganglia: Motor control, decision-making, rewards, addictions, cognition, language, learning, and memory. - Hypothalamus: Regulates body temperature, appetite, hormone release, and homeostasis. - Limbic System: Manages emotion and memory, addressing sexual stimulation and learning. - Reticular Formation: Controls sleep, wakefulness, cardiovascular functions, and endocrine responses. - Medulla Oblongata: Connects the brain to the spinal cord. - Pons: Involved in consciousness, pain, and cranial nerve functions. - Midbrain: Responsible for motor movement and reflexes.
NERVOUS SYSTEM DIVISIONS
Central Nervous System vs. Peripheral Nervous System
Central Nervous System: Comprises the brain and spinal cord.
Peripheral Nervous System: Consists of: - 12 pairs of cranial nerves. - 31 pairs of spinal nerves. - Autonomic nervous system (ANS).
AUTONOMIC NERVOUS SYSTEM
Division of the Peripheral Nervous System: - Sympathetic: Prepares the body for 'fight or flight'; characterized by: - Fast, focused, and fueled responses to perceived threats. - Parasympathetic: Has a calming and relaxing effect; characterized by: - Facilitating eating, urination, defecation, and reducing heart rate.
**Functions of Parasympathetic Division: ** - Constricts pupils. - Stimulates saliva production. - Constricts bronchi to slow heart rate. - Stimulates digestive functions in the stomach, intestines, and pancreas. - Promotes urination. - Promotes genitalia erection.
Functions of Sympathetic Division: - Dilates pupils. - Inhibits salivation. - Dilates bronchi to increase heart rate. - Stimulates adrenal gland to release epinephrine and norepinephrine. - Inhibits digestive functions. - Inhibits urination and promotes ejaculation and vaginal contractions.
PROTECTIVE MECHANISMS FOR THE BRAIN AND SPINAL CORD
Blood-Brain Barrier (BBB): - A network of tightly packed cells forming blood vessels that prevent harmful substances from entering the brain. - Examples of permeable substances: - Water, carbon dioxide, oxygen, alcohol, anesthetics, antidepressants, antianxiety medications, anti-psychotics, seizure medications.
PHYSICAL ASSESSMENT OF NEUROLOGICAL FUNCTION
Components of Neurological Examination: - Level of Consciousness (LOC): Assessed using the Glasgow Coma Scale. - Cognitive Function: Assessed using the Mini Mental Status Exam. - Cranial Nerve Assessment. - Motor Assessment. - Sensory Assessment: Involves testing vibration, pain sensitivity, etc.
Memory Assessment
Types of Memory: - Long-term Memory: Ability to recall information from the past (e.g., childhood address or phone number). - Short-term Memory: Ability to recall recent information (e.g., meals eaten earlier in the day).
GLASGOW COMA SCALE
Purpose: Used to objectively assess level of consciousness and track changes in neurological function.
Abnormal Motor Responses
Responses: - Decorticate: Flexion in response to stimuli. - Decerebrate: Extension in response to stimuli.
Reflexes
Definition: Involuntary and automatic responses to stimuli. - Babinski Sign Test: - Touch the sole of the foot. - Positive Response: Toes flare upwards (indicative of neurological issues). - Negative Response: Toes curl downward (normal response).
VITAL SIGNS IN NEUROLOGIC EVENTS
Observations:
- Heart rate slows down. Blood flow may stop due to cardiac arrest. - Blood pressure may show a disparity between systolic and diastolic values. - Respiratory irregularities may necessitate vent support. - Body temperature fluctuations due to damage to hypothalamus.
DIAGNOSTIC STUDIES
Types of Studies: - Computed Tomography (CT): Check for iodine allergies prior to dye usage. - Positron Emission Tomography (PET): Encourage fluid intake to flush out tracer. - Magnetic Resonance Imaging (MRI): Check for metal implants.
LEVEL OF CONSCIOUSNESS (LOC)
Definition: Individuals must be aware of self, environment, and respond appropriately. - Arousals: 1. Awake & Alert = Normal 2. Lethargic 3. Obtunded 4. Stuporous 5. Comatose
ORIENTATION ASSESSMENT
To Person: "Can you tell me your name?" (AO x 1).
To Place: "Can you tell me where you are?" (AO x 2).
To Time: "Do you know the date, day of the week, and next holiday?" (AO x 3).
To Situation: "Do you know why you are here?" (AO x 4).
Purpose: Assess cognition, response, and speech (AO x 3 or AO x 4).
CEREBRAL VASCULAR ACCIDENT (CVA)
Types of Stroke: - Hemorrhagic (Bleed): Major stroke resulting from vessel rupture. - Ischemic (Clot): Due to obstruction of blood flow.
Transient Ischemic Attack (TIA): Minor stroke that usually resolves.
Symptoms: Can develop gradually in unfolding CVA cases. - Hemiparesis: Weakness on one side of the body. - Hemiplegia: Inability to move one side of the body.
BRAIN DEATH
Definition: Legal death characterized by: - Unresponsive to stimuli. - No pupillary movement. - Flat brain waves (no EEG activity). - Absence of reflexes.
Professional Standards: Check Nurse Practice Act for authority to pronounce death.
CRANIAL NERVES (CN I-XII)
Cranial Nerve Overview
CN I - Olfactory Nerve: - Function: Sense of smell; typically not tested unless trauma causes issues. - Implications: Loss of smell may indicate sinus disease or head injury.
CN II - Optic Nerve: - Function: Vision; tests include distance vision (Snellen chart), near vision (Rosenbaum), peripheral vision (Visual Field Test), and pupil function (PERRLA). - Relation: Occipital lobe is responsible for vision; damage leads to vision loss.
PERRLA: - Assessment Method: - Assess pupil response to light and accommodation. - Use a penlight to test constriction and ensure consensual agreement in both pupils (PERRL). - Observe pupil size changes during focus on nearby and distant objects for accommodation.
CN III - Oculomotor Nerve: - Function: Innervates extraocular muscles for upward eye movement and pupil constriction. - Condition: Ptosis occurs if there's damage, causing droopy eyelid.
CN IV - Trochlear Nerve: - Function: Innervates extraocular muscles for downward eye movement.
CN VI - Abducens Nerve: - Function: Innervates muscles for lateral eye movement. - Condition: Injuries can cause lack of eye movement and strabismus.
EOMs (Extraocular Muscles)
Definition: Surround each eye, controlling movement in various directions: - Upward Movement: CN III. - Downward Movement: CN IV. - Side-to-Side Movement: CN VI.
Assessment: Combined assessment of CN III, IV, and VI allows identification of abnormalities like strabismus and ptosis.
CN V - Trigeminal Nerve: - Function: Sensory and motor functions; discriminates touch on facial areas, assessments for blink reflex, and motor evaluations in temporal and mandibular regions. - Condition: Trigeminal neuralgia and issues with chewing.
CN VII - Facial Nerve: - Function: Sensory for taste (anterior 2/3 of tongue) and motor for facial expressions (eyebrow raising, cheek puffing). - Condition: Bell's palsy can cause temporary paralysis on one side of the face.
Differentiating Facial Droop Causes
Scenario: Presence of right-sided facial droop may indicate CVA.
Differentiation Question: If you could ask only one question to distinguish between Bell's palsy and an acute stroke, what would it be?
CN VIII - Acoustic (Vestibulocochlear) Nerve: - Function: Responsible for hearing and balance; transmission of auditory information from the inner ear to the brain. - Conditions: Damage may lead to vertigo or hearing loss.
CN IX - Glossopharyngeal Nerve: - Function: Sensory for sour taste on posterior 1/3 of tongue; motor for soft palate and uvula movement.
CN X - Vagus Nerve: - Function: Motor for gag reflex, swallowing, and speech; longest cranial nerve affecting the heart and abdomen under parasympathetic control.
CN XI - Spinal Accessory Nerve: - Function: Motor for shoulder and neck movements; assessed through shoulder shrugging and turning neck against resistance.
CN XII - Hypoglossal Nerve: - Function: Motor for tongue movement; damage results in tongue deviation toward lesion site.
Summary Table of Cranial Nerves
Cranial Nerve | Name | Function | Type |
|---|---|---|---|
CN I | Olfactory | Smell | Sensory |
CN II | Optic | Vision | Sensory |
CN III | Oculomotor | Eye moves upward | Motor |
CN IV | Trochlear | Eye moves downward | Motor |
CN VI | Abducens | Eye moves side-to-side | Motor |
CN V | Trigeminal | Sensation; clenched teeth | Both |
CN VII | Facial | Facial expression, taste | Both |
CN VIII | Acoustic | Hearing | Sensory |
CN IX | Glossopharyngeal | Raises uvula, sour taste | Both |
CN X | Vagus | Gag reflex, swallowing | Motor |
CN XI | Spinal Accessory | Shoulder, neck movement | Motor |
CN XII | Hypoglossal | Tongue movement | Motor |
CEREBELLUM ASSESSMENT
Function: Coordinates and regulates balance, movement, and posture.
Assessment Techniques: - Finger to Nose Test: Assessing coordination. - Heel to Shin Test: Heel runs down shin to assess leg coordination. - Rapid Hand Movements: Tests speed and agility. - Gait and Balance Assessment: Heel-to-toe walking test.
Balance Test (Romberg Test): Patient stands with feet flat, first with eyes open for 30 seconds and then closed. Safety concerns arise if the patient cannot maintain balance.
FACTORS AFFECTING INTRACRANIAL REGULATION
Potential Factors: - Perfusion - Neurotransmission - Pathology/Injury - Hypertension
Implications of Hypertension
Alters cerebral autoregulation resulting in higher perfusion pressure needs.
Neural Transmission Impairment Causes: - Ischemia - Damage to white matter - Cognitive decline
Stroke Risks Associated with Conditions
Ischemic Stroke Risk Factors: - Atherosclerosis - Vessel wall damage
Hemorrhagic Stroke Risk Factors: - Small vessel rupture - Aneurysm formation.
OUTCOMES OF ALTERED INTRACRANIAL REGULATION
Potential Outcomes: - Full Recovery - Residual Damage - Coma - Persistent Vegetative State - Brain Death
Examples of Residual Effects: Memory issues, speech difficulties, judgment impairments, mobility issues such as weakness or paralysis, seizures, total unconsciousness, and noticeable coma states.
Defining Brain Death: Complete cessation and irreversibility of all brain functions including brainstem activity.