Agnosia Understanding and integration of information in the absence of sensory loss. 1) Object Agnosia Inability to comprehend object. 2) Prosopagnosia Inability to recognise faces. 3) Capgras' Syndrome Recognition of person’s face but inability to accept that it is the person. 4) Autopognosia Failure to localize and name body parts. Aneurysm Abnormal swelling of a blood vessel. Angioma A benign tumour composed of blood vessels or lymph vessels. Anoxia Where tissues of the body receive inadequate amounts of oxygen. Apraxia Loss of ability to carry out a movement despite understanding of the task and normal muscle power. 1) Ideomotor Apraxia The sequencing of a complex gesture is intact but the movements are performed badly. 2) Ideational Apraxia Individual simple movements are intact but the sequence of a complex gesture is disordered. 3) Constructional Apraxia & Drawing Apraxia Difficulties sequencing movements required for constructing something or drawing. 4) Unilateral Limb Apraxia & Frontal Apraxia Difficulty moving a particular limb or initiating movements of a limb. Difficulty initiating gait. Community Brain Injury Team Terminology 1 5) Apraxia / Dyspraxia of Speech A speech disorder resulting from a breakdown of the learned movement programmes of the muscles used in speech. Ataxia This describes failure to co-ordinate muscles resulting in clumsy, unsteady and shaking movements. AVM (Arteriovenous Malformation) Knot or tangle or growth of distended blood vessels. Brain Contusions Bruises on the brain that can be seen on a CT scan. Chronic Subdural Haematoma A build up of blood and fluid on the surface of the brain. CVA (Cerebrovascular Accident) Damage done by a spontaneous disruption of blood supply. Cognitive Communication Communication difficulties due to cognitive problems such as poor attention, memory, concentration, self-monitoring Disorders /awareness, insight etc. Coma A state of unconsciousness from which a person can’t be roused. Compensatory Movements Where normal movement is not possible for whatever reason, (e.g. physical or cognitive reasons) the body often uses different strategies to achieve a goal. These are termed compensatory movements. Compensatory movements can be beneficial or detrimental. Complication Problem that happens as a result of the injury. Concussion Loss of consciousness for a short time followed by an apparent return to normality. Contracture This describes when a joint is no longer able to move through its full range due to muscle and/or soft tissue shortening. Community Brain Injury Team Terminology 2 Convulsion A fit or a seizure. CT Scan CT stands for computed tomography. A CT scan is a computer-aided X-ray used to provide clear pictures of the brain. Dementia A general term for any disease causing progressive deterioration of the central nervous system. Demyelinating Diseases Diseases affecting the myelin sheaths of axons includes multiple sclerosis. Diseases Affecting Basal Ganglia Diseases such as Parkinsonism and Huntington’s chorea. Dysarthria A speech disorder resulting from paralysis, weakness or incoordination of the muscles we use for speech. Dysfluency (Stammering Disorder of speech fluency. /Stuttering) Dyslexia Disorder of the processing in reading and writing. Dysphagia A disorder of swallowing, due to weakness/paralysis of incoordination of the muscles involved in the swallowing process. Dysphasia A disorder of language, of which there are two forms. 1) Expressive Dysphasia When an individual experiences difficulties finding the right words they want to say or putting words in the right order in a sentence. This can effect both speaking or writing. Individuals may also experience difficulties spelling words. 2) Receptive Dysphasia When an individual has difficulty understanding words, sentences or symbols. This again can affect speaking and reading. Community Brain Injury Team Terminology 3 Dysphonia A disorder of voice, resulting in reduced quality of voice production. Embolism Obstruction of blood flow e.g. by a blood clot or air bubble. Glasgow Coma Scale Scale used to assess consciousness after a head injury. Haematoma Collection of blood in one site. Haemorrhage Bleeding. Hemiplegia / Hemiparesis Complete/partial paralysis of the upper and lower limbs on the same side of the body. Infarct Localisation area of damage due to an interrupted blood supply. Intracranial Pressure (ICP) Pressure inside the skull caused by brain swelling or bleeding. Ischemia Inadequate flow of blood. Lesion Area of tissue with impaired function as a result of damage by disease or wounding. Memory Disorders 1) Bilateral Hippocampal Syndrome When a person is unable to learn or remember new information, except activities that have an element of motor learning. 2) Korsakoff's Syndrome Results from severe vitamin B1 deficiency usually associated with alcoholism, it affects a person’s ability to lay down new memories. 3) Transient Global Amnesia Temporary and complete memory loss for information prior to and after the head injury. 4) Traumatic Amnesia Shrinking of memories before the head injury and diminished memory for information following the head injury. Community Brain Injury Team Terminology 4 MRI MRI stands for magnetic resonance imaging, which is a method of building up pictures of the body. Neoplasm Growth of new tissue (i.e. tumour). Nervous System 1) Central Nervous The brain and the spinal cord. 2) Peripheral Nervous System Nerves connecting the central nervous system to the rest of the body. 3) Autonomic Nervous System The part of the nervous system not involved with the muscles controlling voluntary movement, but with internal organs such as the heart, lungs intestines and glands. It is called autonomic because it is not under conscious control. Neurone Another term for a nerve cell. Neurosurgery Operations on the brain. Oedema Excess fluid in the tissue causing swelling. -oma Indicating abnormal growth (e.g. Neuroma= tumour of neurons, Glioma = tumour of glial cells, Meningioma = tumour of meninges). Paralysis Loss of ability to move. Paraplegia Paralysis of the lower half of the body. Patterning When a movement of part of the body is produced and not stopped or reduced by the brain, that limb (or in extreme cases the whole of the body) will be moved in to a stereotypical position. Plasticity The ability of the nervous system to adapt to changes in circumstances, i.e. the possible ability of intact nerve cells to take over some of the function of damaged ones. Community Brain Injury Team Terminology 5 Post-Concussion Syndrome Problems, including headaches, dizziness, poor concentration, memory problems, speaking or listening difficulties, and emotional and behavioural problems that can happen in the weeks or months after having a brain injury. The syndrome is caused by tiny areas of bruising or other damage to the nerve cells in the brain. Radiography Using techniques involving radiation to build up pictures of the body. Reflex An involuntary movement that shows that the nerves are working normally. Rehabilitation An active process by which a person realises their optimal physical, mental and social potential enabling them to become as independent and confident as possible. SAH (Subarachnoid Haemorrhage) A sudden leak of blood over the surface of the brain. The brain is covered by a series of membranes, one of which is called the arachnoid. A SAH occurs beneath this membrane. Sclerosis Death of brain tissue. Stroke See CVA. Tone A state of resting muscle activity, which can be influenced by many external factors including temperature, anxiety, wellness and pain. 1) Increased Tone / High Tone / Spasticity Increased stiffness in a muscle making it more difficult to move. This is characterised by resistance being felt when a muscle is stretched. 2) Rigidity The extreme of high tone where there is sustained involuntary muscle contraction. 3) Decreased Tone / Low Tone / Flaccidity The direct opposite of increased tone. Flaccidity is the extreme of this where no muscle activity is evident. 4) Clonus This describes the involuntary movement experienced when your ankle/heel jumps up and down. It results from an abnormal use of a normal safety mechanism within your muscle, which stops your muscle from being over-stretched or torn. Community Brain Injury Team Terminology 6 5) Spasm Sudden uncontrolled contraction or stiffening of the muscles (usually of the legs). Spasms can be but are not always painful. 6) Tremor Unwanted regular repetitive movements, which may be worse either at rest or on attempting movement. Transfers The movement of the body from one position / place to another, i.e. bed to chair, wheelchair to toilet, sit to stand. Triage A system to prioritise patients according to the seriousness of their injuries. Ventilator A machine designed to move air in and out of a person’s lungs mechanically (life-support system). Community Brain Injury Team Terminology 7
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