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Case Study: Amyotrophic Lateral Sclerosis

Decent Essays

Integrating Problems

Mrs. A was recently diagnosed with Motor Neuron Disease (Amyotrophic Lateral Sclerosis). ALS is a progressive spinal disorder that causes the myelin sheath of the neurons to disintegrate and harden (sclerosis) which in turn inhibits the synapses of nerve impulses across the body. Mrs. A initially started having difficulties grasping objects and performing simple tasks such as buttoning her shirts. She then decided to visit her physician.

The Biological aspects:
The main functions of the myelin sheaths are to insulate the axon as well as increase the speed at which action potentials are propagated between successive nodes of Ranvier, of the axon. The Nodes of Ranvier contain voltage-gated channels that assist in boosting …show more content…

The myelinated neuron is electrically modeled by Figure 2 and clearly shows the increase resistance. This prevents the loss of current and when the signal reached the node of Ranvier the signal is strong enough to trigger a regeneration of the impulse by the influx of Na+ ions through the voltage gates. When the neuron goes through demyelination the resistance around the axon decreases and electrical current is lost to the conducting extracellular fluid. This causes the membrane voltage to decrease because voltage and current are directly proportional according to Ohms Law (V= I/R). The electrical model of an unmeylinated axon is shown in Figure 3 and as the current travels along the axon the current decreases due to leakage which, in turn, decreases the membrane voltage. This results in the signal becoming weaker and weaker until it is too weak to carry the impulse to the effector. A graphical comparison of the conduction (for one internode) found in both the myelinated and unmyelinated neurons is shown is Figure 4 where we can see how signal strength is lost in the unmyelinated neuron.
As we can see the integration of these three subjects greatly increases our understanding the ALS

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