15-‐04-‐14 Normale situatie Pijn bij dementie Prefrontale cortex PAG Lc coeruleus Subst nigra Ncl parabrach Prof. dr. Erik Scherder Afdeling Klinische Neuropsychologie, Vrije Universiteit, Amsterdam Thalamus A Delta and C fibers: PIJN! Normale situatie Prefrontale cortex PAG Lc coeruleus Subst nigra Ncl parabrach Thalamus Remming van pijn Remming (impuls controle) Remming van negatieve emoties Remming (impuls controle) Remming van negatieve emoties Remming (impuls controle) Remming van de stress as 1 15-‐04-‐14 Normale situaHe PAG Lc coeruleus Subst nigra Ncl parabrach Thalamus Remming van negatieve emoties A Delta and C fibers Remming van de stress as Remming (impuls controle) Remming van pijn 8 Vasculaire demenHe Centrale neuropathische pijn A Delta and C fibers 9 Vasculaire demen.e Normale situatie Remming dlpfc Remming dlpfc vlpfc vlpfc PAG PAG 2 15-‐04-‐14 Normale situatie Initiatief nemen sm prm pm Vroeg stadium Alzheimer S1 sp smg ag Initiatief nemen dlpfc = childhood = adolescence = adulthood = medial S1 sp dlpfc vlpfc sgg orb sm prm pm stg phg erc atp itg h smg vlpfc vac = sup long fasc = unc fasc sgg orb = childhood = adolescence = adulthood = medial ag stg phg erc atp itg h vac = sup long fasc = unc fasc = no studies = degeneration = overactivity 3 15-‐04-‐14 Vroeg stadium AD Initiatief nemen sm prm pm S1 sp dlpfc smg vlpfc sgg orb Stress beschadigt hippocampus = childhood = adolescence = adulthood = medial ag stg phg vac h erc atp itg = sup long fasc = unc fasc = no studies = degeneration = overactivity Activatie van de stress as Eind stadium AD Initiatief nemen sm prm pm S1 sp dlpfc smg vlpfc phg sgg orb h = childhood erc = adolescence atp = adulthood itg = medial ag stg vac = sup long fasc = unc fasc = no studies = degeneration = overactivity Remming (impuls controle) Bewegen, muziek, empathie Dank voor uw aandacht! 4
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