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62 Cards in this Set
- Front
- Back
benign tumor of the 8th cranial nerve
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acoustic neuroma
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narrow pathway for the for the cerebrospinal fluid to flow to the 4th ventricle and then to the brain stem and spine
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cerebral aqueduct
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nourishing fluid that circulates around the brain and spinal cord, acting like a watery cushion to prevent injury
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cerebrospinal fluid
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very fibrous outer layer of the meninges
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dura mater
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tough fibrous tissue sheet resembling a helmet that protects the brain
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galea
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ligament that connects one spinous process of a vertebra to another
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ligamentum flavum
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portion of the brain located between the forebrain and hind brain. the corpora quadrigemina and cerebral aqueduct are located here
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midbrain
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forked division of a spinal nerve
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rami
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why are neurosurgical procedures performed?
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remove pathological lesions, relieve pressure on the brain, relieve pain, and repair peripheral nerves
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nervous system is divided into two parts
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central nervous system and peripheral nervous system
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central nervous system contains
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brain and spinal cord
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peripheral nervous system contains
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cranial and spinal nerves and their branches
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forebrain
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cerebrum
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midbrain
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corpora quadrigemina and cerebral peduncles
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hindbrain
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cerebellum, pons, and medulla oblongata
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lobes include
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frontal, parietal, temporal, and occipital
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how many pairs of cranial nerves?
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12
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trigeminal
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V motor and sensory
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acoustic nerve
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VIII hearing and equilibrium
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how many pairs of spinal nerves
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31
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spinal segments: cervical pairs, thoracic, lumbar, sacral, coccygeal
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8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
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a severed nerve, usually in the hand or forearm, is anastomosed to restore function
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peripheral nerve repair (neurorrhaphy)
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commonly performed to relieve arterial spasm caused by vascular disease
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sympathectomy
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opening is created in the vertebral lamina to expose the spinal cord and/or disk
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lumbar laminectomy
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4 common indications for a laminectomy
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remove a herniated disk, spinal cord tumor, aneurysm, repair spinal cord do to trauma
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position for laminectomy
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laminectomy turned onto laminectomy brace after induction
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during laminectomy, surgeon packs sponges along the vertebra with what
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cobb elevator
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five cervical vertebrae... each has a body and an elastic cushion, called what? that seperates the bodies from one another
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intervertebral disk
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the most common neurosurgical problem of the intervertebral disk
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herniation
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bone graft is taken from where during an anterior cervical fusion
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iliac crest
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during an anterior cervical fusion, a layer of fascia lying over the vertebra is incised with what
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#15 knife blade mounted on a #7 handle
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provide stability and restore anatomical alignment to the spine
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spinal fixation devices
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what implant and insertion trays include 10 separate trays full of instruments, trials, and prostheses
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the texas scottish rite hospital (TSRH)
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an opening is made into the skull to expose the brain and intracranial structures
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craniotomy
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posterior occipital bone is perforated and removed and the foramen magnum is exposed to remove a lesion
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posterior fossa craniectomy
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position for a posterior fossa craniectomy
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sitting or beach chair w/ headresr such as mayfield or gardner skull clamp
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trephine
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bur hole
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use three- dimensional coordinates to destroy target structures in the brain with heat, cold, x-rays, and ultrasound
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stereotactic neurosurgical procedure
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common conditions and/or parts of the body for which use of the stereotactic approach is indicated
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tumors, basal ganglia, thalamus, hypophysis, aneurysms, and antereolateral spinal tracts
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position for stereotactic procedures
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sitting with mayfield
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performed to correct the premature closure of an infants cranial suture line
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craniostenosis
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bulging of an artery whose origin is the internal corotid or mid cerebral artery
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intracranial aneurysm
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caused by a weakening in the arterial wall, usually resulting from a congenital defect
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aneurysm
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the anastomosis of an extracranial artery to an intracranial artery to bypass a stricture or blockage below the bifurcation of the common corotid artery
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cerebral revascularization
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an abnormal communication between the arteries and veins (called a fistula)
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arteriovenous malformation (AV malformation)
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procedure performed most often to treat brain abscess or subdural hematoma
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bur hole
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area of bone in the skull is replaced with a bone cement plate, autograft, or metal prosthesis
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cranioplasty
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diversion of cerebrospinal fluid away from the ventricles of the brain to another location in the body
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shunting procedure
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congenital anomaly that results in an increased amount of cerebrospinal fluid in the ventricles
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hydrocephalus
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the surgeon examines the ventricles of the brain with an endoscope
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ventriculoscopy
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prerequisite for safe endoscopic procedures
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clear visualization of the anatomy
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minimally invasive endoscopic approach for the treatment of various spinal disorders
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lumbar diskoscopy
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lumbar diskoscopy is aided by what
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fluoroscopy
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to free an entrapped median volar nerve and restore function to the wrist
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carpel tunnel release
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where does the median nerve lie?
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on the wrist's volar surface
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to preserve the neural tissue and close the dural and cutaneous defect
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myelomeningocele repair
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congenital defect in which the neural tube fails to close while the fetus is developing
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myelomeningocele
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surgical goals are removal of the lesion, restoration of circulation of spinal fluid, restoration of mobility, and lessening or eradication of pain
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spinal tumor excision
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found within the spinal cord
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intramedullary tumors
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found inside the dura mater but outside the spinal cord
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extradural tumors
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free the ulnar nerve from a groove on the medial epicondyle, thereby restoring function and eliminating desensitization of the affected arm
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ulnar nerve transposition
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remove all or a portion of the pituitary gland
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transsphenoidal hypophysectomy
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