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62 Cards in this Set

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