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62 Cards in this Set
- Front
- Back
what are bridging veins
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transverse subdural space and drain the cerebral hemispgeres and pass through the subdural space in route to several large dural venus sinuses
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list the cisterns
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ambient cistern
quadrageminal cistern interpeduncular cistern prepontine cistern cistern magna lumbar cistern |
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define vasogenic edema
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excessive extra cellular fluid in the brain
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define cytotoxic edema
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excessive intracellular fluid accumulation within brain cells
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what is fortification scotoma
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a characteristic region of visual loss bordered by zigzagging line resembling the walls of fort. headache is often unilateral
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what is temporal arteritis and how is it diagnosed
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also called giant cell arteritis, seen in elderly. affects the temporal arteries and other vessels including those supplying the eye. themporal artery is enlarged and firm.
diagnosed through ESR |
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define mass effect
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term used for any distortion of normal brain geometry due to mass lesion
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7 common symptoms of raised intercranial pressure
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headache
altered mental status nausea and vomiting papilladema visual loss dipolipia cushing's triad |
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define cushings triad
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hypertension
bradychardia irregular respiration |
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clinical triad of uncal herniation
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blown pupil
hemiplegia coma |
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what is kernohan's phenomina
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uncal herniation compresses the contralateral cortico spinal tract and causes hemipelegia ipsilateral side
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what are postconcussive syndrome
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headache, lethargy, mental dullness and other symptoms lasting up to several months after the accident
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define petechial hemorrhages
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small spots of blood in the white matter
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what hemotoma forms lens shaped
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epidural hematoma
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what causes subdural hematoma and the shape on CT
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rupture of the bridging veins
crescent shaped hematoma |
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causes of subarachnoid hematoma and shape on ct
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arteries
perfused throughout the brain |
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hemorrhage in what space causes "worst headache of my life"
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subdural hemorrhage
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whew so saccular aneurisms and berry aneurysms usually arise from
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arterial branches near the circle of willis
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PComm aneurysm can compresses what nerve
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CN III
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what is triple H therapy and what is it used for
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used to treat vasospasm
treatment consists of hypertension, hypervolemia and hemodilution |
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most common locations of hypertensive hemorrhages in decreasing order
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basal ganglia
thalamus cerebelum pons |
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casues of nontraumatic intracerebral hemorrhage
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hypertension
vascular malformations arteriovenous malformations cavernomas capillary telangiectasias developed venous anomalies |
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what are arteriovenous malformations
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congenital abnormalities in which there are abnormal direct connections between arteries and veins
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what are cavernomas
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abnormally dilated vascular cavities lined by only one layer of vascular endothelium
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what are capillary telangiectasias
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small regions of abnormally dilated capillaries that rarely give rise to intracranial hemorrhage
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what is cephalohematoma
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bleeding that occurs during delivery in the newborn between skull and external periosteum
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what cranial nerve can hydrocephalus impede
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CN VI
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define normal pressure hydrocephalus
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condition sometimes seen in elderly, characterized by chronically dilated ventricles
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clinical trial of normal pressure of hydrocephalus
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gait difficulties, urinary incontinence, mental decline
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define hydrocephalus ex vacuo
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referres to excess cerebrospinal fluid in a region where brain tissue was lost as a result of stroke, surgery, atrophy, trauma, or other insult
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most common brain tumors in children
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astrocytoma
medulloblastoma |
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describe meningeoma
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arise from arachnoid villus cells and occur in order of decreasing frequency, over the lateral convexities in the falx and along the basal regions of the cranium
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3 most common tumors of brain metastesis
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lung, breast, melanoma
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what are pareneoplastic syndromes
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rare neurologic disorders caused by remote effects of cancer in the body, leading to an abnormal autoimmune response
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what is infectious meningitis
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infection of the cerebrospinal fluid in the subarachnoid space
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common signs of meningitis
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headache
lethargy sensitivity to light (photo phobia) sensitivity to noise (phonophobia) fever nuchal rigidity |
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how does cerebrospinal fluid look like during bacterial meningitis
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has high white blood cell count with polymorphonuclear predominance
high protein low glucose |
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white blood cell type in normal CSF
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<5-10, lymphocytes only
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white blood cell type in acute bacterial meningitis CSF
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100-5000, usually polymorphic leukocytes
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white blood cell type in viral meningitis CSF
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10-300, usually lymphocytes
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white blood cell type in herpes meningeoencephalitis CSF
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0-500 usually lymphocytes
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white blood cell type in tuberculous or cryptococcal meningitis CSF
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10-200, usually lymphocytes
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list the pathogens that can cause meningitis
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Escherichia coli
Group B, D streptococcus Listeria Haemophilus influenza Neisseria meningitidis streptococcus pneumonia |
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what is subdural empyema
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collection of pus in the subdural space, usually resulting from direct extension from an infection of the nasal sinuses or inner ear
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cat scratch disease is caused by what bacteria
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Bartonella henselae
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what are the serious symptoms of cat scratch disease
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headaches, mental stats changes, and seizures
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two most important spirochetal infections of the nervous system
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neurosyphilis
lyme disease |
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what is syphilis casued by
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treponema pallidum
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what causes lyme disease
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Borrelia bugdorferi carried by Ixodes species of deer tick
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common causes of viral meningitis
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enteroviruses such as echovirus, coxsackievirus and mumps virus
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define viral encephalitis
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when viral infections involve the brain parenchyma
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most common cause of viral encephalitis
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herpes simplex virus type 1
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measles is associated with what type of encephalitis
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subacute sclerosing panencephalitis
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important viral causes of myelitis include
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enteroviruses, varicella-zoster virus, HIV
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what causes cysticercosis
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caused by ingestion of eggs of the pork tapeworm taenia solium
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what are aspergillosis and candidiasis caused by and their symptoms
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caused by fungus Aspergillus and Candida, involve the brain parenchyma and are usually accompanied by an intense inflammatory response
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what fungal disease occurs in diabetics
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mucormycosis
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jwhat is human prion-related disease include
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creutzfeldt-Jakob disease
Gertsmann-straussler-scheinker disease kuru fatal familial insomnia |
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where does conus medullaris end
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L1 and L2
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origin of astrocytes
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neruo epithelieum and neuro ectoderm
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where do meningiomas arise from
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arachnoid villus cells
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what type of schwanomas are most common
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CN VIII schwan cell
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