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40 Cards in this Set

  • Front
  • Back
Localization of Fxn
Focal lesions in the CNS produce specific deficits dependent upon anatomic location
Chromatolysis
response of nerve cell body to axonal injury
1-swelling of cell body
2-nuclear eccentricity
3-dispersal of Nissl bodies
4-neuronal death or recovery
Wallerian degeneration
Rxn of axon to its own injury, degenerates distal to pt of injury
Macros ingest debris
Hypoxic change
Same as other organs
Hypereosinophilic
Karyolysis
Red and Dead
Transsynaptic degeneration
when neurons lose all or most of their presynaptic input
Lateral geniculate body when an eye is lost
Cell bodies shrink
Gliosis
Reactive astrocytosis
Gemistocytic rxn
Prominent nuclei, marked cytoplasmic eosinophilia
Stain with GFPab
Rosenthal fibers
chronically reactive astrocyte processes
High [proteins]
Eosinophilic
Corpora amylacea
astrocytic processes seen in normal aging brains
Glucose polymers
Alzheimer Type II Astrocytes
In people who were metabolically sick prior to death
Not associated with Alzheimer's disease
Large, comma shaped nuclei
Vacuolated with small intranuclear eosinophilic inclusions
Oligodendroglia
Myelin producing cells of CNS
Smaller, darker nuclei in white matter
Sattelitosis
Normal clustering of oligodendrocytes around neuronal cell bodies
Granular ependymitis
Underlying astrocytic response to ependymal damage
Encephalitis
Meningitis
Collagen, etc
Gitter Cells
Macro formation from microglia in response to tissue injury
Brown
Microglial nodules
Micro collections of reactive microglia
Encephalitis
Clusters
Rod Cells
Microglial proliferation
Elongated nuclei
Tertiary syphilis
Inclusions
Viral infxn
Vasogenic edema
Direct damage to BBB w/ increased capillary perm and incr ECF

primary and met tumor and abscesses

Rx-Steroids
Cytotoxic edema
metabolism of neurons and glia w/failure to maintain fluid and electrolyte homeostasis

Brain infarc

no Rx
Subfalcine herniation
Cingulate Gyrus across midline under falx

ACA-secondary infarc
Transtentorial herniation
Uncal

Displacement of medial temporal lobe between brain stem and tentorium

Compression of CNIII (Fixed dilated pupil)
Compression of contra cerebral peduncle, hemiparesis ipsilateral to lesion

Kernohan's notch
Cerebellar tonsillar herniation
Rostrocaudal mvmt in posterior fossa

Death due to medullary compression and cardioresp arrest

Ruptures penetrating aa in brain stem-Duret hemorrhages in midbrain and pons
Hydrocephalus Obstrxn
Within ventricular-non-communicating, mass lesion, aqueductal stenosis, obstrxn of 4th ventricular foramina

Obstrxn outside ventricular system communicating hydrocephalus-subarachnoid hemorrhage or meningitis w/scarring
Loss of cerebral tissue hydrocephalus
Nothing to do w/CSF, compensatory ventricular enlargement

Hydrocephalus ex vacuo

Aged pts
Hydrocephalus overprodxn CSF
Rare
Uncommon
Choroid plexus tumors
Hydrocephalus Rx
Shunting
Anencephaly
NTD
Encephalocele
NTD
Spinal dysraphism (Spina bifida)
NTD
Myelomeningocele (w/neural tissue)
NTD
Meningocele
NTD
Polymicrogyria
Forebrain anomaly
Megaloencephaly
Forebrain anomaly
Microencephaly
Forebrain anomaly
Lissencephaly
Agyria

Forebrain anomaly
Holoprosencephaly
Forebrain anomaly
Agenesis of Corpus Collosum
Forebrain anomaly
Arnold-Chiari
Post. fossa
Dandy-walker
Post. fossa
Syringomelia
Spinal cord
Hydromelia
Spinal cord