3- ventricles Flashcards

1
Q

What is the somatosensory cortex located in?

Does it matter whether you are in foot or hand region of somatosensory cortex in terms of internal carotid artery flow

A

postcentral sulcus in the superior/anterior parietal lobe

YES
foot region close to sagittal midline served by anterior cerebral artery

hand region more lateral in area served by middle cerebral artery

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2
Q

pathway of internal carotid to internal jugular in foot region

A
internal carotid
anterior cerebral
somatosensory cortex
superior sagittal sinus
confluence of sinuses
transverse sinus
sigmoid sinus
internal jugular vein
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3
Q

pathway of intenral carotid to internal jugular in hand region

A
internal carotid
middle cerebral
somatosensory cortex
superior sagittal sinus
confluence of sinuses
transverse sinus
sigmoid sinus
internal jugular vein
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4
Q

How would blood from left vertebral artery reach frontal lobe of right side if blocked internal carotid

A
left vertebral
basilar
right posterior cerebral 
right posterior communicating 
right internal carotid
right middle cerebral or anterior cerebral
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5
Q

know the components of circle of willis

A

see page 7 of objectives

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6
Q

what is the order of the meninges

A
inside --> out
pia
arachnoid 
dura
PAD
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7
Q

what is pia mater composed of

what about arachnoid

what about dura

what fillls the arachnoid space

A

pia = single layer of cells

arachnoid = loose spongy layer (filamentous surface of brain to dura)

dura = leathery layer and hangs loosely in spinal column

CSF fluid

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8
Q

trace path of CSF from lateral ventricles to reabsorption in archnoid granulations

A

lateral ventricle

foramen of Monro (interventricular foramen)

third ventricle

aqueduct of Sylvius (cerebral aqueduct)

fourth ventricle

subarachnoid space via 3 cisterns (two lateral, one caudal)

flows around subarachnoid space

arachnoid granulations.

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9
Q

Be able to identify on MRI images, CAT scans and sections through the brain:

lateral ventricle,
third ventricle,
fourth ventricle,
interventricular foramen (foramen of Monro),
cerebral aqueduct (aqueduct of Sylvius),
cisterna magna,
interpeduncular cistern.

A

interpeducular cistern = cavity where arachnoid mater extends btwn temporal lobes

contains CSF and cerebral peduncles and Circle of Willis

btwn 3rd ventricle and pons

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10
Q

Describe ependymal cells vs. choroid plexu

A

ependymal = inside of ventricles to form leaky barrier MOST of time

plexus = specialized areas of ependymal cells in lateral ventricles making CSF

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11
Q

difference btwn ependymal and endothelial cell functions in brain vs. choroid plexus

A

brain = leaky ependymal + tight endothelial

plexus = tight ependymal + leaky endothelial

so in plexus ependymal cells can access blood contents but also perform active transport (CSF comes from plasma thru endothelial junctions)

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12
Q

what volume and rate of production of CSF

A

volume = 500 mL/day
but volume at any time = 125 mL in ventricle + subarachnoid space
25 mL in ventricle

100/125 in subarachnoid spaceso fill and empty CSF system 4 times per day

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13
Q

What happens to composition of CSF as ionic composition of plasma changes

A

fluctations in plasma ion concentrations = LITTLE TO NO EFFECT ON ION CONCENTRATION IN CSF

ex: incr plasma K+ 3 mM = no change CSF K+ b/c if changed then get epilepsy

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14
Q

what in general causes hydrocephalus

A

when CSF can’t flow from lateral ventricles or subarach space or failure in resorb CSF

incr intracranial pressure

compress brain

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15
Q

Difference btwn noncomm vs comm hydrocephalus

A

noncomm = CSF block by obstruction of interventricular foramen or cerebral aqueduct

comm = CSF gets to subarach space but not reabsorb

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16
Q

clinical triad of hydrocephalus

A

HA + nausea + vomiting