41 - Neurosurgery Flashcards
Comes together to form basilar artery
Vertebral arteries
Vertebral arteries branches into 2 _
Posterior cerebral arteries
Connect middle cerebral arteries to posterior cerebral arteries
Posterior communicating arteries
Branches off middle cerebral arteries
Anterior cerebral arteries
Anterior cerebral arteries connected via
anterior communicating artery
No axonal injury (temporary loss of function)
Neuropraxia
Disruption of axon with preservation of axon sheath
Axonotmesis
Disruption of axon AND myelin sheath
Neurotmesis
bare sections of nerve, allows salutatory conduction
Nodes of ranvier
ADH release controlled by _ nucleus of the hypothalamus
Supraoptic nucleus
SDH are caued by injury to _
Bridging veins
Epidural hematoma cause by injury to _
Middle meningeal artery
Cresent shape on CT scan
SDH
Convex/Lens shape on CT
EDH
Lobe often affected with intracerebral hematomas
Temporal lobe
Cushing triad
HTN
Bradycardia
Decreased resp rate
Most sensitive test for SCI
MRI
3 signs of spinal shock
HoTN
Normo/Bradycardia
Warm extremities (vasodilation)
Bilateral areflexia, flaccidity, parasthesias
Complete cord transection
Bilateral loss of motor, pain and temperature below level of lesion; preservation of position/vibratory sensation and light touch
Anterior cord syndrome
Loss of ipsilateral motor and contralateral pain/teperature below level of lesion
Brown-sequard syndrome (Hemisection)