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Neurology > Anatomy > Flashcards

Anatomy Flashcards

1
Q

CSF composition

A 
no more the 5 lymphocytes: usually sterile
pH: 7.35
Specific gravity: 1.007
Glucose: 66% of plasma glucose
Total protein:
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2
Q

Normal pressure in CSF

A

80-180 mm/H2O

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3
Q

Area postrema location

A

CTZ zone for emesis

located in floor of fourth ventricle

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4
Q

Pineal gland is made up of

A

pinealocytes (epiphyseal cells)

derived from diencephalon

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5
Q

Pineal gland innervation

A

Solely via postganglionic fibers from superior cervical ganglion of ANS

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6
Q

Pineal body synthesizes

A

Serotonin and melatonin

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7
Q

Total volume of CSF in subarachnoid space and ventricles?

amount made by choroid plexus per day?

A
  1. 140 ml

2. 500 ml

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8
Q

Choroid plexus is located in

A

3 ventricle

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9
Q

Ambient cisterna contains

A

Trochlear Nerve CNIV

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10
Q

Veins in spinal canal are

A

within subarachnoid space

are valveless vein that perimit bidirectional flow depending on pressure gradient

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11
Q

ACA supplies

A

medial surface of frontal and parietal lobes, corpus collosum

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12
Q

ACA is motor/sensory of

A

Leg and foot

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13
Q

ACA supplies caudate nucleus, putamen and anterior limb of Internal Capsule via….

A

Medial striate artery of Heubner

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14
Q

MCA supplies

A

lateral hemisphere and insula

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15
Q

MCA motor/sensory of

A

Trunk, Arm, Face area

Broca and Wernicke speech areas

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16
Q

MCA supplies caudate, putamen, globus pallidus, and ant/post limbs of Internal capsules via….

A

Lateral striate arteries

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17
Q

PICA supplies what in medulla

A

dorsolateral zone

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18
Q

PICA supplies what brain parts

A

Inferior surface of cerebellum and choriod plexus in 4th ventricle
Inferior Cerebral peduncle
Nucleus ambigious

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19
Q

PICA supplies what tracts

A 
Medial/inferior vestibular nuclei
CN IX; CN X
Spinothalamic tract
Spinal trigeminal nucleus/tract
Hypothalamospinal tract to ciliospincal center of Budge T1-T2 (Horner Syndrome)
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20
Q

Pontine arteries supply what CN

A

VI: abducent

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21
Q

AICA supplies what brain structures

A

Inferior surface of cerebellum

Inferior/middle cerebellar peduncle

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22
Q

Labrynthine artery supplied from where?

goes to what?

A
  1. 15% basilar artery; 85% AICA

2. perfuses cochlea and vestibular apparatus

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23
Q

AICA supplies what tracts

A 
Facial nucleus
Spinal Trigeminal nucleus/tract
Vestibular Nucleus
Cochlear nuclei
Vestibulocochlear nerve
Spinothalamic tract
hypothalamospinal tract (horners)
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24
Q

Superior cerebellar artery supplies

A

Superior surface of cerebellum and dentate nucleus
Rostral/lateral pons
Superior cerebellar peduncle
Spinothalamic tract

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25
Q

PCA supplies what

A

Thalamus + MGB/LGB
Occipital lobe, visual cortex
inferior surface of temporal lobe+ hippocampal formation

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26
Q

PCA gives rise to (1) and they supply (2)

A
  1. Lateral and medical posterior choroidal arteries
  2. dorsal thalamus
    Pineal body
    choroid plexus in 3rd and lateral ventricles
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27
Q

Superior cerebellar artery supplies

A

Superior surface of cerebellum and Cerebellar nuclei (dentate)
Rostral/lateral pons
Superior cerebellar peduncle
Spinothalamic tract

28
Q

Cavernous sinus thrombosis results in cranial palsies of which CN?

A

CN III, IV, V(1-2), VI

29
Q

Which vein drains the thalamus and basal ganglia?

Empties into?

A
  1. Great cerebral vein of Galen

2. Drains into the straight sinus

30
Q

What are Merkel tactile disks for (1) found where (2) tract (3)?

A
  1. light touch (crude)= cottom swab
  2. basal layer of epidermis in hairy and glabrous skin
  3. Spinothalamic tracts and dorsal column-medial lemniscus
31
Q

What are Meissner corpuscles for (1) found where (2) tract (3)?

A
  1. fine discriminative tactile sensation
  2. dermal papillae
  3. dorsal column medial lemniscus
32
Q

What are Pacinian corpuscles for (1) found where (2) tract (3)?

A
  1. Pressure and vibration sensation
  2. dermis, mesenteries and periosteum
  3. Dorsal column medial lemniscus
33
Q

Gray communicating rami are located where? myelinated or unmyelinated?

A

all spinal nerves

unmyelinated postganglionic sympathetic fibers

34
Q

White communicating rami are located where? myelinated or unmyelinated?

A

only thoracolumbar segments (T1-L3)

myelinated preganglionic sympathetic fibers and myelinated GVA fibers (splanchnic nerves)

35
Q

Dorsal horn: nucleus of clarke is located where? tract?

A

T1-L3, Rexed lamina VII
AKA: acesssory cuneate nucleus of medulla
Dorsal spinocerebellar tract

36
Q

Spinal cord of newborn ends where? adult?

A

kid: L3
adult: L1

37
Q

3 sensory channels from DRG

A
  1. Leminiscal: conscious proprioception
  2. reflx pathway
  3. Dorsal nucleus of clark: spinocerebellar
38
Q

Oculosympathetic pathway: 1st order neuron

A

First order (central) neuron descends caudally from the hypothalamus to the first synapse in the cervical spinal cord (C8-T2 level-also called the ciliospinal center of Budge).

39
Q

Oculosympathetic pathway: 2nd order neuron

A

second order (preganglionic) neuron destined for the head and neck exits the spinal cord and travels in the cervical sympathetic chain through the brachial plexus, over the pulmonary apex and synapses in the superior cervical ganglion. The superior cervical ganglion is located near the angle of the mandible and bifurcation of the common carotid artery.

40
Q

Oculosympathetic pathway: 3rd order neuron

A 
third order (postganglionic) neuron for the orbit enters the cranium within the adventitia of the internal carotid artery into the cavernous sinus.
-exit the internal carotid artery in close proximity to the trigeminal ganglion and the 6 CN and join the 1st division of the trigeminal nerve to enter the orbit. The fibers (long ciliary nerve) innervate the dilator muscles of the iris and the Müller’s muscle in the upper and lower lid.
41
Q

ability to recognize an unseen familiar object is called

A

stereognosis

DCML tract

42
Q

Ventral corticospinal tract is in control of

A

axial muscles: trunk and head

43
Q

Acute stage of UMN lesion: 3

A

Transient spinal shock:
Flaccid paralysis
Areflexia
Hypotonia

44
Q

Chronistage of UMN lesion: 5

A 
Spastic paralysis
Hypertonia
Reduction or loss of superficial abd and cremasteric reflex
Babinski sign
Clonus
45
Q

posterolateral tract: Lissauer’s tract

A

Similar to spinothalamic tract carrying pain and temperature information (location, intensity and quality) but:
1st order: go to DRG, ascend/descend 1/2 segment before penetrating grey horn to second order
2nd order: Desucate and ascend in the anterolateral tract later joining spinothalamic at VPL

46
Q

Which pathway is not fully myelinated until the 2nd yr of life

A

Corticospinal tract

47
Q

which CN is myelinated by oligodendrocytes?

A

CN2: optic

48
Q 
SVE CN component: 
Modality:
CN: 
Ganglion:
BSN: 
Central Connections: 
Target:
A

Modality: 1)LMN 2/3)Branchial arches
CN: 1) 5 2) 7 3) 9,10
Ganglion: none
BSN: 1)5 2)7 3) Nucleus ambigous
Central Connections: 1)Motor cortex 2)Corticobulbar tract
Target:1)Muscle of mastication 2) Facial expresion 3) Pharynx, larnyx

49
Q

GVE modality and Central connection; CN?

A

Parasympathetic
Hypothalamus
3,7,9, 10

50
Q

CN 3, Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Edinger westphal
  2. Ciliary
  3. Pupil constriction
51
Q

CN 7, Brain stem nucleus (1), Ganglion(2), Target (3)

A

1.Superior Salivatory
2.Pterygopalatine -> 3) lacrimal gland
Submandibular-> 3) Submandibular, sublingual salivary glands

52
Q

CN 9, Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Inferior Salivatory
  2. Otic
  3. Parotid Gland
53
Q

CN 10, Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Dorsal Motor Neuron of X
  2. Intramural ganglion
  3. Heart, Lung, Gut
54
Q

SVA modality and Central connections, CN?

A

Taste
VPM via solitariothalamic tract
7, 9, 10

55
Q

Taste: Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Nucleus solitarius-caudal portion
  2. 7-> Geniculate gang-> 3) ant 2/3
    9–> petrosal gang-> 3) post 1/3
    10-> nodose gang -> 3) epiglottis
56
Q

CN 10, Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Dorsal Motor Neuron of X
  2. Intramural ganglion
  3. Heart, Lung, Gut
57
Q

SVA modality and Central connections, CN?

A

Taste
VPM via solitariothalamic tract
7, 9, 10

58
Q

GVA modality and Central connections, CN?

A

Visceral sensory
Hypothalamus via parabrachial nuclei
CN: 9, 10

59
Q

GVA: CN 9, Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Nucleus solitarius caudal portion
    2.9-> petrosal, 10-> nodose
  2. Carotid and Aortic body and sinus
    baroreceptors, chemoreceptors, gut sensation
60
Q

GSA modality and Central connections, CN?

A
  1. Facial sensation
  2. VPM
  3. 5
61
Q

GSA: CN 5, Brain stem nucleus (1), Ganglion(2), Target (3)

A
  1. Main sensory nucleus of V-> 3)Epicritic
    Spinal nucleus-> 3) protopathic
  2. Both Trigeminal ganglion
62
Q

SSA modality and Central connections, CN?

A

Hearing and Balance
Lat leminiscus, MGB, CT=tx, MLF, Cbl, VST, RF
8

63
Q

SSA: CN8, Brain stem nucleus (1), Ganglion(2), Target (3)

A

Hearing-> 1)Cochlear Nucleus D&V-> 2)Spiral Ganglion-> 3) Cochlea
Balance -> 1) Vetibular Nucleus S, I, L,M -> 2) Scarpas-> 3) Vestibular apparatus

64
Q

ACA lesion causes (3)

A

Motor: Contralateral hemiparalysis of lower limb, Urinary incontinence
Sensory: Contralateral hemiparesis of lower limb
Corpus collosum: dysprexia and agnosia

65
Q

MCA lesion causes

A

Motor: Contralateral hemiparalysis of Upper limb/face
Sensory Contralateral hemiparesis of upper/limb and face
Dominant: Wernickes, brocas aphasia, Frontal eye fields

Neurology (15 decks)

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