Blueprints Flashcards
CSF produced by
choroid plexus
CSF absorbed by
arachnoid granulations in dural venous sinuses
LP contraindications
space occupying lesion causing mass effect with increased ICP
local infection/inflammation
coagulopathy
ASIS is at the level of the
L3-4
normal CSF glucose, protein, WBC, OP
2/3 blood glucose, 40-50 protein,
CSF with oligoclonal banding
MS
CSF with xanthochromia
SAH, hemorrhagic encephalitis
CSF positive EBV PCR
CNS lymphoma in immunosuppressed
CSF in 14-3-3 protein
CJD
complication of LP
low pressure headache
DWI useful for identifying
stroke
visual evoked potentials (VEPs)
diagnose optic neuritis and MS
SSEPs somatosensory evoked potentials
peripheral nerve and spinal cord problems, anoxic brain damage
BAEPs brainstem auditory evoked potentials
brainstem dysfunction, esp vestibular schwannomas
Rx for commonly reversible coma
naloxone, thiamine, dextrose (thiamine b/f dextrose to prevent wernicke’s encephalopathy)
altered consciousness can be due to two general categories
brainstem dysfunction or both cerebral hemispheres dysfunction
ways to decrease ICP
raise head of bed, hyperventilate, mannitol/other osmotic diuretic
locked in syndrome
lesion at base of pons, awareness and cognition intact but nearly complete paralysis
persistent vegetative state
preserved sleep wake and autonomic functions, no awareness or cognition
brain death
no brain function, irreversible
chronic alcoholic, acutely confused (encephalopathic), eye movement abnormalities, ataxia, autonomic signs
wernicke’s encephalopathy
long term memory disorder w/ anterograde amnesia, confabulations, after wernicke’s encephalopathy resolved
korsakoff’s syndrome
losing some color vision (esp red)
MS
dilation lag in small pupil (mitosis) and anisocoria greater in darkness
sympathetic defect (e.g. Horner’s)
ptosis, dilated pupil (mydriasis), opthalmoplegia
3rd nerve palsy