BRAIN - Neoplasia Flashcards

1
Q

Which tumor of the cranial fossa can be suspected in a young dog?​

A

Germ cell tumors​

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2
Q

What are the most common clinical signs associated with pituitary apoplexy in dogs?​

A

Galli, 2022:​

Behavioural abnormalities (11/19)​
Obtundation (7/19)​
Vestibular syndrome (7/19)​
Epileptic seizures (6/19)​

Woelfel, 2023:​

Gait or posture changes (85%)​
Mentation changes (69%)​
Cranial neuropathies (65%)​
GI dysfunction (54%)​
Cervical/head hyperpathia (46%)​
Hyperthermia (31%)​

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3
Q

What is the influence of macroadenoma on vital parameters? Which cut-offs can be used to differentiate from microadenoma?​

A

Lower body temperature (cut-off: 38,3°C)​
Lower heart rate (cut-off: 84 bpm)​

Benchekroun, 2017​

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4
Q

In glioma, lesions tend to be hyperintense on ADC maps while infarcts tend to be hypointense: true or false?​

A

True

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5
Q

What are the 2 most tumor types associated with CSF drop metastasis?​

A

Choroid plexus carcinoma​
Oligodendroglioma​

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6
Q

Which breed is not predisposed to glioma?

English Bulldog​
Pug​
Boxer​
French Bulldog​
Boston terrier

A

Pug

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7
Q

Succint prednisolone tapering (40d vs 100) after radiation therapy has a significative effect on
1/ Rates at which corticosteroids had to be reinstituted later
2/ Adverse effect rates

A

No

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8
Q

What are the 2 most common cause of VPS obstruction?

A

Choroid plexus
Glial tissue

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9
Q

Germ cell neoplasm are commonly found: where, when, which breed?

A

Middle cranial fossa
Young (6m-3y)
Doberman

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10
Q

Breeds overrepresented for CNS histiocytic sarcoma?

A

Burmese Mountain Dog
Golden Retriever

Rottweiler (disseminated exclusively)
Corgi Welsh terrier (primary > disseminated)
**Shetland Sheepdogs (primary **> disseminated)
Labrador Retriever?

TNCC and protein: primary&raquo_space;> disseminated
In all groups: increased neutrophil to lymphocyte ratio
Prevalence of brain tumors: primary (2%), secondary (3%)

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11
Q

What are the most common perioperative and postoperative complications following craniotomy in dogs and cats?

A

Perioperative complications
Hypotension (23%)
Anemia (16%)

Postoperative complications
Neurologic deficits
Seizures
Anemia
Aspiration pneumonia

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12
Q

What are the 1H-MRS hallmarks of neoplasia?

A

Increased NAA, Cr, Glx
Decreased Cho (choline)

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13
Q

In intravascular lymphoma in dogs, contrast enhancement is seen in which of the following: ischemic areas, parenchymal lesions and/or meninges?

A

Parenchymal lesions and meninges

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14
Q

Differential for supprasellar neoplasia in dog.

A

Macroadenoma
Meningioma
Lymphoma
Granular cell tumor
Gliomatosis cerebri
Craniopharyngioma
Germ cell tumor
Metastasis

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15
Q

True or false? In dogs with pituitary macroadenoma that undergo radiation therapy, the presence of pituitary dependant hypercortisolism is a negative prognostic indicator.

A

False
“No statistical difference in survival was identified between the PDH and non-PDH groups, and longer survival was associated with higher Gy delivered.”

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16
Q

Mannitol does not affect plasma electrolytes levels: true or false?

A

False

Transient plasma sodium and chloride concentrations decreased

17
Q

What are the MRI features associated with high grade oligodendroglioma in dogs?

A

Features only associated with grade III
Moderate to marked contrast enhancement
Ring pattern

Features strongly associated with grade III
Cystic structures
GRE signal voids
Necrosis