Central Nervous System Flashcards
How are the neurons arranged in the CNS?
Arranged in nuclei
How are the neurons arranged in the PNS?
Arranged in ganglia
What are the reactions of neurons to injury?
Chromatolysis Acidophilia Cytoplasmic Vacuolation Inclusions Neuronophagia
Chromatolysis
Swelling of cell body and dissolution of nissl granules with margination of nucleus
When is Chromatolysis seen?
EMN
dysautonomias
copper deficiency
Acidophilia
Ischemic change
Cell death
Cell is shrunken, acidophilic, angular
Nucleus pyknotic
When does acidophilia occur?
in trauma
hypoglycemia
thiamine deficiency
When do you see cytoplasmic vacuolation?
Lipid
Intracytoplasmic edema
Lysosomal storage
Transmissible spongiform encephalopathies
What viruses cause inclusions?
Rabies
Canine Distemper
What is the pigment associated with Inclusion bodies?
Lipofuscin
Neuronophagia
“eating neurons”
Phagocytosis of neurons by microglia/monocytes
What cell synthesizes myelin?
oligodendrocytes (CNS) Schwann cells (PNS)
What is Myelin responsible for?
Conduction
Speed of impulses
What confers white color to brain and cord?
Myelin
What are the two types of Demyelination?
Primary
Secondary
What is primary demyelination?
Axons remain intact
What is secondary demyelination?
damage to axon
Where is there greater capacity to remyelinate?
in the PNS
Retrograde
from motor end plate to cell body
used by infectious agents and toxins
Wallerian Degeneration
Concomitant degeneration of axon & sheath
What causes Wallerian Degeneration?
Trauma
Toxins
Axon swelling
What are the two types of Astrocytes?
Protoplasmic
Fibrillar
What is the function of Astrocytes?
Transport nutrients
Part of the BBB
Antigen presentation
Reactions of Astrocytes to injury?
Proliferation (gliosis)
Walling off damaged area/scarring
Swelling (gemistocytes)
Oligodendrocytes functions
Develop and maintain myelin in CNS
Microglia functions
Phagocytosis/antigen presentation
Ependymal cells
ciliated cuboidal cells lining neural canal, ventricles, and choroid plexus
Ependymal cells function
Formation of CSF
What are the types of edema?
Cytotoxic
Vasogenic
Interstitial
Cytotoxic edema
direct cell damage leading to failure of the sodium/potassium pump and intracellular edema
Vasogenic edema
damage to vascular wall, increased permeability
Interstitial edema
increased transependymal movement of CSF, myelin, edema, congenital edema
What is an example of interstitial edema?
hydrocephalus
What is an example of cytotoxic edema?
intoxication
early hypoxia
hypoglycemia
What is an example of vasogenic edema?
Vasculitis
fibrinoid necrosis
What are the three forms of brain swelling/herniation?
Subfaicial
Transtentorial
Caudal Cerebellar
Malacia
Post necrotic softening of brain tissue
How does malacia heal by?
astrocytosis
Leukomalacia
Softening of the white matter
Polimalacia
Softening of the grey matter
Encephalo
involving the brain
Myelo
involving the spinal cord
What causes Malacia
Trauma
Infarction
Vascular disease: Toxins, Deficiencies, Inflammation, Arteriosclerosis
Liquefactive Necrosis
extreme malacia (softening of the brain)
What are examples of extrinsic congenital malformations?
Teratogens: Heat Toxins Nutritional deficiencies Infectious agents
What is an example of intrinsic congenital malformations?
Lysosomal storage diseases
Lysosomal storage diseases
Altered gene function -altered enzyme activity - build up of substrate