Cerebellar Disease Flashcards

1
Q

What part of the brain is affected with cerebellar disease?

A

cerebellum, white and grey matter, 3 nuclei, vermis, lateral hemispheres

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2
Q

What are the layers of the cerebellum?

A

White matter, granular layer, purkenju layer and molecular layer

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3
Q

What does the cerebellum do?

A

Fine tunes movement
Takes info from the spinal cord (motor commands) and coordinates it (mostly inhibitory)

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4
Q

What are clinical signs of cerebellar disease?

A

Intention Tremor
Hypermetria
Increased Muscle Tone
Titubation
Vestibular Signs

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5
Q

What is an intention tremor versus a whole body tremor?

A

Intention is when the animal tried to focus and one part of the body tremor

Full body is all of the animal is shaking (can be mistaken for toxicity pyrethrin)

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6
Q

What is hypermetria?

A

Over flexion and extension

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7
Q

What is decerebellate rigidity?

A

Extended front and bent hind limbs

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8
Q

What is incoordination versus titubation?

A

Incoordination: exaggerated movement
Titubation: head rock side to side

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9
Q

What is paradoxical vestibular disease?
Mentation:
Posture:
Gait:
Postural Deficit:
CN:
Nystagmus:

A

Signs: ataxia that falls toward the lesion, decreased postural, head tilt opposite side lesion, hypermetria
Mentation: Normal to coma
Posture: Head tilt contralateral
Gait: vestibular ataxia, paretic, cerebellar ataxia
Postural Deficit: ipsilateral
CN: V-VII
Nystagmus: Any direction (vertical)

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10
Q

What are some common etiologies of cerebellar disease?

A

Abiotrophies, chiari malformation, viral, glioma, meningima, idopathic cerebellitis, distimper, FIP, metranidazole, infarction

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11
Q

What is cerebellar cortical abiiotrophy?
Breed predisposition?
Diagnosis?
Is there a treatment?

A

Born normal and over time degeneration of neuronal cells (see white outline around cerebellum)
American Staffordshire Terriers (4-6yrs)
MRI
No treatment
Prognosis : 2-4 yrs, progress to inability to walk

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12
Q

What is a chiari-like malformation?
Breed Predisposition
Signs
Diagnosis
Treatment

A

AKA: Occipital malformation syndrome
When the cerebellum tries to herniate through the back of the foramen magnum, may have a keyhole malformation, may kink medulla and disrupt CSF flow
Breed: Cavalier King Charles Spaniels
Signs: pain, phantom scratch, ataxia and weakness
See on MRI, see spinal fluid
Treatment: Gabapentin, prednisone, foramen magnum decompression

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13
Q

What causes cerebellar hypoplasia?
Signs:
Agent:
Prognosis:
Treatment:

A

Signs: Hypometria, non-progressive, symmetric ataxia, ambulation when noticed (young) , compensate with time
Causative agent: Feline perinata infection with panleukopenia virus
Prognosis: Good quality of life
No treatment needed

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14
Q

Describe k9 herpes virus:
When infected?
organs effected?
Prognosis?

A

Perinatal infection
Signs 2 weeks of life, high fatality rate, cerebellar signs suspicious
Effects: lung, kidney and liver
Survivors retinal dysplasia

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15
Q

Canine Distemper:
Age:

A

Younger have polio- seizure and rare to survive
brainstem, cerebellar, vestibualar
Sings: respiratory, vestibular and hyperketosis
Adult myoclonus

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16
Q

What is myoclonus?

A

movement of one limb constant even when sleeping
- common in distemper and may need to amputate

17
Q

FIP

A

Pyogranulomatous (dry) effect CNS
-Infammation ependyma, choroid plexus and meninges
-Diagnosis: CSF coronaviral titers
Treat: Antiviral adenosine nucleoside analgue

18
Q

Other infections of cerebellum

A

Fungal: crypto, blasto and coccidia
Rickettsia- RMSF, ehrilicia
Protozoal - toxo and neospora
algal

19
Q

Granulomatous Meningoencephalomyelitis

A

Multifocal - more than cerebellum
Young to middle aged small breed dog, more female - immune mediated
Diagnosis - exclusion

20
Q

Corticosteroid responsive tremor syndrome

A

shaker, cerebelliits, white dog shaker
Inflammatory
acute and severe
respond steroid
relapse

21
Q

common neoplasia

A

meningioma, glioma, chorioid plexus

22
Q

Cerebellar infarction

A

Peracute
most common location for intracranial infarction
Rule out - cushing, hypothyroid, bacterial endocaridtis
MRI
prognosis varies with underlying cause