Cerebrospinal Fluid Flashcards

1
Q

what produces cerebrospinal fluid?

A

choroid plexus
ependymal surfaces of ventricles
pia-glial membrane of brain surface
blood vessels of subarachnoid space and pia mater

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2
Q

what is healthy cerebrospinal fluid like?

A

clear, watery, non-clotting

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3
Q

when is cerebrospinal fluid collection contraindicated?

A

if CNS signs are associated with known trauma or intoxication
if anesthesia is contraindicated
conditions with increased intracranial pressure

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4
Q

what can be added to cerebrospinal fluid to preserve it?

A

serum
hetastarch
ethanol

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5
Q

what does healthy CSF look like?

A

colorless and clear

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6
Q

what can decrease the level of blood contamination?

A

collection of several sequential samples

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7
Q

what does true intracavity hemorrhage result in?

A

xanthochromia

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8
Q

which hemoglobin breakdown products make CSF look yellow (xanthochromia)?

A

bilirubin
hematoidin

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9
Q

what can you see in cytologic evaluation of CSF that would indicate true hemorrhage?

A

macrophages show erythrophagia
hemoglobin breakdown products: hemosiderin, hematoidin crystals

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10
Q

what is normal cellularity of cerebrospinal fluid?

A

=<5-8 cells/microliter

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11
Q

which small mononuclear cells are in healthy CSF?

A

lymphocytes

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12
Q

which large mononuclear cells are in healthy CSF?

A

macrophages
surface lining cells

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13
Q

what can lead to hemorrhage in the CSF?

A

trauma
vasculitis
severe inflammation
disc extrusion
neoplasia

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14
Q

what can increased CSF microprotein be due to?

A

hemorrhage
alterations in blood-brain barrier
localized production of immunoglobulins

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15
Q

what is neutrophilic pleocytosis?

A

moderate to marked pleocytosis characterized by predominancee of neutrophils (>70%)

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16
Q

what can cause neutrophilic pleocytosis in horses only?

A

early eastern equine encephalitis infection

17
Q

what is lymphocytic pleocytosis typical of?

A

viral infections

18
Q

what does equine protozoal myelitis usually cause?

A

mild to moderate mixed to mononuclear pleocytosis

19
Q

what is mixed cell pleocytosis?

A

no one cell type comprising more than 70% of cells

20
Q

what makes a pleocytosis eosinophilic?

A

more than 20% of cells are eosinophils

21
Q

what can cause eosinophilic pleocytosis in llamas and alpacas?

A

Pareelaphostrongylus tenuis

22
Q

what is more commonly seen with neoplasia in the CSF?

A

increased microprotein