Ch. 8 Central Nervous System Flashcards
What name denotes the termination of the spinal cord at the level of L2 or L3?
Conus medullaris
What anatomic structure produces cerebral spinal fluid?
Choroid plexus
What anatomic structure connects the lateral ventricles to the third ventricle?
Interventricular foramina
Which blood vessel(s) supply(ies) most of the brain with blood?
Internal carotid arteries and vertebral arteries
What protective mechanism keeps unwanted substances from reaching the brain while permitting the removal of waste products of brain metabolism?
Blood-brain barrier
The pineal and pituitary glands DO or DO NOT contain specialized capillaries responsible for the blood-brain barrier?
DO NOT
What are the component(s) of a neuron
Soma dentrite axon
Neuroglia can be composed of:
- Microglia
- Schwann’s cells
- Astrocytes
What is the name for the pulpy center of the intervertebral disks?
Nucleus pulpossus
What is the preferred imaging modality when diagnosing pathologic conditions related to the central nervous system?
MRI
What imaging modality is commonly employed to assess multiple sclerosis, epilepsy, and autism?
FMRI
What imaging modality can evaluate the neonatal brain?
Ultrasound
Percutanesous transluminal angioplasty (PTA) can be performed:
To enlarge stenotic vessels of the neck
What prenatal diagnostic test may indicate the presence of spina bifida in the developing fetus?
Maternal alpha fetoprotein seum levels
What is a myelocele?
Protrusion of spinal cord
What congenital disorders of the CNS is considered to be the most serious?
Meningomyelocele
Poor resorption of cerebral spinal fluid by the arachnoid villa results in:
Communicating hydrocephalus
What are the causes for hydrocephalus?
- Arnold chiari malformation
- Subarachnoid hemorrhage
- Overproduction of CSF
What is the most common cause of meningitis?
Bacterial infection
What type of meningitis occurs most often in children?
Streptococcal
Symptoms of bacterial meningitis include:
- Hydrocephalas
- Headache
- Stiff neck
- Fever
What is the primary means of diagnosing meningitis?
Spinal tap
What is the most common cause of encephalitis?
Viral infection
What diagnostic procedure is most useful in the detection of encephalitis?
MRI
What term is defined as pus accumulation between the dura mater and arachnoid layers of the meninges?
Subdural empyema
If the nucleus pulposus herniates, which direction may be of the most clinical significance?
Posterior
What vertebral level is the most common location for a disk herniation?
L5-S1 or C6-C7
What pathological condition occurs because of osteoarthritic changes in the neck and compression of spinal nerves passing through the intervertebral foramina and appears radiographically with osteophyte formation?
Cervical spondylosis
What condition is well demonstrated by MR and occurs as a result of demyelinated nerves that form sclerotic lesions?
MS plaques
A _______ occurs when a cranial blood vessel ruptures, such as from an aneurysm, and bleeds into the brain tissue.
Hemorrhage stroke
A ______ is a blood clot that obstructs a blood vessel; an embolus is a mass of undissolved matter (solid, liquid, or gas) present in a blood vessel brought there by blood current.
Thrombus
Why may a noncontrast CT scan be performed on a suspected stroke patient before the administration of a thrombolytic agent?
Determine hemorrhagic stroke
In a hemorrhagic stroke, in what part of the brain does most of the bleeding occur?
Cerebrum, bleeding into the lateral ventricle
What type of brain neoplasm is most common?
Gliomas
What type of neoplasm of the brain arises from the roof of the fourth ventricle or central canal of the spinal cord?
Ependymoma
Prognosis of a patient with a glioma is generally considered to be:
Poor
What imaging modality is preferred to assist in the diagnosis of a medulloblastoma?
MRI
What imaging modality is preferred when imaging meningiomas?
CT with contrast
What type of neoplasm causes enlargement and erosion of the sella turcica?
Pituitary adenoma
What is the most common type of extramedullary spinal neoplasm?
Meningioma
Cervical spondylosis:
Subtractive
Metastases from other sites:
Subtractive
Spinal tumor:
Both additive and subtractive