CNS Pathology Flashcards
Leptomeningitis
an inflammatory process that is localized to the interfacing surfaces of the pia mater and arachnoid mater, where CSF flows
Pachymeningitis
inflammation of the dura due to chronic sinus infection or mastoiditis. The dura serves as a barrier and inflammation is restricted to the outer surface
What organisms cause meningitis in neonates
E. coli
Group B Strep
What organisms cause meningitis in infants 3mo to 3yrs
H. influenzae
What organisms cause meningitis in adults
Strep pneumo
What causes meningitis in military barracks
Neisseria meningitidis
What is the definitive dx of meningitis
neutrophils in CSF
Which cell type dominates in a viral meningitis
lymphocytes
Ex causes TB, fungal
What are gross characteristics if bacterial meningitis
Opacification of arachnoid- creamy white exudate made of PMNs and fibrin
-will travel along the spinal cord as well because it is connected to the brain
What are the classic signs of meningeal infection
- nuchal rigidity
- head retraction
- spontaneous flexion of the knees and hips when the neck is flexed-Brudzinski sign
- Kernig’s sign
What is Parkinson’s disease
loss of neurons in the substantia nigra
Clinical manifestation of Parkinson’s disease
pill-rolling tremors, muscle rigidity. emotionless face, and emotional lability
- drooling
- most cases are idiopathic
- increased incidence of dementia and depression
What are some causes for Parkinson’s disease
- Viral Encephalitis
- most cases are idiopathic
- ingestion of MPTP chemical
- old age
What are gross examination characteristics of Parkinson’s disease?
- loss of pigmentation of substantia nigra
- atrophic nerve cells have lewy bodies
- microscopically: pigmented neuron scarce
- extracellular deposits of melanin from necrosis of neurons
What are some physical features of Parkinson’s disease
- eyes unblinking, staring
- drooling, mouth open
- stooped posture,
- cog-wheel rigidity