CNS PATHOLOGY TERMS II Flashcards
small, unusually numerous gyri
polymicrogyria
abnormally large/small volumes of brain
megalencephaly/microencephaly
absence of gyri
lissencephaly (agyria)
incomplete separation of cerebral hemispheres
holoprosencephaly
complete separation of cerebral hemispheres
agenesis of corpus callosum
small posterior fossa, malformed cerebellum with extension of the vermis through the foramen magnum, hydrocephalus, and lumbar meningocele
Resulting downward displacement of cerebellar vermis and deformity of the medulla
Arnold-Chiari malformation
enlarged posterior fossa, absent or rudimentary cerebellar vermis, midline ependymal cyst
Dandy-Walker malformation
any non-progressive neurologic motor deficit attributable to
injury in the prenatal or perinatal period
Cerebral Palsy
seen in premature infants (increased risk)
often near the junction between the thalamus and caudate nucleus
Intraparenchymal Hemorrhage
damage depends on anatomic location and the brain’s limited capacity for repair
Trauma
clinical syndrome of alteration in consciousness
Includes sudden onset of transient neurologic dysfunction w/ complete recovery
Concussion
caused by rapid displacement, disruption of vascular channels, and subsequent hemorrhage (bruising), injury, and edema
Contusion
name this contusion
injury underlying point of contact
Coup
name this contusion
injury opposite the point of contact
Contracoup
penetration of an object w/ tearing of tissue
Laceration
axonal swelling in white matter; result of angular deceleration/acceleration
Diffuse Axonal Injury
involving inferior surfaces of frontal lobes, anterior temporal lobes & cerebellum
Multiple contusions
present in both temporal lobes, with areas of hemorrhage and tissue disruption
Acute contusions
seen as discolored yellow areas, are present on the inferior frontal surface of this brain
Remote contusions
blood between dura and periosteum of the skull
Epidural Hematoma
blood between dura and arachnoid layer of leptomeninges
Subdural Hematoma
Brain normally receives 15% of cardiac output and 20% of oxygen
autoregulation
vascular disease
decrease in oxygen available to the tissues
Hypoxia
low inspired PO2
• impaired oxygen-carrying capacity of blood
• inhibition of oxygen use by tissues
Functional Hypoxia
decrease in tissue perfusion
○ Transient - causing an interruption of blood flow (TIA)
○ Permanent - causing a cessation of blood flow
Ischemia
name this type of ischemia
causing an interruption of blood flow (TIA)
transient
name this type of ischemia
causing a cessation of blood flow
permanent
(aka ischemic/hypoxic encephalopathy)
a generalized reduction in cerebral perfusion
Global Cerebral Ischemia
reduction or cessation of blood flow to a localized area of the brain (an infarct)
Focal Cerebral Ischemia
within the brain parenchyma or subarachnoid space
Hemorrhage