Cognition & Senses 2: Intracranial Neoplasia Flashcards

1
Q

DOGS vs. CATS with CNS TUMOR INCIDENCE?

A

DOGS > CATS

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2
Q

MENINGIOMA..

this is a ____ BRAIN TUMOR

originates from the…

A

this is a PRIMARY BRAIN TUMOR

originates from the NEURAL CREST

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3
Q

SCHWANNOMA

this is a ___ BRAIN TUMOR

originates from the…

A

this is a PRIMARY BRAIN TUMOR

originates from the NEURAL CREST

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4
Q

GLIAL CELLS & NEURONS originate from the…

A

NEURAL TUBE

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5
Q

MOST PITUITARY GLAND TUMORS arise from the ____, which ORIGINATES from the ___ (___ in origin)

A

ADENOHYPOPHYSIS, ECTODERM, EPITHELIAL

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6
Q

TRUE/FALSE

brain tumors arising from the NEUROHYPOPHYSIS are COMMON in dogs/cats

A

FALSE, UNCOMMON

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7
Q

PACHYMENINGES = ??? (1)

LEPTOMENINGES? = ??? (2)

A

PACHYMENINGES? = DURA MATER

LEPTOMENINGES?
1. ARACHNOID MATER
2. PIA MATER

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8
Q

NAME…

yellow?

blue?

green?

A

yellow = TENTORIUM CEREBELLI

blue = INFRATENORIAL (CEREBELLUM)

green = SUPRETENTORIAL (CEREBRUM)

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9
Q

GLIOMAS tend to be more likely in dogs in WHAT AGE RANGE?

MENINGIOMAS tend to be more likely in dogs in WHAT AGE RANGE?

A

GLIOMAS = 4-8 YEARS OLD

MENINGIOMAS = 8-14 YEARS OLD

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10
Q

what is the MOST COMMON PRIMARY TUMOR TYPE in DOGS & CATS?

these tend to be EXTRA-____

A

MENINGIOMA

these tend to be EXTRA-MEDULLARY

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11
Q

TRUE/FALSE

we COMMONLY see MULTIPLE MENINGIOMAS in CATS

A

TRUE

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12
Q

what is the SECOND-MOST COMMON PRIMARY TUMOR TYPE IN DOGS?

name the 2 SUBTYPES and WHAT THEY ARISE FROM & WHAT THOSE CELLS DO/PRODUCE

these are ___-AXIAL TUMORS

A

GLIOMA

2 subtypes?
1. ASTROCYTOMAS = originate from ASTROCYTES that are SUPPORTING CELLS

  1. OLIGODENDROGLIOMAS = OLIGODENDROCYTES which PRODUCE MYELIN

these are INTRA-AXIAL TUMORS

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13
Q

CHOROID PLEXUS TUMORS tend to APPEAR in WHAT 2 LOCATIONS?

WHERE do they tend to METASTASIZE?

A

2 locations?
1. 4TH VENTRICLE
2. SPINAL CORD

METASTASIZE in the VENTRICLES commonly

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14
Q

EPENDYMOMA

commonality?

metastasis?

A

RARE

NO METASTASIS

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15
Q

6 common SECONDARY BRAIN TUMORS? (metastasize)

which is MOST COMMON?

A
  1. HSA –> MOST COMMON
  2. MELANOMA
  3. LYMPHOMA –> in YOUNGER ANIMALS
  4. CARCINOMA
  5. HISTIOCYTIC SARCOMA
  6. OSTEOSARCOMA
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16
Q

PRIMARY BRAIN TUMORS often occur in dogs of WHAT AGE?

name SPECIFIC BREED PREDISPOSITIONS…
–> GLIOMAS? (3)
–> MENINGIOMAS? (2)

A

most often occur in DOGS >5 YEARS

name SPECIFIC BREED PREDISPOSITIONS…
–> GLIOMAS? (3)
1. BOXER
2. BOSTON TERRIOR
3. BULLDOGS
–> MENINGIOMAS? (2)
1. MOST BREEDS
2. GOLDENS

17
Q

CEREBRAL or PITUITARY MASSES can be ___ ___ BEFORE….

A

VERY LARGE BEFORE CLINICAL SIGNS BECOME APPARENT

18
Q

PRIMARY BRAIN TUMORS tend to present with… (2)

A
  1. VAGUE CHRONIC HISTORY
  2. OFTEN RAPID PROGRESSION or ACUTE DECOMPENSATION
19
Q

CLINICAL SIGNS of PRIMARY BRAIN TUMORS? (3)

3 POSSIBLE DISEASES? (hint: all related)

A
  1. SEIZURES
  2. CP DEFICITS
  3. MENTATION CHANGES

3 diseases?
1. CENTRAL
2. PERIPHERAL
3. PARADOXICAL VESTIBULAR DZ

20
Q

what are the 2 the BEST DIAGNOSTICS for PRIMARY BRAIN TUMORS?
–> which is REQUIRED for DEFINITIVE DIAGNOSIS

name 4 other methods

A

BEST 2 DIAGNOSTICS?
1. MRI
2. BIOPSY –> REQUIRED FOR DEFINITIVE DIAGNOSIS

name 4 others
1. SKULL RADS
2. CT
3. ELECTRODIAGNOSTICS
4. CSF ANALYSIS

21
Q

on CSF MOST NEOPLASIA tends to show…

A

INCREASED PROTEIN with NORMAL CELL COUNT

22
Q

3 DISEASES where we DO expect NEOPLASTIC CELLS on CSF?

is this the usual?

A
  1. LYMPHOMA
  2. HISTIOCYTIC SARCOMA
  3. CHOROID PLEXUS TUMORS

NOT USUAL, NEOPLASTIC CELLS IN MINORITY OF CASES

23
Q

what is the TREATMENT (2) and PROGNOSIS for PALLIATIVE care for PRIMARY BRAIN TUMORS?

A

TREATMENT?
1. AEDs
2. CORTICOSTEROIDS

PROGNOSIS = A FEW WEEKS to MONTHS

24
Q

what is the SURGICAL OPTION for MENINGIOMA?

MST?

A

SURGICAL OPTION = INTRADURAL EXTRAMEDULLARY

MST = 6 MONTHS to 7 YEARS

25
what is the SURGICAL OPTION for GLIOMA? MST?
SURGICAL OPTION = INTRAMEDULLARY MST? = 3 MONTHS to 7 YEARS
26
TRUE/FALSE RADIATION THERAPY can INCREASE SURVIVAL when compared to SURGERY ALONE in DOGS WITH MENINGIOMA
TRUE
27
TRUE/FALSE RADIATION THERAPY for PITUITARY TUMORS in dogs DOES NOT INCREASE SURVIVAL TIME
FALSE, INCREASES it by 3-4 YEARS
28
name 3 DEFINITIVE therapies for BRAIN TUMORS
1. SURGERY 2. RADIATION 3. CHEMOTHERAPY
29
CHEMOTHERAPY for BRAIN TUMORS has WHAT as the MAJOR LIMITING FACTOR? why?
BLOOD BRAIN BARRIER, because only SOME DRUGS CAN CROSS IT
30
PRIMARY BRAIN TUMOR PE FINDINGS... if in the FOREBRAIN/FRONTAL LOBE 1. MENTATION? 2. GAIT/POSTURE? 3. CN EXAM 4. POSTURAL REACTIONS? 5. SEGMENTAL REFLEXES? 6. PALPATION?
1. MENTATION = INAPPROPRIATE 2. GAIT/POSTURE = CIRCLING TOWARDS LESION, HARD TO MOVE 3. CN EXAM = ABSENT MENACE OD, NO PLOR 4. POSTURAL REACTIONS = ABSENT PROPRIOCEPTIONS IN ALL LIMBS BUT WORSE ON ONE SIDE 5. SEGMENTAL REFLEXES = NORMAL 6. PALPATION = NORMAL