Congenital Malformations of the Brain and Skull Flashcards

1
Q

Name types of malformations of cerebral cortical development

A

Proliferative, Migrational, Organizational anomalies.

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2
Q

What are some clinical manifestations of abnormal brain development?

A
  • developmental delay
  • cognitive impairment
  • mental retardation
  • epilepsy
  • motor deficit
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3
Q

Diagnosis of Congenital Malformations is important for:

A
  • optimal therapy
  • prognosis
  • chances a future sibling is affected
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4
Q

Cortex (Latin) means

A

Bark

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5
Q

When is neural proliferation?

A

2-4 months of gestation

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6
Q

When is Neural Migration

A

*

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7
Q

What and When is neuronal organization?

A
  • Occurs b/w 5 months gestation - continues for years after birth
  • Alignment, Layering, Orientation of neurons
    *
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8
Q

Cuases of Brain Malformations

A
  • Injury
    • Infection
      • CMV/Toxo
    • Ischemia
    • Toxins
      • Alcohol/Cocaine/buildup of toxic metabolites with metabolic disorders
  • Genetics
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9
Q

What are Microcephalies

A
  • clinical diagnosis based on head circumference
  • At least 2 SD below mean, some say 3
  • Can relate to decreased gray or white matter
  • If decreased gray matter, related to decreased proliferation of neurons
  • If white matter, PVL/Injury
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10
Q

What is this?

A
  • microcephaly with simplified gyral pattern
  • too few gyri, abnormally shallow sulci
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11
Q

What is this?

A

Microlissencephaly, probably better classified as a migrational abnormality than microcephaly

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