CSF And Aqueous Humour Flashcards

1
Q

This structure produces CSF

A

Choroid plexus epithelium

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2
Q

Csf is formed in the ____ and circulates in the ____ then absorbed into the ____

A

Ventricle
Subarachnoid space
Venous system

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3
Q

Function of csf

A

Brain cushion
Homeostasis - pH affects pulmonary ventilation and cerebral blood flow
Blood brain exchange of nutrients

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4
Q

Embryology ____ gives rise to the brain ventricles and spinal cord central canal

A

Cavity of the neural canal

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5
Q

Csf has lower concns of ____ and higher concns of _____ than blood

A

Glucose K+ Ca+ protein cholesterol cells - lower

Na and Cl - more

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6
Q

Flow of csf through the ventricular system =

A
Lateral ventricles 
Interventricular foramen (of monroe)
3rd ventricle
Cerebral aqueduct (of Sylvius)
4th ventricle
Median and 2x lateral apertures
Subarachnoid space
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7
Q

Csf from subarachnoid space to venous system via

A

Arachnoid granulations
>
Superior sagittal sinus

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8
Q

Brain interstitial fluid drains to CSF through

A

Perivascular spaces

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9
Q

Brain parts without a BBB

A

Pineal gland

Circumventricular organs

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10
Q

Tumours of the ventricles -

A

Colloid cyst( often at interventricular foramen)
Ependymomas
Choroid plexus tumours

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11
Q

IIH aka

Features -

A

Idiopathic intracranial hypertension

Headache visual disturbance and papilloedema BUT wo the imaging features of hydrocephalus even though CSF P is up

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12
Q

What causes papilloedema?

A

Raised ICP is transmitted to subarachnoid space around optic nerve so it swells and bulges

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13
Q

Symptoms of papilloedema

A

Enlarged blind spot
Blurry vision
Obscurations
Vision loss

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14
Q

HCO3- function in aqueous humour

A

Buffers H+ produced by anaerobic glycolysis in lens and cornea

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15
Q

Path of aqueous humour from production to drainage

A

Epithelium of ciliary body in post chamber
Ant chamber
Trabecular meshwork and canal of Schlemm in iridocorneal angle
Scleral venous system
(Small bit is absorbed across retinal pigment epithelium)

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16
Q

Intraocular pressure is roughly ____ greater than atmospheric

A

17mmHg

17
Q

Ionic composition of aqueous humour compared to plasma (5)

A

Higher - Na Cl ascorbate

Lower - glucose HCO3-

18
Q

Examples of carbonic anhydrase inhibitors that can be used in glaucoma Rx

A
Dorzolamide drops
Acetazolomide PO(causes acidosis due to effect on kidneys)