Exam 2: Remaining Material Flashcards
Multiple sclerosis
Autoimmune attack on white matter
Plaque of demyelination
MS is a ____ hypersensitivity
Type 4
MC myelin disorder
MS
MS MC in
Young adult females
MS can occur where in CNS
Anywhere
Active MS
Ongoing breakdown
Inactive MS
Minimal inflammation
Features of MS
Visual impairments
Motor/sensory impairments
Bowl/bladder dysfunction
Treatment for MS
IV corticosteroids
Immunosuppression
CAM
2 types of thiamine deficiency
Wernicke-korsakoff Syndrome
Beriberi
Wernicke-korsakoff syndrome common in
Chronic alcoholics
Wernicke korsakoff syndrome characteristics
Confusion
Confabulation
Swelling in brain
Amnesia
Beriberi
Lower extremity paralysis
Nystagmus
Cobalamin deficiency
Cord demyelination
Subacute combined degeneration of spinal cord
Hypoglycemia mimics
Global hypoxia
___ most susceptible to hypoglycemia
Hippocampus
Hyperglycemia MC due to
Uncontrolled diabetes
MC cause of dementia in elderly
AD
___ accumulate in brain in AD, and breakdown of neurons results in ___
Beta amyloid plagues
Tau proteins
AD patients MC die from
Pneumonia
MC death in Parkinson’s
Infections
Trauma
Parkinsonism
Altered motor function
Parkinson’s disease involved damage to ___, especially in ___
Dopaminergic neurons
Substantia nigra
Neuronal inclusions in Parkinson’s disease
Lewy bodies (alpha synuclein)
Symptoms of Parkinson’s
Festinating gait
Cogwheel rigidity
Pill rolling
Expressionless
Treatment for Parkinson’s
L-DOPA
Deep brain stimulation
___ more severe than Parkinson’s
Lewy body dementia
___ is autosomal dominant disease involving trinucleotide repeat of ___
Huntington’s disease
CAG
Huntington’s is inherited, and delayed onset, affecting ages ___
30-40
Huntington’s affects what part of brain
Caudate and putamen nuclei
Body wide chorea
Dementia
Insanity
Huntington’s
Lethal within 15 years, MC due to pneumonia, choking, suicide, injuries
Huntington’s
ALS
Degeneration of motor neurons
Both LMN and UMN
ALS MC in
Males, age 40-50
Progressive denervation atrophy and fasciculations common in
ALS
Rapid progression and hyperreflexia, spasticity, but preservation of sensation and ocular motor function characteristic of
ALS
Most CNS tumors are
Primary CNS tumor
Most CNS tumors are non-resectable and have a __ prognosis
Poor
CNS tumors ____ Mets outside CNS
Rarely
3 types of gliomas
Astrocytoma
Oligodendroglioma
Ependymoma
Astrocytoma and oligodendroglioma are
Diffuse
Types of astrocytomas
Diffuse
Pilocytic
Diffuse astrocytomas are ___ and are 80% of adult gliomas
Malignant
Diffuse astrocytomas have ___ prognosis
Poor
Pilocytic astrocytomas are benign, MC in ___ and MC in what location
Children
Cerebellum or spinal cord
Worst prognosis of CNS tumor
Glioblastoma
Oligodendroglioma can be benign or malignant, MC in ___ and MC in what location
Age 30-50
Frontal and temporal lobe
Ependymoma MC in
Pediatrics MC age 4
Ependymomas are in ____
Periventricular locations
Example of malignant embryonal neoplasm
Medulloblastoma
Medulloblastomas MC in ___ and what location
Kids
Cerebellar (midline and infratentorial)
Primary CNS lymphoma
Diffuse large B cell lymphoma
Diffuse large B cell lymphoma is ___ , involves seeding in ventricles, and MC associated with ___
Aggressive
AIDS
Most meningiomas are benign, but ___
Invasive
Meningiomas involve transformed
Arachnoid cells
Meningiomas MC affect
Adult females
Risks for meningiomas
NF2
Autosomal dominant gene that results in benign tumors throughout body
Tuberous sclerosis
Von hippel Lindau disease
Autosomal dominant hemangioblastomas, primarily in cerebellum