Focal Brain Disorders Flashcards
what makes up the intracranial tissue volume?
brain parenchyma
blood
CSF
what is the most effective compensatory mechanism for volume increase?
CSF shifts: shunt caudally, decrease production, increase absorption
is the blood brain barrier disrupted in cytotoxic edema?
not initially
what is normal intracranial pressure?
less than 20 mmHg
what are the types of brain herniation in dogs due to intracranial disease?
cingulate gyrus herniation
caudal transtentorial herniation
foramen magnum herniation
what is transtentorial herniation?
caudal displacement of hemispheres ventral to tentorium cerebelli
why is a foramen magnum herniation bad?
compresses medulla
what are some clinical signs of foramen magnum herniation?
stupor to coma
tetraplegia
non-responsive and dilated pupils
absent physiological nystagmus
respiratory abnormalities
what are some focal space occupying lesions?
dermoid, epidermoid cyst
hematoma, hemorrhage
encephalitis focal, abscessation
neoplasia
granuloma
what are two differentials for circling cats?
meningioma
stroke
what are some extra-axial bleeding types?
epidural hematoma
subdural hematoma
what type of fractures are most common in head trauma?
linear fractures
what is there high risk of with basilar skull fractures?
nerve damage or entrapment
CSF otorrhea or rhinoorhea
what are some primary brain tumors?
meningioma
astrocytoma
oligodendroglioma
plexus papilloma
pituitary adenoma
what are extra-axial tumors mainly?
meningiomas