L7 Neuro Flashcards
Neurons supported by
Glial cells
Nissl substance
granular basophilic cytoplasmic material
Hypoxic injury to brain causes
Loss of ribonucleotides
Denaturation of cytoskeletal proteins
Resulting in red neurons (eosinophilic)
Reactive gliosis
What is it produced by
What is it
Astrocytes produce dense network of cytoplasmic processes around around injury area
Intermediate filaments
Oligodendrocyte function
Formation and maintenance of central myelin
Ependymal cells
Line the ventricles
Microglia
What are they
What do they look like
Phagoctyes and macrophages
APC’s
Scavengers during necrosis
Appear as rod cells
Rosenthal fibers
Thick eosinophilic protein aggregates in chronic gliosis
Papilledema
What is it
Major indication of
Swelling of optic disc
Cerebral edema
Brain herniations
Transtentorial
Subfalcine
Tonsillar
Transtentorial (uncinate)
Subfalcine (cingulate)
Tonsillar (cerebellar tonsils)
Stroke
acute neurologic deficit lasting >24 hours
Most common cause of brain infarction
Most common artery
atherosclerosis
Middle cerebral artery
Brain infarction timeline
1-12 hrs: Normal
24-36: acute : red neurons, neutrophil infiltration
3rd day: subacute : macrophage infiltration
1 month: chronic: soft irregular cavitated lesions
6 months: chronic: smooth walled cavity
Intraparenchymal brain hemorrhage location
Basal ganglia
Pons
Subarachnoid brain hemorrhage
Characteristics
Location
Saccular berry aneurysms
Arterial bifurcations of circle of willis
Most common vascular malformation in primary brain hemorrhages
Arteriovenous malformation
Epidural hematoma
Artery or vein
Cause
Rupture of meningeal ARTERY
Lucid interval,then loss of consciousness
Blunt force
Subdural hematoma
Artery or vein
Cause
Rupture of VEINS
Blood between dura and arachnoid membrane
Whiplash, shaken baby, brain atrophy
Lobes more likely to suffer contusions
frontal
temporal
Neuron response to injury
Shrinkage
Nuclear degeneration
Breakdown in BBB
Astrocytes
What do they do
What can you see
Responsible for scar formation (gliosis)
Make Rosenthal fibers
Choroid plexus
Produces CSF