Liquor

Question 1

Funktion of CSF

Answer 1

1.Cushing and Protection
2.
3.Reservoir+Control
4.Nourisches CNS
5.Metabolic Waste Removal
6.Hormon Carrier

Question 2

Volume of CSF

Answer 2

130 ml

Question 3

Daily Production

Answer 3

550ml/tag

Question 4

Pressure of CSF

Answer 4

During Lumbalpuncte we could measure that.

Around 60-160mm H2O

Question 5

Lumbalpuncture(CSF Sample)

Answer 5

Patient lying on the Couch.
L4 
Knees should be put on the chest.
Struktures pierced:
1.Skin
2.Sucutaneous Fascia
3.Ligaments Supraspinous and Intraspinsous and Flavum
4.Epidural Space
5.Dura Mater
6.Subdural Space
6.Arachnoid matter
7.Subarachnoid Space with CSF

Question 6

Epidural Space

Answer 6

Cranial-Potential Space

Spinalcord-Real space with lymphozytes,Immun cells

Question 7

Raised Intracranial Pressure Star

Answer 7

1. Headache as soon as you wake up(Unexplained)
2. Papilledema
3. Projectile Vomiting(Vagus Disturbance->GIT Zentrum disturbed)
4. Progressevly Higher BP
5. Lower Pulse Rate

Question 8

Composition of CSF

Answer 8

• Color Of CSF ist Clear
• Cells
  1. No RBC
  2. No neutrophile
  3. few Lymphocytes( less tha 5 per ml^2)
  5. Glucose:66% of the Plasmaglucosekonzentration
  6. Protein 0,4 g/L(Plasmaprotein 70-80 g/L)

Question 9

Changes OF CSF by 3 Different INfektions:

1. Pyogenic Meningitis
2. Tuburkerlose Meningitis
3. Viral Meningitis

Answer 9

1. Pyogenic Meningitis:
   - Yellow CSF
   - Neutrophile Cells(Akute Inflammation)
   - Lymphozytes Less
   - Glucose Low(<50%)
   - Proteins:Higher(Permeability disturbtion due to Inflammation)
   - Moderate Proteinlevels
2. Tuberkulose Meningitis
   - Turbid and Fibrin Web
   - Chronic Inflammation(Neutrophile cells less)
   - High Amount of Lymphocytes
   - Glucose Low(<50%)->Bacterias love Glucose
   - Sever Proteinlevels
3. Viral:
   - Clear CSF
   - Less Neutros
   - High Amount of Lymphocytes
   - Normal Glucose Level
   - Mildly Protein Level(lower Level of Permeability destruction)

Question 10

Hydrocepahlus

Answer 10

Excessive of Spinal fluid within the cranial cavity

Question 11

Foramen Monro
Cereblum Aqueduct
Central canal
4.Ventrikel(Foramen Luschka 2 of the them and Foramen Majendi) to Subarchnoidal Space and forms Cisterns.
Cisterna Cerebellapontei
Cisterna Magna(Cerebullari medullari cistern)
Interpodenkular Cistern

Answer 11

Cerebrell Podenkel and Cerebellum podenkel

Question 12

Excessive CSF in Cranial cavity

Hydrocephalus

Answer 12

1. Production of CSF Problem
2. Problem with CIrculatory SYSTEM(Abnormal CIrculation
3. Problem with Drainage

Question 13

Production of CSF Probelem Causes

Answer 13

1.Tumor of Plexus Choroideus

Question 14

Abnormal circulation

Answer 14

1. Foramen Monro Blockage due to different diseases .For Example Cysts->Only one Ventrikel enlarges
2. Cerebro Aquaduct Blockage->Symetically enlargement of lateral Ventrikels and 3.Ventrikel
3. Foramen Majendi and Foramen Luschka Blockage->All Ventrikel Enlarged
4. Tuberculose Meningitis Scar

Question 15

Normal Pressure Hydrocephalus

Answer 15

Pacient develops Dementia,Urinary Incontinence and Chait abnormalities(WOBLING)
Brain Shrinks
WACKY WOBLING AND WET.