Nerve CH 9 Flashcards

1
Q

Nervous system

A
  • Central Nervous System (CNS):
    1. Brain
    2. Spinal Cord
  • Peripheral Nervous System (PNS)
  • All other nerve tissues
  • Three types of tissue groups for staining
    1. Neuronal cell bodies and processes
    2. Glial cells and processes
    3. Myelin sheath
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2
Q

Neurons

A
  • 14 billion. Consists of cell body
    (perikaryon) with nucleus and one or more cell processes (axons-output and
    dendrites-input)
  • Nissl substance
  • Also called tigroid substance and chromidal substance is basophilic
  • Stained well with thionin and cresyl echt violet.
  • Loss of substance is referred to as chromatolysis
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3
Q

Myelin

A
  • Complex, white, fatty, nonliving material containing protein, cholesterol, phospholipids, and cerebrosides
  • Formed by Schwann cells in the PNS
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3
Q

Neuroglia

A
  • “nerve glue” provide support throughout CNS.
  • Ependymal cells
  • Form the blood brain barrier. True epithelial cells that line ventricals and spinal canal
  • Microglia
  • Fixed phagocytic cells in brain and spinal cord
  • Astrocytes
  • Stellate cells, protoplasmic found in gray matter. Fibrous found in white matter
  • Forms scar network for neurons, exchange fluids, gases, metabolites for tissue
  • Oligodendroglia
  • Small cells that produce and maintain the myelin sheath
  • Most numerous glial cell found in both gray and white matter
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4
Q

Nerve Staining techniques
◦ Cresyl echt violet
◦ Bodian
◦ Holmes silver nitrate
◦ Bielschowsky
◦ Sevier – Munger
◦ Thioflavin S
◦ PTAH
◦ Holzer
◦ Cajal
◦ Weil
◦ Luxol fast blue

A

◦ Cresyl echt violet
◦ Bodian
◦ Holmes silver nitrate
◦ Bielschowsky
◦ Sevier – Munger
◦ Thioflavin S
◦ PTAH
◦ Holzer
◦ Cajal
◦ Weil
◦ Luxol fast blue

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5
Q

Nissl Substance: CRESYL ECHT VIOLET
◦ Demonstrates neurons or loss of nissl substance.

A
  • Demonstrates neurons or loss of nissl substance. Called chromatolysis.
  • 10% NBF is preferred fixative
  • Cut at 6-8um
  • Spinal cord is good control
  • Results
  • Nissl substance – blue to purple
  • Nuclei – blue to purple
  • Background – colorless
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6
Q

Cresyl Echt Violet Method II
- Used in an acidic pH

A
  • Used in an acidic pH
  • Lower pH restricts staining to RNA-DNA containing structures and nuclei
  • This enhances the contrast of nuclei and nissl substance compared to colorless background
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7
Q

BODIAN METHOD
- Demonstrates nerve fibers, can show Wallerian degenerations

A
  • Demonstrates nerve fibers, can show Wallerian degenerations
  • Uses Protargol: silver impregnation solution, and hydroquinone for reducing
  • 10% NBF is preferred fixative
  • Peripheral nerve or cerebral cortex is good control. NO spinal cord (cross section)
  • Results
  • Nerve fibers: black
  • Background: light blue or gray
  • Nuclei: black
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8
Q

BIELSCHOWSKY-PAS STAIN
- nerve fiber, neurofibrillary tangles, senile
plaques
- Demonstrates the above cells involved in Alzheimers
disease

A
  • Demonstrates the above cells involved in Alzheimers
    disease
  • 10% NBF preferred fixative
  • Cut at 8-10um
  • Tissue must be from CNS, should contain senile
    plaques and neurofibrillary tangles ** CORTEX
  • Uses formaldehyde and not hydroquinone

◦ Results
- Neurofibrillary tangles – dark black
- Neuritic plaques – dark black
- Axons – black
- Amyloid – magenta
- Lipofuscin - magenta

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9
Q

HOLMES SILVER NITRATE METHOD
- Demonstrates nerve fibers and neurofibrils

A
  • Demonstrates nerve fibers and neurofibrils
  • 10% NBF perferred fixative
  • Cut at 10-15um
  • Cerebral cortex is good control
  • NO metal forceps
  • Uses pyridine instead of Protargol* not basic enough?
  • Argyrophil silver method
  • Similar to Rio-Hortega which uses ammonical silver
    carbonate

◦ Results
- Axons and nerve fibers: black
- Neurofibril: black

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10
Q

Sevier – Munger (modification of Bielschowsky method)

A
  • Cut at 6-8um
  • CNS tissue must be used
  • NO gold chloride used, which leaves background yellowish

◦ Results
- Nerve endings and neurofibrils: black
- Neurofibrillary tangles and neuritic plaques:
black

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11
Q

THIOFLAVIN S METHOD
Neurofibrillary tangles and senile plaques
- Demonstrates presence of neurofibrillary degeneration and amyloid deposit in Alzheimer’s.

A
  • Demonstrates presence of neurofibrillary degeneration and amyloid deposit in Alzheimer’s.
  • Fluorescent dyes for amyloid
  • 10-20% NBF preferred fixative
  • Cut at 6um, let air-dry overnight
  • CNS tissue containing senile plaques as control

◦ Results
- Alzheimer plaques, neurofibrillary tangles, senile
amyloid: bright green
- Diffuse plaques: paler yellow green

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12
Q

MALORY PTAH
- Demonstrates glial fibers

A
  • Demonstrates glial fibers
  • 10% NBF is preferred fixative
  • Cut at 6-8um
  • Cerebral cortex for control (not spinal cord)

◦ Results
- Glial fibers: blue
- Nuclei: blue
- Neurons: salmon
- Myelin: blue

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13
Q

HOLZER METHOD
- Demonstrates glial fibers and areas of gliosis

A
  • Demonstrates glial fibers and areas of gliosis
  • Crystal violet is stain used
  • 10% NBF is preferred fixative
  • Cut at 6-8um
  • Cerebral cortex for control (not spinal cord)

◦ Results
- Glial fibers: blue
- Background: pale to colorless

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14
Q

CAJAL STAIN
- Demonstrates astrocytes, replaced by IHC

A
  • Demonstrates astrocytes, replaced by IHC
  • Antibody GFAP now used in IHC
  • FORMALIN AMMONIUM BROMIDE no less than 2 days, no longer than 25 days
  • Frozen sections cut at 20-30um
  • Cerebral cortex control (not spinal cord)

◦ Results
- Astrocytes with perivascular feet: black

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15
Q

WEIL METHOD
- Demonstrates myelin

A
  • Demonstrates myelin.
  • Demyelination can occur in syphilis and amyotrophic lateral sclerosis
  • Borax ferricyanide differentiates by oxidation
  • 10% NBF fixative preferred
  • Cut at 10-15um
  • Spinal cord is good control

◦ Results
- Myelin sheath: blue to blue black
- Background: light tan

15
Q

LUXOL FAST BLUE METHOD
- Demonstrates myelin sheaths

A
  • Demonstrates myelin sheaths
  • Cut at 10-15um
  • Spinal cord is good control
  • Similar structure to Alcian Blue 8GX

◦ Results
- Myelin: blue to blue green
- Background: colorless

  • NOTE: white matter has myelin, gray matter has none! Therefore, white matter is being stained blue to blue green.
16
Q

LUXOL FAST BLUE-CRESYL ECHT VIOLET
- Demonstrates both nissl substance and myelin

A
  • Demonstrates both nissl substance and myelin
  • 10% NBF is preferred fixative
  • Cut at 10-15um
  • Spinal cord is good control

◦ Results
- Myelin: blue
- Nissl substance: violet
- Nuclei: violet

17
Q

LUXOL FAST BLUE-HOLMES
SILVER NITRATE
- Demonstrates both myelin sheath and holmes silver nitrate

A
  • Demonstrates both myelin sheath and holmes silver nitrate
  • 10% NBF preferred fixative
  • Cut at 10-15um
  • Section of cerebral cortex for control

◦ Results
- Myelin sheath: blue to green
- Axons and nerve fibers: black

18
Q

Luxol Fast Blue-PAS Hematoxylin

  • Basement membranes, myelin sheath, senile plaques, fungi and corpora amylacea
A
  • Basement membranes, myelin sheath, senile
    plaques, fungi and corpora amylacea
  • 10% NBF preferred fixative
  • Cut at 10-15um
  • Medulla or cerebral cortex for control

◦ Results
- Basement membrane, fungi, corpora amylacea, senile plaques: rose
- Myelin sheath: blue to blue green
- Nuclei: purple