Neuro 1 Flashcards

(81 cards)

1
Q

what are the 3 classical divisions of the CNS?

A
  1. Sensorimotor division
  2. Autonomic division
  3. Enteric division
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2
Q

What are the 2 areas of nervous tissue in enteric division of PNS? why should we know about them?

A
  1. Myenteric plexus AKA Auerbach’s plexus
  2. Submucous plexus AKA Meissner’s plexus

important to understanding dysautonomias

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3
Q

what part of embryology gives rise to PNS?

A

neural crest

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4
Q

which of ectoderm, mesoderm, and endoderm gives rise to nervous system? what is the exception?

A

ectoderm

microglial cells - come from mesoderm

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5
Q

what cell is responsible for making myelin in the PNS?

A

Schwann cells

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6
Q

what cell is responsible for making myelin in the CNS?

A

oligodendrocytes

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7
Q

what are the 3 ways that nerves can be injured by trauma?

A
  1. transection
  2. compression/crushing
  3. stretching
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8
Q

Describe Wallerian Degeneration.

A

degeneration of the distal component of an injured axon.

the proximal segment dies back to the node of Ranvier, macrophages respond to site of injury, cell body swells b/c of chromatolysis of Nissl substance, myelinating cells guide direction of regenerating axon.

very typical response to axon injury

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9
Q

Why is Wallerian degeneration important in diagnosis?

A

can help you localize where injury occurred histologically

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10
Q

why is Wallerian degeneration important for disease processes?

A

mistakes in process can cause rein nervation of the wrong thing or proliferation of axons w/o reinnervation, which leads to formation of a neurofibroma

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11
Q

What are the clinical signs of equine laryngeal hemiplegia?

A

tall, large breeds, male, 2-7 y/o
paralysis of L side of larynx –> roaring sound during inspiration (esp. w/ exercise)

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12
Q

what is the other name for equine laryngeal hemiplegia?

A

Roarers or recurrent laryngeal neuropathy

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13
Q

what are the gross findings of equine laryngeal hemiplegia?

A

L laryngeal paralysis
neurogenic atrophy of the L dorsal, lateral, and transverse cricoarytenoid muscles

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14
Q

why is the L side of the larynx more affected than the R in equine laryngeal hemiplegia?

A

L recurrent laryngeal nerve is longer than the R

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15
Q

What histo lesion do we have to know for Roarers?

A

Wallerian degeneration of the recurrent laryngeal nerve

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16
Q

what are the causes of roarers?

A
  • direct trauma to nerve
  • extension of inflammation from guttural pouches
  • toxins
  • (inherited)
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17
Q

What dis?

A

equine laryngeal hemiplegia AKA roarers

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18
Q

What is the other name for Colonic Agangliosis?

A

Lethal white foal syndrome

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19
Q

what is the signalment for colonic aganliosis?

A

American paint horses
white foals born to parents with Overo markings.

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20
Q

what are the clinical signs of colonic agangliosis?

A

clinical signs of colic
foals die within a few days of birth
functional obstruction of GIT

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21
Q

what are the gross findings of colonic agangliosis?

A

white foal, lumen of large colon small/narrow, ileum to distal large colon affected

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22
Q

what histo finding do we have to know for colonic agangliosis?

A

lack of myenteric and submucosal ganglia

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23
Q

what are you worried about with this foal?

A

colonic agangliosis AKA lethal white foal syndrome

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24
Q

Diaphragmatic paralysis in camelids:
1. clinical sings?
2. gross lesions?
3. cause?
4. important ddx?

A
  1. young llamas and alpacas, resp distress
  2. none
  3. we dunno
  4. choanal atresia
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25
What are the two types of Myasthenia Gravis? what species are affected?
Congenital (less common) and acquired (more common) dogs (and less commonly cats)
26
in congenital myasthenia gravis, what is wrong?
defect in acetylcholine end plate receptors
27
in acquired Myasthenia Gravis, what is wrong?
immune-mediated antibodies against cholinesterase receptors --> results in immune complexes of the neuromuscular junction, decreased receptor density
28
some cases of acquired myasthenia gravis are linked with what?
thymic abnormalities
29
what are the 3 clinical forms of acquired myasthenia gravis?
1. generalized form: weakness of appendicular muscles with exercise, also megaesophagus 2. localized form: face, esophagus, pharyngeal muscles 3. fulminating form: rapidly developing and sustained weakness
30
what type paralysis is seen with acquired myasthenia gravis?
flaccid paralysis
31
what might you see at necropsy for an individual with myasthenia gravis?
megaesophagus, thymoma, or hypothyroidism
32
what secondary condition/cause of death might send animals with myasthenia gravis to necropsy?
aspiration pneumonia
33
what species does cauda equina syndrome affect?
primary horses, sometimes dogs
34
what are the clinical signs of Cauda Equina Syndrome?
slowly progressive clinical signs related to hind end 1. hypotonia, decreased sensation of the tail, anus, and perineum 2. urinary bladder paresis with sabulous cystitis 3. fecal retention and colic 4. rear limb weakness and atrophy chronically
35
what are the gross lesions of cauda equina syndrome?
mild edema and hemorrhage enlargement of nerves
36
what histo lesions do we have to know for cauda equina syndrome?
nodular granulomatous sinflammation fibrosis
37
what is cauda equina syndrome?
neuritis of the cauda equina
38
these are caudal spinal cords from horses. the one on the L is normal, the one on the L has a pathology. The horse that the R one came from displayed signs of colic, fecal retention, urinary bladder paresis, and hypotonia of the hind end. what is the pathology?
cauda equina syndrome
39
what is the other name for acute polyradiculoneuritis?
Coonhond paralysis
40
what are the clinical signs of a dog with acute polyradiculoneuritis?
dog 1-2 wks after being bit by racoon hyperesthesia, weakens, ataxia *progresses of ascending flaccid paralysis* death from resp paralysis possible
41
what is the cause of acute polyradiculoneuritis?
immune mediated primary demyelination with possible microbial trigger racoon bite
42
what is targeted in acute polyradiculoneuritis?
ventral spinal nerve roots and their associated peripheral nerves
43
based on the clinical signs and history of acute polyradiculoneuritis, what other disease should you be worried about?
rabies
44
vitamin A deficiency is an indirect cause of what? how?
peripheral neuropathy defective remodelling of membranous bone can result in CNS and PNS abnormalities
45
How does vitamin A deficiency cause blindness in neonatal calves and pigs?
causes narrowing of the optic foramina and compression of the optic nerves
46
What does vitamin A deficiency cause in: 1. neonatal calves and pigs? 2. puppies?
1. blindness 2. deafness
47
what does vitamin B deficiency (riboflavin) cause in chickens?
curled-toe paralysis (demyelinating neuropathy)
48
this poor little dude has this lesion. what is one differential for the reason?
vitamin B (riboflavin) deficiency
49
what are the clinical signs of Botulism? signalment?
signalment: horses, ducks, sometimes cattle ascending flaccid paralysis (paralysis of diaphragm can cause death) loss of tongue tone (good to look for)
50
what is the cause of botulism?
Clostridium botulinum Type A, B, or C in NAm
51
briefly describe Clostridium botulinum
gram positive, spore forming, anaerobic bacteria
52
describe how botulism is different in foals vs adult horses
foals ingest it, gets through gastric ulcers adults may ingest or less commonly get wound infection
53
tell me the pathogenesis of botulism
1. toxin enters blood and moves to the neuromuscular junction 2. moves into presynaptic junction and prevents release of acetylcholine 3. leads to flaccid paralysis
54
why is botulism diagnosis difficult?
no gross or histo lesions, it's a clinical diagnosis should swab wound/save feed can culture in rare cases
55
you have this downed cow in the field. note the tongue. what is cause of acute death is top of your ddx list?
botulism
56
tell me about botulism in wild ducks
there are outbreaks of botulism in wild ducks in the summer and spring
57
what are the clinical signs of tetanus?
1. spastic paralysis and hyperesthesia 2. prolapse of 3rd eyelid, sawhorse stance, seizing
58
common signalment of tetanus? how to prevent?
horses vaccination! we do that
59
when do you usually see tetanus? what is the incubation period?
post-castration 10-14 days
60
what is the cause of tetanus?
Clostridium tetani
61
tell me about Clostridium tetani
gram positive, spore forming, anaerobic bacteria
62
tell me about the pathogenesis of tetanus
1. wound contaminated by Clostridium tetani 2. anaerobic environment of wound allows toxin production 3. toxin binds at local neuromuscular junction or sensory nerve 4. retrograde axoplasmic flow allows it to move to the CNS where it blocks release of inhibitory neurotransmitters 5. uncontrolled stimulation of motor nerves 6. release of spinal motor neurone from inhibitory influences
63
what is the difference b/t tetanus and botulism in the way that it travels through the body?
botulism enters the blood tetanus doesn't enter the blood
64
why is tetanus diagnosis difficult?
no gross or histo lesions (except maybe the wound) perhaps a hx of castration can culture from wound in rare cases
65
what is an important ddx for the clinical signs of tetanus?
strychnine toxicity
66
Equine Grass Sickness: 1. AKA? 2. gross and histo lesions?
1. equine dysautonomia 2. no gross, histo = autonomic and enteric ganglia lesions
67
what is the cause of equine grass sickness?
consumption of stressed pasture grass with recent rapid growth or sudden onset of cold weather
68
what is stringhalt?
pelvic limb neuropathy in horses a type of neuromuscular gait abnormality
69
what are the clinical signs of stringhalt?
exaggerated rapid flexion of one or both hindlimbs
70
Horse keeps doing this. what are you thinking?
Stringhalt
71
What is shivers?
pelvic limb neuromuscular lameness in *tall horses*
72
what are the clinical signs of shiverS?
difficulty walking backwards hyperflexed/abducted limbs with tremoring while moving backwards only visible at walk
73
where is the anatomic location of shivers?
cerebellum
74
how are tumors of the PNS grouped together?
peripheral nerve sheath tumors or nerve sheath tumors
75
what are the two big categories of peripheral nerve sheath/nerve sheath tumors?
1. tumors that arise from grossly discernible nerves 2. tumors that arise in the skin and subq -- fall under the category of *soft tissue sarcomas*
76
what are the common locations for benign PNS tumors?
*spinal nerves, specifically the brachial plexus in dogs* cranial nerves (trigeminal)
77
what are the cells of origin for benign PNS tumors and the tumor names?
Schwann cells = Schwannoma Fibroblasts = neurofibroma Perineurla cells = perineuroma
78
what species are benign PNS tumors most common in ?
dogs and cattle
79
Malignant peripheral nerve sheath tumors occur where?
close to spine or cranial nerves
80
Tasmanian Devil Facial Tumor: 1. what is it? 2. transmission? 3. cell of origin?
1. infectious tumor affected Tasmanian devils (no virus assoc.) 2. fighting/biting 3. Schwann cell
81
what is the lesion and what is the cell of origin?
Tasmanian devil Facial tumor Schwann cell