Neuro 1 Flashcards
What are the words to use when describing level of consciousness?
Alert
Depressed
Stuporous/obtunded
Semicomatose
Comatose
Define amaurosis
partial or total loss of sight without pathology of the eye - caused by disase of hte optic nerve or brain (central blindness)
Central blindness, but intact PLR indicates ____ disease.
Cerebral
Seizures are a result of abnormal neuronal activity from the ______ cortex.
Cerebral
T/F: Generalized seizures result in a loss of consciousness
True
T/F: all focal seizures result in loss of consciousness.
False - consciousness may or may not be impaired
Head turning, grimace, urination/defecation are all signs of _______ seizure.
Generalized
_____ phase may precede seizures, and _____ phase may procede after seizures.
Prodromal; post-ictal
Neurologic exam: gate analysis - describe Grade 0 - Grade 5
- Grade 0 = no deficits noted
- Grade 1 = mild deficits only under special circumstances
- Grade 2 = mild, difficult to recognize deficits under normal circumstances, and easily observable under special cericumstances
- Grade 3 = readily recognizable, consistent, moderate deficits at straight walk
- Grade 4 = severe deficits at the walk/almost falling down
- Grade 5 = recumbent
T/F: Limbs crossed in a horse is normal.
False - abnormal
Lesions in the forbrain result in what CS?
Abnormal mentation, behavior changes, central blindness, aimless wandering, seizures, mild weakness, and proprioceptive deficits
Lesions of the brainstem result in what CS?
Altered consciousness, CN deficits, postural reaction deficits
Lesions of hte cerebellum cause what CS?
Hypermetra, ataxia, intention tremors
Lesions of hte spinal cord from C1-C5 CS?
UMN signs to forelimbs and pelvic limbs (horners syndrome if damage to vagosympathetic trunk)
Lesions of the spinal cord from C6-T2 - CS?
LMN to forelimbs, UMN to pelvic limbs
Lesions of the spinal cord from T3-L3 CS?
Normal forelimbs, UMN to pelvic limbs, UMN bladder
Lesions of the spinal cord from L4-S2 CS?
Normal forelimbs, LMN pelvic limbs, LMN bladder
Lesions in the S2-caudal region of spinal cord CS?
LMN bladder, lack of anal tone and tail tone
An “AO” CSF tap is a tap of the ________ cistern.
cerebello-medullary
T/F: “AO” tap requires general anesthesia.
True
“AO” tap is more reflected of ____ disease.
Intracranial
“AO” tap is contraindicated in ______
Head trauma
T/F: AO tap is easy to collect post mortem.
True
“LS” CSF tap is a tap from the ______ cistern.
Lumbo-sacral
T/F: LS tap needs to be done under general anesthesia.
False - is obtained standing
LS tap is more reflective of _____ disease.
Spinal cord
LS tap is taken at the level of the _______
cauda equina
CSF is an ultrafiltrate of ______, that bathes the CNS, ventricles and subarachnoid spcaes.
plasma
In a routine CSF analysis - a normal CSF should be ____ in color, the protein concnetration should be between ___ and ____ mg/dL, and the nucleated cell count should be < ___ cells/microliter, and the red cell count should be _____.
The nucleated cell count should also be compromised of mostly _______.
Clear; 50-100; <6; zero
small mononuclear cells (NOT neutrophils)
A yellowish discoloration in a CSF tap is defined as _____ and represents what?
Xanthochromia - indicates we have a break down of RBCs within the CSF- can be due to trauma or EHV-1
Define pleocytosis on routine CSF analysis
Elevated nucleated cell count
T/F: Cerebellar abiotrophy is a progressive cerebellar degeneration that is present at birth.
False - it is NOT present at birth
Signs of cerebellar abiotrophy are evident between ___ to ____ months of age.
1-6
Clinical signs of cerebellar abiotrophy:
Diffuse, symmetrical cerebellar signs:
Base-wide stance with hypermetric ataxia, head bob/intention tremor, absent menace response
T/F: In occipito-atlantoaxial malformations, ataxia is noted at birth, and is progressive.
True
Juvenile epilepsy is a ____ epilipsy of ____ foals.
benign; Arabian
Horses will outgrow juvenile epilepsy by ____ months of age.
12
How do you treat juvenile epilepsy?
Phenobarbital for several months
Lavender foal syndrome is known as the “____ syndrome of egyption Arabian foals”
Tetany