Neuro Pathology Flashcards
List the 8 unique histopathologic rxns seen in nervous tissue.
- Chromatolysis
- Demyelination
- Wallerian degeneration
- Satellitosis
- Neuronophagia
- Perivascular cuffing
- Malacia
- Neuronal inclusion bodies
What are pale areas in neuronal cytoplasm due to dispersion of Nissl’s substance are known as?

Chromatolysis
Which NS cell types can divide?
Implications?
Glial cells
(Only these cells can become tumors.
Neurons CANNOT)
Distemper virus shows an affinity for which NS cell type?
Oligodendrocytes
Which supporting cell type produces myelin?
Oligodendrocytes
Which supporting cell type controls
CSF movement?
Astrocytes
Which 2 NS cell types may become neoplastic?
- Glial cells
- Ependymal cells
What condition describes disruption & phagocytic removal of myelin?
Which cells in the PNS can fix this?
- Demyelination
- Schwann cells
What is the term for destruction of the axon & myelin sheath following trauma or toxic injury?
Where can it regenerate?
- Wallerian Degeneration
- PNS
What is the term for the accumulation of glial cells around damaged neurons?
Which type of glial cells mainly?
- Satellitosis
- Microglia
What is the term for MØic phagocytosis
of necrotic neurons?
Neuronophagia
What is the term for accumulation of polymorphonuclear or mononuclear leukocytes in Virchow-Robin spaces?
Perivascular cuffing
What type of leukocytes are suppurative?
polymorphonuclear
What type of leukocytes are non-suppurative?
Mononuclear
What does malacia refer to?
softening & liquefaction of NS tissue from necrosis of neurons & glial cells
What do Cowdry Type A inclusion bodies look like?
What virus are they often associated with?
- eosinophilic
- usually single & displaced nucleolus
- Herpes virus
What do Cowdry Type B inclusion bodies look like ?
What 2 viruses are they associated with?
- Eosinophilic
- often multiple & necleolus is NOT displaced
- Polio & Adenovirus
What is Cerebral/spinal dural osseous metaplasia (Ossifying pachymeningitis) & who gets it?
- ovoid, thin whitish to mottled red metaplastic plates of bone (due to hemopoietic tissue)
- incidental finding in old dogs
List the 5 congenital anomalies that are the result of neural tube closure defects (dysraphia).
- Anencephaly
- Cerebral aplasia (prosencephalic hypoplasia)
- Meningoencephalocele
- Meningomyelocele
- Hydromyelia
Pathogenesis of Anecephaly?
- absence of the cerebral hemispheres w/ failure of forebrain fusion
- Medulla & mesencephalon usually still persists
Congenital anomalies resulting from injury during the last trimester of gestation are due to what?
prominent inflammatory changes
List the 2 Neuronal Migration disorders.
- Lissencephaly
- Hydrocephalus
Pathogensis of Prosencephalic Hypoplasia?
Who gets?
(AKA Cerebral aplasia)
- Failure of bilateral seperation of hemispheres resulting in a SINGLE central ventricle
- NO cerebral hemispheres
- Pigs & lambs
Pathogensis of Meningoencephalocele?
- protrusion of brain & meninges through a defect in the cranium
- almost always median, along suture lines
- associated with crania bifidum
Pathogenesis of Meningomyelocele?
Who gets?
- protrustion of Spinal cord & meninges
- associated with spina bifida
- Brachycephalic breeds of dog
- Manx cats
Pathogenesis of Hydromyelia?
- excess CSF in spinal cord canal
Lesions of Prosencephalic hypoplasia?
(Cerebral aplasia)
- absence of cerebral hemispheres
- single central ventricle
- cyclopia → severe cases (pigs & lambs)
- Abscence of telencephalon
DDX of Cerebral aplasia?
(2)
- Anencephaly
- Hydraencephaly
Pathogenesis of Meningocele?
Who gets?
- protrusion of fluid-filled meninges
- Pigs → inherited
- Cats → Burmese or pregant queens TXed w/ Griseofulvin
Etiopathogenesis of Lissencephaly (agyria)?
- Lhasa Apso
- absence of 1° gyri → “smooth brain”
- excessively thin cerebral cortex
List the 3 different types of Hydrocephalus.
- Internal → ventricles
- External → sub-arachnoid space
- Communicating → ventricles + sub-arachnoid space
(where the fluids accumulates)
List the 3 animals in which Hydrocephalus is of no clincal signifcance.
- Early fetus
- Aged animals
- Brachycephalic breeds
How is Hydrocephalus ex vacuo different from Hydrocephalus?
due to compensatory enlargement of CSF spaces
NOT the result of increased CSF pressure
Etiopathogenesis of Congenital Hydrocephalus?
- idiopathic & develops during fetal life
- associated w/ Malformation
- To due:
- intra-uterine infections
- nutritional deficiency
Eitopathogenesis of Acquired Hydrocephalus?
- most often internal hydrocephalus → obstructed CSF flow
- Progressive w/ NO cranial malformation
- Sequel to: inflammation, cholesteatoma, neoplasia & parasitic cysts
Pathogenesis of Hydrocephalus?
- increased production of CSF
- obstruction of CSF flow
- defective absorption of CSF
Lesions of Congenital vs. Acquired Hydrocephalus.
TQ
Congenital
- Lateral ventricular distention
- enlarged cranium
Acquired
- Lateral ventricular distention
- NO cranial malformation
- Pressure atrophy → white matter + cerebral cortex
Etiopathogenesis of Hydranencephaly?
- Etiology → Viral infections
- Path → results from severe encephaloclastic (destructive) effects
-
Lesions:
- Ø cerebral hemispheres
- membranous CSF
- Leptomeninges filled sacs
Pathogenesis of Porencephaly?
-
Path:
- less severe case of hydranencephaly
- destructive process in PRENATAL life
-
Lesions:
- Cysts
- White matter defects of cerebral hemispheres
Etiopathogenesis of Cerebellar Hypoplasia?
-
Etiology → Viral or Inherited
- Feline panleukopenia
- BVD
- CHV
- Path→ malformation of cerebellum w/ loss of Perkinje & Granular cells
Etiopathogenesis of Syringomyelia
- Etiology → rare, except Weimaraner
-
Path→malformation of the spinal cord
- tubular cavity (syrinx) that extends over several LUMBAR segments
Lesions of Syringomyelia
(3)
- Cysts in central Gray Matter
- NOT lined by ependymal cells
- Weimaraner → hopping gait
Pathogenesis of Abiotrophy
(Cerebellar atrophy)
- 1° metabolic defect/degeneration → premature apoptosis
- involves only cerebellar cortex or multisystem
- Non-inflammatory dz.
Lesions of Abiotrophy
- Loss of Purkinje & Granular cells
- Seen in basal ganglia → caudate nuclei, putamen, olivary nuclei, & substania nigra
Give 5 examples of TSE’s (prion dz) & species they affect.
- Scrapie → small rumis
- BSE → cattle
- FSE → cats (BSE in cats)
- CWD → free ranging deer
- Transmissible mink encephalopathy
Lesions of
Transmissible Spongiform Encephalopathies
(TSE).
- NO INFLAMMATION!!
- Cytoplasmic vacuoules & astrocytosis
- + Spongiform changes
- PrPSC protein
How do you DX TSE’s?
- Abnormal protein + lesions → OBEX of brainstem
- IHC → before CNS lesions
- 3rd eyelid, tonsils, retropharyngeal LN
Etiopathogenesis of Globoid Cell Leukodystrophy
(a Lysosomal Storage dz)
- Etiology → inherited defect of galactocerebroside-B-galactosidase
-
Path → Accumulation of Galactocerebroside
- MØs (microglial cells) → Globoid cells
- neurotoxic → CNS signs (@ 2-7 mo. old)
Lesions of Globoid Cell Leukodystrophy
- WHITE matter becomes gray & soft
- PAS (+) globoid type MØs
4 things that can cause Brainstem Lesions
- Prions → obex
- Listeriosis → medulla & pons
- Shiga-like toxin from E. coli
- Cu deficiency
Vit. E deficiency in birds affects what area of the brain?
Cerebellum
Acute Pb toxicity in Dogs affects what 2 regions of the brain?
Cerebrum & Cerebellum
Broad etiology of Malacia
(necrosis of CNS tissue)
- Vascular
- Hypoxia
- horse → post anesthesia
- Toxins
- Infections
- Nutritional
List the Toxins that can cause Malacia and
the form of malacia seen with each.
- Yellow Star Thistle → nigropallidal
- Pb, Salt, Se → poliomyelomalacia
- Moldy corn → leukoencephalomalacia
- HORSE
List the 2 protozoal infections that cause malacia.
- Theileriosis
- Babesiosis
- DOGS
What CNS disease is seen in Sheep as a result of
C. perfringens D infection?
Focal Symmetrical Encephalomalacia
(FSE)
What 2 Nutritional deficiencies lead to malacia?
- Vitamin → cerebral hypoxia
- A, B1, E
- Mineral
- Copper
What 4 things cause Focal Malacia?
- FSE
- Equine leukoencephalomalacia
- Equine Nigropallidal encephalmalacia (YST toxicity)
- Avian encephalomalacia (Vit E deficiency)
(associated w/ a specific toxin)
Susceptibility of cell types to
Laminar Cortical Necrosis (due to hypoxia) ?
Neurons > Oligodendrocytes>Astrocytes> Microglia
(NOAM)
2 things that cause Cerebrocortical necrosis (a form of laminar cortical necrosis)
- Chronic Pb poisoning → cattle
- Thiamine deficiency → cats & cattle
What causes Bilateral Polioencephalomalacia?
(form of laminar cortical necrosis)
Acute Se toxicity→ pigs
What are 2 causes of Polioencephalomalcia?
- Salt toxicity → pigs
- Thiamine deficiency → cats & cattle
Pathogenesis of Laminar Cortical Necrosis
Softening of the cerebrocortical GREY matter based on susceptibility of cells to hypoxia.
Lesions of Malacia
- Acute → swollen gyri
-
Subacute (2-5 d) & Chronic (7-14 d) → Liquefaction
- yellow/green/brown, flat gyri
- brain edema
Sequelae of Malacia
- Gitter cells
- chronic liquefaction
Hyperemia refers to an increase in ______ blood flow & is an ______ process.
- Aterial
- Active
Congestion referes to an increase in _____ blood flow & is a _____ process.
- Venous
- Passive
Give some examples of things that can cause Ischemia/Hypoxia in the CNS.
- High systemic BP
- High ICP
- Reperfusion injury
- Leukocyte products
- Free radicals
- Ca2+
- L-glutamate (excitotoxin)
- Lactic acidosis
Which age group is more resistant to hypoxia?
Why?
- Neonates
- lower metabolic activity
- can utilize lactate
- high [ascorbate] may be protective
4 things that affect Cerebral Metabolic Activity?
- Systemic BP
- Vascular patency
- ICP
- Autoregulation
Etiology of CNS Ischemia/Hypoxia in
Horse, Dog & Cat?
- Horse → Anesthesia related syndrome
- Dog → Fibrocartilaginous Embolic Myelopathy (FCEM)
- Cat → Feline Ischemic Encephalopathy due to Cuterebra
Lesions of CNS Ischemia?
-
Generalized → ischemic encephalopathy
- (necrosis of neurons & glial cells)
- Localized → infarcts
Sequelae of Circulatory Distrubances to the CNS?
(5)
- Neuronal edema
- Swelling
- Contracture
- Cytoplamsmic eosinophilia
- Karyolysis
List examples of things that affect the INTEGRITY of the BVs and lead to CNS Hemorrhage?
- Viruses → ICH, HC, ASF, MCF
- Histophilus somni (bacT)
- Protozoa
- Trauma
List some examples of things that affect the COAGLABILITY of the blood in the CNS?
- Thrombocytopenia
- DIC
Sites of Hemorrhage?
- ICH in dogs → midbrain & medulla
- FSE in sheep → internal capsule, thalamus, pons
- Thiamine deficiency in cats → inferior colluculi
What are the possible consequences of
CNS Hemorrhage?
- depends on exact location of hemorrhage
- Can act as SOLs → increased ICP
- Local edema
- Internal or external hydrocephalus
- Epilepsy → from organized thrombi & blood clots
What is the most important single change that accompanies ALL intracerebral lesions?
What is it’s etiology?
TQ
- Edema
- increased ICP due to:
- inflammation
- hypoxia
- ischemia
- toxins
Differentiate Localized Edema of the CNS
from Generalized Edema of the CNS.
Localized
- SOLs
- Vague outline
- if Chronic → faint yellow discoloration
Generalized
- due to systemic conditions
- diffuse inflammation
- Toxemias/Intoxications
What can cause Generalized Edema of the CNS in cattle & sheep?
Cerebrocortical necrosis (CNN)
What are the gross lesions of Intracellular/Cytotoxic Edema?
- fluid accumlation in the astrocytes (intracellularly)
- NOT moist
- NOT oozy
What are the gross lesions seen in Vasogenic edema?
- Extracellular accumulation of fluid
- Moist
- Oozy
Gross appearance of the brain followin edema?
- flat gyri
- shallow sulci
- lipping
What is the definition and etiology of Lipping?
- herniation of cerebellum through foramen magnum
- Hydrocephalus
- Cerebrum impacted against tentorium
- Compressed brain stem
Sequelae of CNS Edema?
- Brain sweling
- Brain distortion
- Herniation
- Brain stem injury
Etiology of a Thromboembolism
- Reduced diameter of arteries entering brain parenchyma
- Jxn of grey & white matter→ capillaries loop back into cortex
What is the lesion associated with a Thromboembolism?
OCCLUSIVE
(not ischemic)
Give the typical causes of a Thromboemobolism
in the various domestic animal species
- Cat → Atrial or Aortic thrombosis
- Dog → cartilaginous or nucleus pulposis emboli → FCEM
-
Bacterial emboli
- Pig → Erysipelas & Pasteurellosis
- Horse → Sleepy foal dz.
- Ruminants → Pasteurellosis
- ALL → BM emboli after a long bone fx, Septicemias, tumors, etc.
Definition of Meningitis?
inflammation of meninges
Definition of Pachymeningitis?
Inflammation of the Dura mater
(outer, white)
Definition of Leptomeningitis?
Inflammation of Pia-arachnoid mater
(inner, thin)
Definition of Choroiditis?
Inflammation of the Choroid
Definition of Ependymitis
Inflammation of the ependyma
Definition of Encephalitis?
Inflammation of the Brain
Definition of Myelitis?
Inflammation of the Spinal Cord
Definition of Encephalomyelitis
Inflammation of the Brain & Spinal cord
4 Main lesions of CNS Inflammation?
- Pronounced vascular response
- Perivascular cuffing (PMN’s)
- Neuronal degeneration/death
- Gliosis
What etiology of CNS inflammation is typically seen in cats?
Infectious Meningoencephalitis
What etiology of CNS inflammation is typically seen in dogs?
Idiopathic Inflammatory Brain disorders
Etiology of Suppurative/Purulent Inflammation due to bacterial infections.
(4)
- Thrombotic Meningoencephalitis (TME)
- Listeriosis
- Enterotoxemia → C. perfringes type D
- Edema dz → E. coli
Etiology & lesions of
Thrombotic Meningoencephalitis?
- acute Histophilis somi infection
- Hemorrhagic foci & infarcts
- Vasculitis w/ thrombosis (hallmark) → septic infarction → septicemia
Etiology & Lesions of Listeriosis in Adult rumis?
- Listeria monocytogenes
- Encephalitis or meningoencephalitis
- Affinity for brain stem → multifocal microabscesses in medulla & pons
- Circumscribed collections of mononuclear cells (hallmark)
Etiology & lesions of Listeriosis in Young Rumis & monogastrics?
- Listeria monocytogenes
- septicemia
- focal hepatic necrosis
Discuss the 2 different morphologic patterns of
Focal Symmetrical Encephalomalacia (FSE).
- Hemorrrhage & softening of the basal ganglia → more common
- Lysis & liquefaction of the white matter of the frontal gyri
Etiopathogenesis of Enterotoxemic colibacillosis (Edema dz) in Pigs?
- Shiga-like toxin production by E. coli
- toxin → angiopathy → vasculitis → edema
- Bilateral symmetrical necrosis of the brainstem
C/S of Edema Dz
(Enterotoxemic Colibacillosis)
- Incoordination
- hind-limb paresis
- tremors
- convulsions
List the histological changes & regions affected seen due to Nonsuppurative (viral) inflammation.
- Perivascular cuffing → mononuclear cells (lymphocytes & plasma cells)
- Neuronal degeneration
- Gliosis & demyelination of the WHITE matter
- Lympho (+ plasma)cytic meningitis
- Inclusion bodies
List the lesions associated with K9 Distemper virus.
TQ
- Demyelination of WHITE matter
- IN inclusion bodies
Which virus has IC inclusion bodies
(aka Negri bodies)?
RABIES
Pathogenesis of
Granulomatous Meningioencephalitis (GME)?
- Middle-aged/ small breed dogs (terriers, poodles)
- marked pervascular cuffing
Forms:
- Focal → chronic, SOLs
- Mulitfocal/Disseminated → acute, lower brain stem, cervical SC & meninges → death w/in a wk.
- Ocular → acute progressive or static
Pathogenesis of Necrotizing Encephalitis
(Pug dog encephalitis/PDE)?
- Pugs, Maltese, Yorkies & Chihauhuas
- multifocal, necrotic, cavitating lesions
- Lymphocytes predominate
Cerebral Nematodiasis results in brain hemorrhage, malacia, migratory tracts & SOLs.
Etiology & area affected??
- Oestrus ovis → cranial vault
- Hypoderma bovis → spinal cord
- Cuterebra spp. → brain
Etiopathogenesis of
Feline Ischemic Encephalopathy?
- Cuterebra spp.
- larvae migrate to brain → vascular lesions
- Hemorrhage
- Thrombosis
- Vasculitis
Etiopathogenesis of Sarcocystosis?
- Sarcocytis neurona → EPM
- affects Spinal Cord
- Wallerian degeneration, encephalitis, myelitis, ataxia
Lesions of Toxoplasmosis?
- Hemorrhage
- Infarcts
- Edema
- Non-suppurative inflammation
Etiology & Lesions of Neosporosis by species?
- Neospora caninum
- Horse → Meningioencephalomyelitis
- Dog → Polyradiculoneuritis & Polymyositis
- Cattle (IH) → Multifocal malacia + abortion
List the 3 examples of Fungal Dz of the brain & the lesions associated with each.
- Blastomycosis → granulomatous
-
Cryptococcosis
- Dogs → meninges & paranasal sinus
- Cats → nasal cavity & pharynx
-
Phaeohyphomycosis (Cladophialophora bantiana)
- Pyogranulomatous
Which animals get Vitamin B1 (Thiamine) Deficiency?
- Cat
- Fox
- Mink
- Ruminants
Etiology of Vitamin B1 (Thiamine) Deficiency?
- Thiaminase in fish
- Bracken fern
- Horsetail
Lesions of Vitamin B1 (Thiamine) Deficiency?
- Rumis → polioencephalomalacia or central cortical necrosis (CNN) → ceberal cortex
- Edema
- Perivascular dilation
- Hemorrhage
- Laminar necrosis
Etiology & lesions of Swayback in lambs/goats?
- Copper deficiency
- Astrogliosis
- Chromatolysis
- Necrosis (neuronal)
- Degeneration (mylenated axons)
Pathogenesis of Copper deficieny in lambs/goats?
- affects the GREY & WHITE matter of brain stem & spinal cord
- Delayed onset→ enzootic ataxia
Vitamin E (Tocopheral) deficiency
causes what 4 things in chicks?
- Encephalomalacia
- “Crazy chick dz”
- Exudative diathesis
- Nutritional mm. dystropy
Where are the lesions located in
Vitamin E (Tocopheral) deficiency?
focal malacia of the cerebellum
Lesions seen in Vitamin A (Retinol) Deficiency?
- Night blindness
- Optic neuropathy
- Vit. A is required for osteogensis
Which areas are specifically affected by
Equine Nigropallidal Malacia (YST toxicity)?
Focal necrosis of:
- Pallidus
- Substantia nigra
What is the most consistenly important poison in farm animals?
Pb toxicity
Lesions of Pb toxicity in Cattle?
- Acute → head pressing, blindness, death 12-24 hrs
- Chronic → laminar cerebral cortical necrosis
Lesions of Pb toxicity in Dogs?
- WHITE matter edema
- neuronal degeneration → cerebrum & cerebellum
C/S of Selenium toxicity in Pigs?
- Walking backwards
- sitting down
Pathogenesis & lesions of Selenium toxicity in Pigs?
- acute paralytic syndrome due to bilateral poliomyeomalacia
- Yellow discoloration & necrosis of GREY matter of Spinal cord
- Wallerian degeneration
4 C/S of Salt toxicity in pigs?
- Blindness
- Deafness
- Head pressing
- Convulsions
Pathognomonic lesions of Salt Toxicity in Pigs?
- Eosinophilic meningoencephalitis
- Encephalomalacia
- + laminar necrosis of cerebral cortex GREY matter
Etiopathogenesis of Moldy Corn Toxicity?
- seen in Horses
- due to Fusmonsin B1 toxin produced by Fusarium moniliforme in corn
- Fumonsin B1 disrupts cell membranes → lipid peroxidation → TNF-alpha is produced by MØs → Ø DNA synthesis
Lesions associated with Moldy Corn toxicity in Horses?
- Leukoencephalomalacia
- Focal necrosis of the WHITE matter in the cerebral hemispheres
C/S of Moldy Corn Toxicity in horses?
- Weakness
- Drowsiness
- Staggering
- Circling
- Impaired vision
- Pharyngeal paralysis
What are the characteristics of a Coup lesion?
- Stationary head
- Focal injury
- Hemorrhage @ point of impact
What are the characteristics of a Contre Coup Lesion?
- Moving head
- Diffuse injury
- Hemorrhage @ OPPOSITE side of point of impact
What is the nucleus pulposus?
central semisolid mucoid CT
What is the Annulus fibrosus?
thick zone of fibrous tissue surrounding the nucleus pulposus
C/S of Intervertebral Disc Dz due to rupture of the Annulus fibrosus?
- Arches back
- Distended abdomen
- Flaccid paraplegia of limbs
Sequelae of Intervertebral Disc Dz?
Fibrocartilagnious embolic myelopathy
(FEM)
Contrast Hansen Type I & Hansen Type II
Intervertebral Disc Dz.
Hansen I
- acute rupture, multiple disks involved, early degeneration
- Young animals (< 3 yrs)
- Chondroystrophoid breeds
Hansen II
- gradual rupture, less discs involved
- Older animals
- All breeds
Etiopathogenesis of Cervicospinal Arthropathy (Wobbler’s)
in YOUNG horses?
- malalignment & hypermotility of cervical vertebra
- degeneration of cervical articular processes
What is the most common brain tumor
of dogs & cats?
What 2 areas are most often affected?
- Meningioma
- Olfactory bulb or frontal lobe
Lesions of Meningioma?
- well circumscribed & encapulsated lesions
- streams & whorls of uniform fusiform CT
What brain tumor is common in
Brachycephalic breeds?
Glial tumors → astrocytoma & oligodendroglioma
Contrast Astrocytoma & Oligdendroglioma.
Astrocytoma
- MOST COMMON
- POORLY demarcated
- solid, greyish-white mass
Oligodendroglioma
- less common
- WELL demarcated
- soft, cyst-like lesions
List the 2 examples of Embryonal Tumors.
- Medulloblastoma
- Ependymoma
Diagnosis of Medulloblastoma?
(rare embryonal tumor)
Rosette (rose-like) arrangement of cells
2 Lesions of Epedymoma?
- Large, well demaracted intravascular mass (SOL)
- Hydrocephalus
Give 3 examples of
Brain Metastatic (2° Tumors) Tumors that have predilection for the jxn of Grey & White matter.
- Hemangiosarcoma
- Malignant Melanoma
- Adenocarcinoma
What is an incidental lesion seen in horses & is NOT a true neoplasm?
Cholesteatoma
Pathogenesis & lesions of
Cholesteatoma in OLD horses?
- degenerative lesion of the choroid plexus
- granulomatous inflammation w/ cholesterol crystals
- Hydrocephalus
- Location → lateral ventricles
What can cause tail paralysis & loss of bladder & rectum sphincter tone?
Neuritis of cauda equina