Neuro Random Flashcards
notochord
induce ectoderm to differentiate into neuroectoderm
neural plate
becomes neural tube and neural crest cells
notochord
nucleus pulposus
alar
dorsal sensory
basal
ventral motor
forebrain
becomes telencephalon and diencephalon (thalamus and hypothalamus)
midbrain
mesencephalon becomes midprain
hindbrain
metencephalon becomes pons and cerebellum
myelencephalon becomes medulla
mesoderm in the CNS
microglia
like macrophages
neural crest derivatives in CNS
PNS neurons and Schwann cells
neural tube defects
diabetes
increase AFP and increase AChE
polyhydraminos
anencephaly
no swallowing center failure of rostral to close
genetics holoprosencephaly
failure L/R separation
hedgehog
ch 13 and fetal alcohol syndrome
chiari I vs chiari II
tonsils in 1-adult onset, associated with syringomyelia
tonsils and vermis-hydrocephalus and lumbosacral meningomyelocele
associations dandy walker
agenesis of cerebellar vermis
noncommunicating hydrocephalus and spina bifida
preserved in syringomyelia
fine touch
most common C8-T1
Nissl staining in neurons
stains RER (no RER in axon)
Wallerian degeneration
degeneration of axon distal to injury and retraction proximally
macrophages remove debris and myelin
astrocytes
from neuroectoderm
GFAP+
functions as extracellular buffer for K and removes excess NT
velocity from myelin
increase velocity due to increase space constant
Schwann cell origin
neural crest
myelinates 1 axon
Meissner
fine touch
found in hairless skin
Pacinian
deep skin and ligaments
vibration and pressuer
Merkel
pressure, position sense
on finger tips
Ruffini
adapts slowly
on finger tips and joints
blood nerve permeability barrier
perineurium
must be rejoined in microsurgery for limb reattachment
chromatolysis
reaction of neuronal cell body
increase protein synthesis in effort to repair axon damage
round cellular swelling, displacement of nucleus, dispersion of nissl
ach
from basal nucleus of meynert
dopa
ventral tegmentum and SNc
GABA
nucleus accumbens
NE
locus ceruleus
serotonin
Raphe nucleus
meninges origin
dura-mesoderm
others from neural crest
structures formation of BBB
tight junctions between nonfenestrated capillary endothelial cells
BM
astrocyte foot processes
transporters BBB
glucose and AA by carier mediated
nonpolar/lipid soluble pass rapidly
inputs to hypothalamus
not protected by BBB
OVLT senses change in osmolarity
area postrema
lateral hypothalamus
hunger, stimulated by ghreLin
ventromedial
satIety from leptIn
anterior
cooling para
posterior
heating symp
supraoptic and paraventricular nuclei
ADH and oxytocin
carried by neurophysin to PP
benzos and night terrors
decrease N3 and REM
ECG stages
beta, alpha, theta, sleep spindles, delta, beta
BATS DB
bruxism
teeth grinding in N2 along with sleep spindles and K complexes
night terrors and sleep walking
N3 delta waves lowest frequency and highest amplitude
source of REM
PPRF
occurs every 90 min and duration increases through night
VPL
senses vibration, pain, pressure, proprioception, light touch, temp
VPM
face and taste
lateral geniculate
vision
medial geniculate
music
Papez circuit
hippocampus, mamillary bodies, anterior thalamic, cingulate cyrus
mesolimbic
positive symptoms
mesocrotical
negative symptoms
nigrostriatal
EPS
tuberoinfundibular
prolactin
input cerebellum
contralateral cortex
ipsi proprio via inferior cerebellar peduncle
output cerebellum
purkinje-inhibitory
striatum
putamen and caudate
lentiform
putamen and GP
excitatory pathway
striatum release GABA inhibits Gpi
inhibitory pathway
release GABA to disinhibit Gpe and stimulate GPi
D1 vs D2
D1 in direct stimulatory
D2 in inhibitory
cerebral perfusion
PCo2
relies on diff between MAP and ICP
can use hyperventilation to treat edema (decrease ICP increase perfusion)
associations dural venous thrombosis
hypercoag-pregnancy OCP and factor V leiden
CSF production
ependymal cells of choroid
reabsorbed at arachnoid and drain into dural venous sinuses
CN origins
above pons-I, II, III, IV
at pons-V, VI, VII, VIII
medulla-9-12
nucleus solitarius
visceral sensory (7,9,10)
nucleus ambiguus
motor 9,10,11
dorsal motor nucleus
parasymp to heart, lungs, upper GI
lacrimation reflex
Vi to VII
vertebral disc herniation
nucleus pulposus through annulus fibrous
usually posterolaterally at L4-L5 or L5-S1 and compresses lower number
lower extent spinal cord
L1-L2 in adults, subarachnoid extends to S2
lateral corticospinal
legs are lateral
dorsal orgaization
cervical outside (lateral)
gracilis lower
cuneatus upper
decussates in medilla
spinothalamic
decussates at anterior white commissure
cremasteric reflex
L1, L2
anal wink
S3, S4
T7
xiphoid process
L1
inguinal ligament
referred pain to shoulder
gallbaldder and pancreas
frontal fields defect
look toward lesion
paramedian pontine reticualr formatino defect
away from lesion
dominant parietal cortex defect
Gerstmann syndrome
agraphia, acalculia, finger agnosia, left-right disorientation
amygdala defect
kluver-bucy disinhibited behavior
HSV-1 related
superior colliculus defect
parinaud syndrome
paralysis of conjugate vertical gaze
results from stroke, pinealoma, and hydrocephalus
associations subarachnoid hemorrhage
rupture of aneurysm (such as saccular) or AV malformation
bloody or yellow spinal tap
nimodipine to prevnet vasospasm
intraparenchymal hemorrhage
systemic HTN and amyloid, vasculitis
typically in basal ganglia and internal capsule (Charcot-Bouchard microaneuysm of lenticulostriate vessels)
ASA stroke
ipsi hypoglossal dysfunction
contralateral paralysis
PICA
ipsi horner
cant eat
lateral pontine
facial nucleus loss from AICA
conduction aphasai
loss of arcuate fasciculus
associations saccular aneurysm
at bifurcations of circle of Willis-most common Acom and ACA
ADPKD and Ehlers-Danlos
Absence
3Hz spike and wave
tonic
stiffening
myoclonic
quick, repetitive jerks
irritation in migraine
of CN V, meninges or blood vessels
release substance P, calcitonine gene related peptide, vasoactive peptides
athetosis
slow snake like writhing
especially in fingers from basal ganglia lesion
hemiballismus
contralateral subthalamic nucleus
sudden wild flailing of one arm and leg
intention tremor
cerebellar dysfunction
MPTP
illegal drug that causes parkinsonian symptoms
lewy bodies
alpha synuclein are intracellular eosinophilic inclusions
trinucleotide huntington
CAG
senile plaques
beta amyloid core
neurofibrillary tangles
intracellular hyperphosphorylated tau protein
number correlates with dementia
frontotemporal dementia
hyperphosphorylated tau or ubiquitinated TDP-43
diagnosis creutzfeldt jakob
sharp waves on EEG
increase 14-3-3 protein in CSF
associations pseudotumor cerebri
vitamin A excess, tetracycline, danazol, female, obesity
distortion in normal pressure hydrocephalus
distorts fibers of corona radiata
magnetic gait
location demyelination
pontine white matter
from rapid correction of hyponatremia
correct hyper-edema
findings MS
increase IgG and myelin in CSF
periventricular plaques
acute disseminated encephalomyelitis
multifocal inflammation after infection
charcot-marie-tooth
defective proteins in structure of myelin
leads to foot deformities, lower extremity weakness
Krabbe disease
AR def galactocerebroside
buildup galactocerebroside and psychosine
globoid cells and optic atrophy
metachromatic leukodystrophy
AR arylsulfatase A def
buildup of sulfatides
ataxia and dementia
increased risk PML
natalizumab and rituximab
adrenoleukodystrophy
X linked disorder of VLCFA
adrenal crisis, also builds up in NS and testes
cause Sturge-Weber
anomaly of neural crest derivatives
somatic mosaicism GNAQ gene
symptoms Sturge-Weber
port wine stain
ipsi letpomeningeal angioma
glaucoma
chromosome tuberous sclerosis
ch 16 AD
symptoms tuberous sclerosis
hamartomas, angiofibromas, mitral regurg, ash-leaf spots, rhabdomyoma, seizures, shagreen patches
increased giant cell astrocytomas and ungual fibromas
NF1
17 neurofibromin negative regulator RAS
Cafe-au-lait, neurofibromas, gliomas, pheo, pigmented iris hamartomas
NF2
schwannomas, cataracts, meningiomas, ependymomas
VHL
ch 3
hemangioblastomas, angiomatosis, renal cell carcinomas, pheochromocytomas
histology GBM
GFAP+
pseudopalisading with central area of necrosis and hemorrhage
histology oligodendroglioma
chicken-wire
fried-egg
often calcified
histology meningioma
arachnoid cell origin
spindle cells whorled pattern, psammoma
may have dural attachment
brain tumor making EPO
hemangioblastoma
s-100+
schwannoma
histology pilocytic astrocytoma
GFAP glial cell
rosenthal fibers
histology medulloblastoma
primitive neuroectodermal tumor
homer-wright rosettes
non-communicating hydrocephalus
drop mets
histology ependymoma
hydrocephalus
perivascular rosettes
pinealoma in men
precocious puberty due to beta-hCG
duret hemorrhages
rupture of paramedian basilar artery branches in transtentorial herniation
poliomyelitis and Werdnig-Hoffmann
degeneration of anterior horns of spinal
floppy body
polio-asymmetric Werdnig-symmetric
ALS
UMN and LMN with no sensory or bladder deficits
can be caused by superoxide dismutase 1 dedfect
degeneration in vitamin B12
SCD
spinocerebellar, lateral corticospinal, dorsal columns
cauda equina
compression spinal roots from L2
brown-sequard at T1
ipsi horner
ipsi LMN and loss at level
UMN below and ipsi loss proprioception, contra pain, temp, crude touch
genetics friedreich atacia
GAA on ch 9
associated with DM and hypertrophic cardiomyopathy, kyphoscoliosis in childhood
CN V def
toward lesion
CN X
away from lesion
CN XI
shoulder droop on side of lesion
head turned to contra of lesion
causes Bell Palsy
lyme, HSV, sarcoidosis, DM
Weber test
conductive to affected
sensorineural to unaffected
noise-induced death
damage to stereociliated cells in organ of Corti
loss of high frequency
presbycusis
damage to hair at cochlear base
cholesteatoma
overgrowth of desquamated keratin debris
conductive hearing loss
conjunctivitis and preauridcular lymph node
viral etiology often adenovirus
hyperopia
eye too short
correct with convex
myopia
too long
concave
presbyopia
from decreased strength of ciliary muscle
cataracts in children
galactosemia, galactokinase, trisomies, ToRCHeS, Marfan, Alport, NF2, myotonic
trabecular outflow
M3 increases
uveoscleral outflow
increase with PG agonists
aqueous humor
nonpigmented epithelium on ciliary
decreased by BB, A2 agonists, CA inhibitors
cupping (thinning of outer rim of optic nerve head)
glaucoma
dry macular degeneration
yellow exudate between bruch membrane and retinal pigment
wet macular degeneration
rapid loss from neovascularization
treat with anti-vegf (ranibizumab)
neurons in miosis
EW first neuron
short ciliary to sphincter pupillae
meyer loop
lower retina loops around inferior horn of lateral ventricle
upper is out
dorsal optic radiation
superior retina
shortest path via internal capsule
lower is out
causes of cavernous sinus
pituitary tumor, carotid cavernous fistula or cavernous sinus thrombosis
DOC status epilepticus
benzos
vigabatran
inhibits GABA transaminase
inhibits release of glutamate
lamotrigine
neuropsychiatric symptoms
levetiracetam
contraindication barbs
porphyria
benzos without active metabolites
alprazolam, triazolam, oxazepam, midazolam
short acting-more addictive potential
metabolized outside liver
oxazepam, temazepam, lorazepam
BZI subtype of GABA receptor
nonbenzo hypnotics
suvorexant
orexin antagonist for insmnia
dopamine agonists for parkinson
bromocriptine
pramipexole, ropinirole
increase availability dopa
amantadine
inhibit dopa carboxylase
levodopa
inhibits COMT
entacapone, tolcapone
memantine
NMDA receptor antagonist for Alz
potency and solubility
directly related
inverse to MAC (potency =1/MAC)
inhaled anesthetic hepatotoxic
halothane
nephrotoxic
methoxyflurane
anterograde amnesia
benzos
cardio stimulant
ketamine
amide local
two i’s
cardiotoxic local
bupivacaine
arrhythmia
cocaine
methemoglobinemia
benzocaine
block in phase I NM block
potentiated by cholinesterase inhibitors
baclofen
GABAb activated
mu opioid
beta endorphin
gamma
enkephalin
kappa
dynorphin
no tolerance in opioid
to miosis and constipation
petnazocine
kappa opioid receptor agonist
mu weak antagonist
tramadol
weak opioid agonist
also inhibits 5HT and NE reuptake
adverse tramadol
decrease seizure threshold and serotonin syndrome
pilocarpine
in emergencies to open meshwork at canal of Schlemm
darkens color of iris
prostaglandin
latanoprost