Neuro - Tumours Flashcards
what is hydrocephalus?
accumulation of CSF in the ventricles/around the brain
difference between non communicating and communicating hydrocephalus?
non communicating - obstruction in ventricles
communicating - blocked outside ventricles
features of normal pressure hydrocephalus?
wet
wacky
wobbly
features of hydrocephalus?
reduced consciousness papilloedema headache N+V neck stiffness
features of hydrocephalus in kids?
tense fontanelles
increased head size
downward deviation of eyes
what happens in a subfalcine herniation?
cingulate gryus displaces under falx cerebri (midline)
ischaemia to motor and sensory cortex
what happens in a tentorial herniation?
temporal lobe herniates over tentorium cerebelli
CN III palsy (down and out, blown pupil)
what happens in a cerebellar/tonsillar herniation?
tonsils herniate through foramen magnum
respiratory centre in medulla compromised
what happens in a transcalvarial herniation?
swollen brain herniates through any skull defect
where is CSF formed?
choroid plexus of the lateral ventricles
route of CSF?
choroid plexus of lat ventricles -> 3rd -> cerebral aqueduct -> 4th -> Subarachnoid space
what absorbs CSF?
arachnoid granules
what can cause a non communicating hydrocephalus?
meningitis
SAH
layers of spinal cord?
dura
arachnoid
pia
Ix for hydrocephalus?
US <6 months/MRI
LP for communicating ONLY