Neuro - Tumours Flashcards

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1
Q

what is hydrocephalus?

A

accumulation of CSF in the ventricles/around the brain

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2
Q

difference between non communicating and communicating hydrocephalus?

A

non communicating - obstruction in ventricles

communicating - blocked outside ventricles

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3
Q

features of normal pressure hydrocephalus?

A

wet
wacky
wobbly

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4
Q

features of hydrocephalus?

A
reduced consciousness
papilloedema
headache
N+V
neck stiffness
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5
Q

features of hydrocephalus in kids?

A

tense fontanelles
increased head size
downward deviation of eyes

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6
Q

what happens in a subfalcine herniation?

A

cingulate gryus displaces under falx cerebri (midline)

ischaemia to motor and sensory cortex

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7
Q

what happens in a tentorial herniation?

A

temporal lobe herniates over tentorium cerebelli

CN III palsy (down and out, blown pupil)

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8
Q

what happens in a cerebellar/tonsillar herniation?

A

tonsils herniate through foramen magnum

respiratory centre in medulla compromised

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9
Q

what happens in a transcalvarial herniation?

A

swollen brain herniates through any skull defect

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10
Q

where is CSF formed?

A

choroid plexus of the lateral ventricles

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11
Q

route of CSF?

A
choroid plexus of lat ventricles ->
3rd ->
cerebral aqueduct ->
4th ->
Subarachnoid space
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12
Q

what absorbs CSF?

A

arachnoid granules

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13
Q

what can cause a non communicating hydrocephalus?

A

meningitis

SAH

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14
Q

layers of spinal cord?

A

dura
arachnoid
pia

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15
Q

Ix for hydrocephalus?

A

US <6 months/MRI

LP for communicating ONLY

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16
Q

Tx for hydrocephalus?

A

treat cause

VP shunt

17
Q

what genetic condition is associated with mengiomas?

A

NF2

18
Q

where do meningiomas come from? do they become malignant?

A

mesenchymal cells in the meninges

rarely invade

19
Q

Ix for SOL?

A

CT

T1/2 weighted MRI

20
Q

features of a frontal lobe tumour?

A

personality change
brocas/wernicke’s
hemiparesis

21
Q

features of a temporal lobe tumour?

A

dysphasia
amnesia
homonymous hemianopia

22
Q

features of a parietal lobe tumour?

A

sensory loss

dysphasia

23
Q

commonest malignant brain tumour in kids?

A

medulloblastoma

24
Q

how does medulloblastoma commonly present? why?

A

raised ICP

occur in midline cerebellum so blocks CSF flow

25
Q

most common malignant brain tumour in adults? 2nd most common?

A

glioblastoma

oligodendroglial