Neurological Disorder In Anesthesia (Part 2) Flashcards
Name the Disease of these (7) common symptoms
* ↑ICP
* Papilledema
* Headache
* AMS
* Mobility impairment
* Vomiting
* Autonomic dysfunction
* Seizures
Brain Tumors
The mass effects of any tumor can cause
- neurological deficits
Name the (2) Types of Brain Tumors
- Primary
- Metastatic
Name the most common CNS glial cell
Astrocytes
The (4) Types of Astrocytoma are _______, _________ astricytomas, _____________ astrocytomas and ____________ Multiforms.
- Gliomas
- Pilocyctic astrocytomas
- Anaplastic astrocytomas
- Glioblastoma Multiforms
_________ are primary tumors, least aggressive and are found in young adults w/ new onset seizures.
Gliomas
__________ Astrocytomas are found in children and young adults, are mostly benign with good outcomes if resectable.
Pilocyctic Astrocytomas
________ Astrocytoma are poorly differentiated and usually evolve into Glioblastoma Multiform.
Anaplastic Astrocytoma.
_________ _____________ has a high mortality, requires surgical debulking and chemo. Life expectancy is usually weeks, even with treatment.
Glioblastoma Multiform
Name (4) Brain Tumors
- Meningiomas
- Pituitary Adenomas
- Acoustic Neuromas
- Metastatic Carcinomas
____________ are usually benign, arise from dura or archnoid tissue and has a good prognosis w/ surgical resection.
Meningiomas
________ ________ are noncancerous. Transphenoidal or open craniotomy for removal is curative.
Pituitary Adenomas
_____________________ are benign schwannomas and involve vestibular components of CN VIII within the auditory canal. Has a good prognsis with resection and radiation.
Acoustic Neuromas
________ __________ vary widely in origin and symptoms and has less favorable outcomes.
Metastatic Carcinomas
Radiation and Chemotherapy for Brain Tumors can cause
- letharygy
- AMS
- Neurological effects
Patient’s with Brain Tumors are on place on steroids to minimize _________ ____________
- cerebral edema
______ is used to reduce intracranial volume and pressure in patients with Brain Tumors
Mannitol
Anticonvulsants are ______ used in Anesthesia for Brain Tumors d/t _________ lesions closer to ________ cortex.
- very common
- supratentorial lesions, closer to motor cortex
Name the (2) types of Strokes
- Ischemic
- Hemorrhagic
Globally, ________ is the leading cause of death and disability
Stroke
Blood is supplied to the brain by the:
- internal carotid arteries
- Vertebral arteries
The internal carotid arteries and verebral arteries join on the _________ surface of the brain to form the ______ ______ _____, which provides __________ circulation to multiple areas of the brain
- inferior
- Circle of Willis
- Collateral
An occlussion of this artery causes contralateral leg weakness.
Anterior Cerebral Artery
An Occlussion of this artery causes:
* Contralateral hemipharesis defict (face and arm more than leg)
* Aphasia
* Contralateral visual field defect
Middle Cerebral Artery