Neurology Flashcards
What passes through the cribiform plate?
CN I
Superior orbital fissure:
- CN III
- CN IV
- CN V1
- CN VI
- Opthalmic vein
- Sympathetic fibers
Foramen rotundum:
CN V2
Foramen ovale:
CN V3
Foramen spinosum:
Middle meningeal artery
What do CN II - VI pass through?
Middle cranial fossa — through spenoid bone
Optic canal:
- CN II
- Opthalmic artery
- Central retinal vein
Internal auditory meatus:
- CN VII
- CN VIII
Jugular foramen:
- CN IX
- CN X
- CN XI
- Jugular vein
What does CN XII pass through?
Hypoglossal canal
Foramen magnum:
- CN XI (spinal roots)
- Brain stem
- Vertebral arteries
STURGE-Weber syndrome:
Congenital, non-inherited developmental anomaly of neural crest derivatives (mesoderm/ectoderm):
- Sporadic, port-wine Stain (CN V1/V2 distribution)
- Tram-track calcifications
- Unilateral
- Retardation
- Glaucoma; GNAQ gene (activating mutation)
- Epilepsy
Tuberous sclerosis:
HAMARTOMAS:
- Hamartomas (CNS & skin)
- Angiofibromas
- Mitral regurgitation
- Ash-leaf spots
- Rhabdomyoma (cardiac)
- (Tuberous sclerosis)
- autosomal dOminant
- Mental retardation
- renal Angiolipoma
- Seizures; Shagreen patches
- increase incidence of subependymal astrocytomas & ungual fibromas
NF1 (von Recklinghausen disease):
Mutated NF1 tumor suppressor gene (neurofibromin, negative regulator of RAS) on chromosome 17:
- Cafe-au-lait spots
- Lisch nodules (iris hamartomas)
- Cutaneous neurofibromas (neural crest derived)
- Optic gliomas
- Pheochromocytomas
von Hippel-Lindau disease:
deletion of VHL gene (tumor suppressor) on chromosome 3:
- Hemangioblastomas (retina, brain stem, cerebellum, spine)
- Angiomatosis
- Renal cell carcinomas (bilateral)
- Pheochromocytomas