Neuropathology Flashcards
What are the 3 entry routes into the CNS for microorganisms?
Direct spread, blood-borne and Iatrogenic
Define meningitis
Inflammation of the leptomeninges (pia and arachnoid mater)
What is the main causative organism for meningitis in teenagers?
Nisseria Meningitides
What can cause chronic meningitis?
TB
Name 3 complications of meningitis?
Cerebral abscess, subdural empyema, cerebral infarction and epilepsy
Is encephalitis primarily viral or bacterial?
Viral ( often self-limiting)
What is a prion?
A protein in synapses that can mutate and aggregate
What does prion disease cause?
Spongiform encephalopathies
What is a neurofibrillary tangle?
twisted filaments of tau protein that cause cell death
What is a senile plaque?
enlarged axons that fuse due to amyloid deposition
Which 3 gene mutations cause amyloid deposition?
Amyloid precursor protein (APP), Presenilin (PS) genes 1 and 2
What is normal intracranial pressure?
0-10mmHg
What is a subfalcine herniation?
Cingulate gyrus pushed under the free egde of the falx cerebri. Causes compression of the anterior cerebral artery
What is a tentorial herniation?
Uncus/medial part of the parahoppocampal gyrus through the tentorial notch
What is a tonsilar herniation?
Cerebellar tonsils pushed into the foramen magnum compressing the brainstem