Neurosurgery - Hydrocephalus Flashcards

1
Q

where is cerebrospinal fluid found

a.ventricles
b.arachnoid space
c.subarachnoid space
d.ventricles and subarachnoid space

A

d.ventricles and subarachnoid space

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2
Q

which cells produce cerebrospinal fluid

a.choroid
b.stellate
c.purkinje

A

a.choroid

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3
Q

where is the chorioid plexus found

a.globus pallidus, caudate nucleus and putamen
b.lateral ventricles, third and fourth ventricles
c.lateral ventricles, third ventricle and cerebral aqueduct

A

b.lateral ventricles, third and fourth ventricles

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4
Q

CSF is absorbed from outpouchings in which sinus known as arachnoid villli

a,dural arterial sinus
b.dural venous sinus
c.arachnoid venous sinus

A

b.dural venous sinus

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5
Q

arachnoid granulations pierce which layer of the meninges

a.pia
b.arachnoid
c.dura

A

c.dura

protrude into the dural venous sinuses

core of each granulation continuous with subarachnoid space so filled with CSF

surface has arachnoid villi to increase surface area

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6
Q

normally the pressure of the CSF is …………. than that of the venous circulation

a.higher
b.lower
c.the same

A

a.higher

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7
Q

what effect does raised venous pressure have on csf absorption

a.increased
b.decreased

A

b.decreased

less of a pressure difference between the high csf and venous pressure if that rises

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8
Q

what does the monro kellie doctrine describe the relationshio between

a.contents of the cranium and intracranial pressure

b.dural venous pressure and csf pressure

A

a.contents of the cranium and intracranial pressure

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9
Q

what can untreated hydrocephalus lead to withina year most commonly

a.neurologival disorders
b.cognitive disorders
c.death

A

c.death

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10
Q

what are the 4 causes of hydrocephalus

A

communicating blockage - blockage to csf resorption in arachnoid granulations/overproduction
non communicating blockage - within csf pathways
congenitial - spina bifida, aqueduct stenosis
aquired - tumour , infection and subarachnoid haeorrhage

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11
Q

blockage within the csf pathways what type of cause of hydrocephalus

a.communicating
b.non communicating
c.congenital
d.acquired

A

b.non communicating

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12
Q

aqueduct stenosis and spina bifida are examples of what type of cause of hydrocephalus

a.communicating
b.non communicating
c.congenital
d.acquired

A

c.congenital

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13
Q

infection , tumour and subarachnoid haemorrhageare examples of what type of cause of hydrocephalus

a.communicating
b.non communicating
c.congenital
d.acquired

A

d.acquired

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14
Q

which tumours commonly cause hydrocephalus

A

colloid cysts
pineal tumour
4th ventricular tumour

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15
Q

sunsetting gaze, macrocrania, recurrent vomiting , bradycardia and apnoea are all signs of hydrocephalus in

a.adults
b.infants
c.adolescents

A

b.infants

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16
Q

headache , vomiting, confusion, double vision , ataxia, urinary incontinence, bradycardia and hypertension are signs of hydrocephalus in

a.children
b.adults
c.adolescents

A

b.adults