Path outline final (KP) Flashcards
What is a severe case of diffuse destruction of brain w/ no cerebral hemispheres called?
Hydranencephaly
Is the stroma destroyed in Hydranencephaly?
Yes
What is Congenital Hydranencephaly associated with?
Examples?
Cerebrum
Fetal viral infxns
Ex: Calves BVD & prego Sheep (Blue Tongue) vax at day 50-58
What is a typical lesion of hydranencephaly?
Absence of Telencephalon w/ complete or almost complete absence of cerebral hemispheres
Hydrancephaly: On necropsy what would you see in the cranial cavity?
Membranous sac of CSF made up of enclosed leptomeniges inside a complete cranial cavity
Hydrancephaly: What would the skull look like?
Mostly normal but could have mild doming & thickening of cranial bones
Is there an epindymal lining with Hydranencephaly?
NO
What viruses are associated with Hydrancephaly?
Akbane Bluetounge RVF Wessel-bron BVD Border Dz
If Porencephaly occurs prenatal what will the brain look like?
Focal destruction of White Matter w/ caveated cysts in the cerebral hemisphere
What is Porencephaly?
A congenital anomaly that effects the White Matter of the Cerebrum
How do the the cysts in Porencephaly appear and what are they filled with?
Smooth walled & filled with clear fluid
Associated viruses of Porencephaly?
Border Dz
BVD
What deficiency is associated with Porencephaly?
CU deficiency
What is Internal Hydrocephalus?
Abnormal accumlulation of CSF ventricles
What is External Hydrocephalus?
Abnormal accumulation of CSF in the Subarachnoid Space
Is Stroma present in Hydrocephalus?
YES
What can cause Congenital Hydrocephalus?
Idiopathic
Viral
Nutritional Deficiency
What are the lesions of Congenital Hydrocephalus? TQ
Lateral ventricular distention w/ domed shaped, thin boned ENLARGED cranium
What animals are more prone to congenital hydroencephalus?
Dogs-Brachycephalic
Calves
Foals
Pigs(familial)
What can cause Acquired Hydroencephalus?
Anything that Obstructs the flow of CSF leading to pressure atrophy.
Progressive dz
What are the lesions of Aquired Hydroencephalus? TQ
Lateral ventricular distention with NO cranial malformation
Lipping is present
What is Acquired Hydroencephalus a sequele of?
Bacterial meningitis Granulomatous meningitis (TB) FIP Cryptococcosis Intracranial Neoplasms Parasitic cysts Cholestratoma (horse)
What is Abiotrophy?
“Cerebellar Atrophy”
Premature apoptosis of Cerebellum
What is the primary metabolic defect/degeneration of the Cerebellum? TQ
Abiotrophy
Happens after the cerebellum has reached full size
Where are the lesions seen in Abiotrophy?
Cerebellar Cortex - basal ganglia
What are the lesions of Abiotrophy?
Loss of Perkinje cells & granule cells
How does Cerebellar Hypoplasia occur?
Inherited or Intra Uterine viral infection
What are the lesions of Cerebellar Hypoplasia?
loss of purkinje cells & granular cells
What viruses are associated with Cerebellar Hypoplasia?
Feline Panleukopenia
BVD-calves
Herpesvirus- dogs
What is Syringomyelia?
Inhereted dz causing a syrnx (tubular cavity) of cavitation in Grey Matter of the lumbar spine
What breed would you most likely see Syringomyelia in?
Apparently Weimaraners but really in CKCS
Leads to bunny hopping
What is a Prion Dz?
Abnormal protein causing spongiform changes in the brain
What are the lesions of Prion Dz?
No inflammation
Cytoplasmic vacuolation
Astrocytosis
How do you DX a Prion dz?
Examine the obex and use IHC
What are some examples of Prion dz?
Scrapie
BSE
Chronic Wasting Dz Deer,
Transmissible Mink Encephalopathy
What is Sphingolipidoses?
Globoid Cell Leukodystrophy
Etiology of Sphingolipidoses?
Lysosomal storage dz = Microglia cells –> Giant Globoid cells
What does Sphingolipidoses cause?
How is it Dx?
White Matter Degeneration
PAS stain
What is focal malacia?
Softening & necrosis of CNS tissue associated with specific toxins
What causes FSE (focal symmetrical encephalomalacia)? TQ
Hemorrhages from Clostridium perfringins D infection in sheep
What causes Equine leukoencephlomalacia?
Toxins from eating moldy corn
What causes Equine Nigropallidal malacia?
Yellow star thistle toxicity
What causes Avian encephalomalacia?
Hypovitaminosis E
What is laminar malacia? TQ
softening of cerebrocortical grey matter in a layered laminar pattern based on how susceptible the cells are to hypoxia
What are the two types of laminar malacia? TQ
Cerebrocortical Necrosis (CNN) Polioencephalomalacia (PEM)
What is the susceptibility of cells to laminar cortical necrosis from greatest to least? TQ
- Neurons
- Oligodendrocytes
- Astrocytes
- Microglial cells
What is the eitiology of laminar malacia/laminar cortical necrosis?
Lead poisoning-chronic → Cattle → CNN
Salt poisoning → Pigs → PEM
Selenium poisoning (acute) → Pig → Bilateral PEM
Thiamine depletion/deficiency → Rumi/Cats → CNN/PEM
Active Hyperemia to the brain is what?
Increased arterial blood flow
Passive congestion to the brain is what?
Increased venous flow
How does hypoxemia/Ichemia kill neurons?
Leads to hypoglycemia → energy depletion → increased Glutamate → neurotoxicity → neuronal death
Which type of animal is more resistant to hypoxemia?
Neonates
How does the brain get reprofusion injury?
Lactic acidosis
Calcium influx
Oxygen free radicals
Glutamate release
What are examples of causes hypoxemia/ishemia in Horses, Dogs, and Cats?
Horse: Anesthesia related
Dog: Fibrocartilaginous Embolic Myelopathy (FCEM)
Cat: Feline Ischemic Encephalopathy (Cuterebra)
What is the most important change that accompanies all Intracerebral lesions?
Cerebral edema
What is the etiology of Cerebral Edema? TQ
Increased ICP due to: Inflammation Hypoxia Ishcemia Toxins
What is a differentiating finding of cytotoxic intracellular cerebral edema?
No oozing blood on cut surface
What is a differentiating finding of Vasogenic cerebral edema?
Blood oozes on cut surface
Lesions of inflammation of the CNS?
Pronounced vascular response Perivascular Cuffing w/ Mononuclear cells Neuronal Degeneration Gliosis Demyelination (rare)
What causes CNS inflammationin dogs and cats?
Dogs: Idiopathic inflammatory brain disorders
Cats → Infectious meningoencephalitis
What is Thrombotic Meningoencephalitis (TME)? TQ
Acute Suppurative/Purulent inflamation caused by histophilus somni
What are the gross & microscopic lesions of TME?
Gross: hemorrhagic foci
Microscopic: Vasculitis w/ thrombosis & septic infarction (hallmark)
What does listeria monocytogenes cause in Adult ruminants? TQ
Encephalitis or meningoencephalitis
What does listeria monocytogenes cause in young ruminants & monogastrics? TQ
Septicemia & hepatic necrosis
How does listeria monocytogenes get into the brain? TQ
Affinity for brainstem: Ascends trigeminal nerve to the medulla & pons causing severe lesions (multifocal microabcesses)
What does clostridium perferingens type D cause? TQ
Focal Symmetrical Encephalomalacia (FSE) from the epsilon toxin causing vasculitis
What are the lesions of FSE in the Basal ganglia and the white matter? TQ
Basal Ganglia: Hemorrhage & softening (malacia)
White Matter: lysis & liquefacation
What causes edema disease of pigs and what does it cause?
E.coli → shigella toxin → vasculitis → bilateral symmetrical encephalomalacia of the brain stem
What histological changes would you see with Viral inflammation of the CNS? TQ
Vascular - perivascular cuffing of PMN cells
Neuronal - degeneration
White matter - Gliosis & demylination
Meningitis - Lyphocystic +/- plasmacystic
Inclusion Bodies
What histological changes would you see in the brain with Canine Distemper Virus? TQ
Gliosis & Demylination of White Matter
Intranuclear inclusion bodies
What inclusion bodies would you see with rabies and herpes?
Herpes - IntraNuclear
Rabies - IntraCytoplasmic (Negri)
How does Cuterebra cause Feline Ischemic Encephalopathy? TQ
Larvae migrate to brain via nasal cavity causing vascular lesions
What does cerebral nematodiasis cause in the brain?
Malacia
Hemorrhages
Migratory tracts
Space occupying lesions
How does Oestrus ovis cause cerebral nematodiasis?
Penetrates ethmoid bone and makes cysts in the cranial vault
How does hypoderma bovis cause cerebral nematodiasis?
Pentrates spinal canal during migration making cysts
What causes equine protozoal encephalomyelitis?
CS?
Sarcocystosis (Sarcocystis neruona) Horse is dead-end host –> affects spinal cord, focal liquafactive necrosis
CS: ataxia & CNS signs