pathology of intracranial tumours Flashcards
key concept in intracranial tumours is a raised
ICP
causes of raised ICP
haemorrhage
tumour
abscess
oedema post trauma
SOL
space occupuing lesion
3 examples of a SOL
tumour
bleeding (haematoma)
abscess
effects of a SOL
amount of tissue increases
raises ICP
causes herniation between the intracranial spaces
uncal herniation
cerebrum moves over the edge of tentorium
coning
cerebellum moves inferiorly into foramen magnum
cerebellar tonsillar herniation is a major cause of
brain stem death
herniation onto the optic nerve gives
palpilloedema
as pressure increases what 3 things happen?
reduced GCS
pupillary dilatation
brain stem death
what tests would you do for coma without focal signs or meningism?
toxicology (alcohol)
blood sugar and electrolytes
assess hepatic function and renal function
acid base measurements
BP
metastatic spread of intracranial tumours is to what sites?
breast
lung
kidney
colon
adenoma is a tumour of the
pituitary gland
glioma or astrocytoma is a tumour of
glial cells
neurofibroma or a schawnnoma is a tumour of
nerve sheath cell