Support Systems Flashcards

1
Q

What are the 2 fluid systems that support the neurons and glial cells and overall function of the nervous system?

A
  • Cerebrospinal fluid (CSF) system

- Vascular system

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2
Q

Where is CSF primarily formed?

A

in the ventricles

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3
Q

Where does CSF circulate before it is absorbed into the venous circulation?

A

through the ventricles and into the subarachnoid space

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4
Q

What are the 3 meninges that cover the brain and spinal cord?

A
  • Dura mater
  • Arachnoid
  • Pia mater
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5
Q

Most CSF is secreted by ________ in the ventricles, however some CSF is formed by _______ leaking into the ventricles.

A

choroid plexuses

extracellular fluid

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6
Q

Describe the path in which CSF flows

A

1) From lateral ventricles into the third ventricle (via the interventricular foramina)
2) From the third ventricle into the fourth ventricle (via the cerebral aqueduct)
3) From the fourth ventricle into the subarachnoid space (via the lateral and medial foramina)
4) It then flows around the brain and spinal cord until it is reabsorbed into the venous sinuses

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7
Q

What are 3 common disorders of the CSF system?

A
  • Epidural and subdural hematomas
  • Hydrocephalus
  • Meningitis
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8
Q

What is CVA synonymous with?

A

stroke

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9
Q

A CVA can be classified by what 3 things?

A
  • pattern of progression
  • etiology/cause
  • arterial location
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10
Q

What are the 3 patterns of progression?

A
  • Transient ischemic attack
  • Completed stroke
  • Progressive stroke
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11
Q

What is a TIA?

A

A brief, focal loss of brain function with a full recovery from neurologic deficits within 24 hours

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12
Q

What is a completed stroke?

A

neurologic deficits from vascular disorders that persist more than 1 day and are stable

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13
Q

When does a brain infarction occur?

A

when an embolus or thrombus lodges in a vessel, obstructing the blood flow

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14
Q

Obstructions of blood flow in small, deep arteries result in _____ infarcts

A

lacunar

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15
Q

Brain infarcts cause __% of strokes.

A

80

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16
Q

Which cerebral artery has the highest incidence of ischemic stroke?

A

middle cerebral

17
Q

Which type of stroke results in the worst deficits within hours of onset?

A

hemorrhage

18
Q

What does a subarachnoid hemorrhage cause?

A

sudden, excruciating headache with a brief (a few minutes) loss of consciousness

19
Q

Describe blood flow off of the vertebral artery

A

Basilar artery which is then divided into the posterior cerebral artery

20
Q

What are the 2 branches of the internal carotid artery?

A
  • Anterior Cerebral Artery

- Middle Cerebral Artery

21
Q

__% of ischemic strokes affect the brainstem and cerebellar regions

A

20

22
Q

What is the chief symptom of vertebral artery dissection?

A

pain, usually in the posterior neck or occiput and spreading to the shoulders

23
Q

What are the most common signs of vertebrobasilar artery ischemia?

A
  • gait and limb ataxia
  • limb weakness
  • oculomotor palsies
  • oropharyngeal dysfunction
24
Q

What are the most common symptoms in cerebellar infarction?

A
  • dizziness and/or vertigo
  • an inability to sit upright without support
  • difficulty walking
  • nausea and vomiting
  • dysarthria
  • headache
25
Q

What does a complete lesion of the basilar artery cause?

A

death

26
Q

What does partial occlusion of the basilar artery cause?

A

tetraplegia, loss of sensation, coma, and cranial nerve signs

27
Q

What does occlusion of the anterior cerebral artery cause?

A

personality changes with contralateral hemiplegia and hemisensory loss

28
Q

What does occlusion of the middle cerebral artery cause?

A

homonymous hemianopia combined with contralateral hemiplegia and hemisensory loss involving the upper limb and face

29
Q

What is the stereotypic standing posture on the hemiparetic side in patients following middle cerebral artery occlusion?

A
  • adduction at the shoulder
  • flexion at the elbow
  • extension throughout the lower limb