Supporting Systems of the Brain and Spinal Cord Flashcards

1
Q

What are the layers of connective tissue that cover the brain and spinal cord called?

A

Meninges

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2
Q

Meninges protect the brain from ____ and ____.

A

Contusion

Infection

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3
Q

List the meninges from outermost to innermost layers.

A

Dura mater
Subarachnoid Mater
Pia Mater

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4
Q

What separates the dura mater from the subarachnoid mater?

A

Subdural space

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5
Q

What separates the subarachnoid mater from the pia mater?

A

Subarachnoid space

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6
Q

The pia mater forms the _____ in the ______ system.

A

Forms the CHOROID PLEXUS in the VENTRICULAR system

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7
Q

What is meningitis?

A

Inflammation of the meninges of the brain and spinal cord

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8
Q

What are 6 signs and symptoms of meningitis that a PT must be aware of? (6)

A
  1. Fever, headache, vomiting
  2. Complaints of stiff and painful neck, nuchal rigidity
  3. Pain in the lumbar area and posterior thigh
  4. Brudzinski’s sign (flexion of the neck facilitates flexion of the hips and knees)
  5. Kernig’s sign (pain with hip flexion combined with knee extension)
  6. Sensitivity to light
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9
Q

What is the gold standard for diagnosis meningitis?

A

Lumbar puncture

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10
Q

What is the epidural space?

A

The space between the skull and the outer dura mater

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11
Q

How many ventricles are in the brain?

A

4

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12
Q

What structure is responsible for making CSF and where is it located?

A

Choroid plexus located in the ventricles

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13
Q

What conditions can arise as a result of excess CSF in the brain or the spinal cord?

A

Hydrocephalus (brain)

Syringomyelia (spinal cord)

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14
Q

What structures make up the blood brain barrier? (3)

A

Meninges
Protective glial cells
Capillary beds

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15
Q

The spinal cord runs from the ______ to the ______.

A

Foramen magnum

Conus medullaris

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16
Q

What are 9 signs and sxs of hydrocephalus?

A
  1. Enlarged head or bulging fontanelles in infants
  2. Headache
  3. Changes in vision
  4. Large veins noted on scalp
  5. Behavioral changes
  6. Seizures
  7. Alterations in appetite, vomiting
  8. ‘Sun setting’ sign (downward deviation of the eyes)
  9. Incontinence
17
Q

How is hydrocephalus typically treated? (2)

A

Surgical placement of a shunt

Endoscopic third ventriculostomy