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Medical Pathology and Genetics
PPT 20: The Nervous System
31
Pathology
Graduate
03/23/2012

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Cards

Term
Use the words to characterize neurons
Definition
nondividng
postmitotic
permanent cells
Term
Tay-Sach disease is a neurodegeneration of __________ in the brain and spinal cord
Definition
neurons
Term
what does the acronym TORCH stand for?
Definition
Taxoplasmosis, other, Rubella, CMV, Herpes
Term
What is anencephaly?
Definition
the cephalic end of neural tube fails to close, resulting in absence of large part of brain and skull
Term
Describe these three types of spina bifida: myelomeningocele, meningocele, spina bifida occulta.
Definition
-myelomeningocele: protrusion of meninges and a portion of the spinal cord through open vertebral column and spinal canal
-meningocele: protrusion of meninges
-spina bifida occulta: small gap in spine, no opening in back
Term
What is the difference between vasogenic edema and cytotoxic edema?
Definition
vasogenic: caused by disruption of blood-brain barrier

cytotoxic: in response to injury from a hypoxic/ischemic insult or exposure to some toxins
Term
___________/___________ within ventricles secretes CSF. CSF fills ___________ space, cushioning the brain and spinal cord. ___________/___________ resorb CSF
Definition
choroid plexus
subarachnoid
arachnoid granulations
Term
What is hydrocephalus? What does it cause before and after suture closure?
Definition
-accumulation of excessive CSF within the ventricular system due to impaired CSF flow or resorption
-before suture closure: enlargement of head
-after: expansion of ventricles
Term
What is it called when increased pressure (CSF volume, edema, hemorrhage) can displace tissue across dural barriers in skull or through openings in the skull?
Definition
herniation
Term
What is a stroke? what are 3 possible direct causes?
Definition
any abnormality of the brain caused by a pathologic process involving blood vessels
-thrombotic occlusion of vessels
-embolic occlusion of vessels
-vascular rupture
Term
What are the two major possible consequences of stroke?
Definition
infarction, hemorrhage
Term
What is the usual cause of an epidural, subdural, and subarachnoid hemorrhage?
Definition
-rupture of middle meningeal artery
-rupture of bridging veins
-ruptured berry aneurysm
Term
Give the name for an infection of the: skull, dura, subarachnoid space, brain, intraventricular space
Definition
-osteomyelitis
-pachymeningitis
-meningitis
-encephalitis
-ventriculitis
Term
What are two ways bacterial infections can spread to the brain?
Definition
hematogenous rout or by septic emboli
Term
What is the most common immune disease involving the nervous system?
Definition
multiple sclerosis
Term
What is MS?
Definition
a demyelinating disorder of the CNS
-decreased nerve function from initial inflammation of the myelin sheath covering the nerves of the brain and spinal cord, with eventual scarring
Term
How is MS diagnosed?
Definition
Term
Is there a genetic component to alzheimer dz?
Definition
yes, but 75% of cases are sporadic
Term
10% of familial AD exhibits ___________/___________ inheritance and 90% exhibits ___________ inheritance
Definition
autosomal dominant
multifactorial
Term
What does current evidence suggest causes the neuronal dysfunction and death observed in AD?
Definition
defects in the metabolism of the amyloid beta precursor protein (APP)
Term
AD is a central neurodegenerative disorder, especially of the ___________ neurons of the hippocampus, neurocortical association area, and other limbic structures
Definition
cholinergic
Term
what are 4 neuropathological changes often seen in AD?
Definition
-cortical atrophy
-extracellular neuritic plaques
-intraneuronal neuro-fibrillary tangles
-amyloid deposits in the walls of cerebral arteries
Term
What is the amyloid beta precursor protein (APP): What is its job and what happens when it is cleaved abnormally?
Definition
-transmembrane protein subject to endoproteolytic cleavage to produce peptides with neurotrohic and neuroprotective functions
-when cleaved abnormally it makes AB42, a neurotoxic form of amyloid found in AD patients
Term
death from AD usually results from what?
Definition
malnutrition, infection, or heart disease
Term
Except in families segregating an autosomal dominant mutation, patients with dementia can be definitively diagnosed with AD only by ___________
Definition
autopsy
Term
What is the treatment for AD
Definition
the most decrease in rate of cognitive decline is seen when pts are treated early in the disease with agents that increase cholinergic activity
Term
what are the most important risk factors for AD?
Definition
old age, family history, female gender, and down syndrome
Term
What is the most common movement disorder in the elderly?
Definition
parkinson dz
Term
what is the pathophys behind parkinson dz?
Definition
decreased number of dopaminergic neurons in the substantial nigra
Term
what are some motor symptoms associated with parkinson?
Definition
tremor
rigidity
bradykinesia
postural instability
Term
what is the most effective parkinson treatment?
Definition
L-DOPA, but it doesn't significantly alter the progression of the dz
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