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Details

Path 1309-1330
Robbins Pathology CNS, demylinating LECOM 2015 PBL
52
Medical
Post-Graduate
03/23/2012

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Cards

Term
Central Pontine myelinolysis
Definition
loss of myelin, symmetetric pattern; basis pontis and tegmentum, sparing periventricular and subpial

related to rapid correction of hyponatremia; rapid quadriplegia, myelin loss without inflam, neurons and axons preserved
Term
hydrocephalus ex vacuo, neuritic plaques
Definition
AD
Term
diffuse AD plaques
vs
neuritic AD plaques
Definition
AB42 for diffuse; AB40 and 42 for neuritic
Term
components of neurofibrillary tangles of AD
Definition
tau, paired helical filament, MAP2, ubiquitin,neuropil threads
Term
Hirano bodies
Definition
elongated, glassy, eosinophilic bodies of paracrystalline arrays of beaded filaments with actin as there major component; found in AD wihin hippocampal pyramidal cells
Term
asymmetrical lobar atrophy
Definition
picks disease
Term
cytoplasmic round to oval filamentous inclusions that are weakly basophilic and do not survive the death of host neurons
Definition
pick bodies
Term
truncal rigidity with dysequilibrium and nuchal dystonia; pseudobulbar palsy, abnormal speech, ocular disturbances, mild dementia
Definition
progressive supranuclear palsy
Term
ballooned neurons, tufted astrocytes, coiled bodies; tau positive threads in gray and white matter
Definition
corticobasal degeneration
Term
extrapyramidal rigidity, asymmetric motor disturbances (jerky limbs), sensory cortical dysfunctions (apraxia, language), cognative decline
Definition
corticobasal degeneration
Term
Lewy bodies starting in the medulla, progressing to midbrain; dementia, depigmentation of substantia nigra, preservation of cortex, hippocampus, amygdala
Definition
dementia with lewy bodies
Term
glial cytoplasmic inclusions, typically a-synuclein within the cytoplasm of oligodendrocytes; dominant symptoms either parkinsonism, cerebellar dysfunction or autonomic dysfunction
Definition
multiple system atrophy
Term
autosomal recessive, first decade of life- gait ataxia, clumbsiness (hands), dysarthria, decreased DTR and +babinski
Definition
fredreich ataxia- GAA trinucleotide repeat frataxin protein (mitochondrial encephalopathy)
Term
decrease in DRG neurons, enlarged heart, degeneration of clarke column, brainstem (8, 10, 12 nuceli), CB and Betz
Definition
friedreich ataxia
Term
ataxic dyskinetic syndrome, with subsequent telangiectasia in conjunctiva and skin
Definition
ataxia telangiectasia
Term
loss of purkinje and granule cells, degernation of dorsal colmuns, spinocerebellar tract, anterior horn cells and peripheral neuropathy, in addition to amphicytes, hyoplastic gondads, thymus and LN
Definition
ataxia-telangiectasia; mutation in ATM (ds dna breaks)
Term
spinocerebellar disease which usually causes death within second decade and many affected individuals develop lymphoid neoplasms, leukemias, gliomas and carcinomas
Definition
ataxia-telangiectasia
Term
mutation in copper zinc superoxide dismutase gene on chromosome 21 (SOD1)
Definition
ALS
Term
Bunina bodies
Definition
neurons containing PAS positve cytoplasmic inclusions (remnants of autophagic vacuoles) found in ALS
Term
ALS in only lower motor neuron
Definition
progressive muscular atrophy
Term
bulbar or progressive bulbar ALS
Definition
degeneration of lower brainstem cranial motor nuclei occurs early and pregresses rapidly; deglutition, phonation,
Term
X-linked adult onset; limb amyotrophy, bulbar signs, androgen insensitivity, gynecomastia, testicular atrophy, oligospermia
Definition
kennedy syndrome (bublospinal atrophy)
Term
nuclear inclusions containing aggregated androgen receptor
Definition
bulbospinal atrophy, kennedy syndrome
Term
spinal muscle atrophy
Definition
ALS in children, selective loss of anterior horn cells an atrophy of anterior spinal roots
Term
mutation in the palmitoyl protein enzyme leads to neuronal dysfunction of blindness, mental and motor deterioration and seizures
Definition
neuronal ceroid lipofuscinoses
Term
globoid cells in the parenchyma and around blood vessels
Definition
krabbe disease (leukodystrophy, galactocerebroside beta-galactosidases)
Term
mutation leads to alternate catabolic pathway leads to generation of galactosylphingosine which causes oligodendrocyte injury
Definition
krabbe disease
Term
deficiency of arylsulfatase A; leads to an accumulation of sulfatides, especially cerebroside sulfate leading to demylination with gliosis. macrophages have vaculoated cytoplasms that are metachromatic
Definition
metachromatic leukodystrophy
Term
psychiatric symptoms leading to motor issues in adults
motor symptoms progressing to death in children
Definition
metachromatic leukodystrophy
Term
X linked disease; present in early school years with neuro symptoms and adrenal insufficiency
Definition
adrenoleukodystrophy
Term
inability to catabolize very long chain fatty acids
Definition
adrenoleukodystrophy, atrophy of adrenal cortex, VLCFA accumulation seen in remaining cells
Term
the two X-linked leukodystrophies
Definition
Pelizaeus-Merzbacher, adrenoleukodystrophy,
Term
pendular eye movements, hypotonia, choreoathetosis and pyramidal signs, follled by spasticity, dementia, and ataxia
Definition
pelizaeus-merzbacher disease
Term
tigroid apperance of myelin
Definition
pelizaeus-Merzbacher disease
Term
megalocephaly, severe mental deficits, blindness, white matter injury starting in infancy
Definition
canavan disease
Term
GFAP mutation
Definition
Alexander disease
Term
accumulation of n-acetylaspartic acid as a consequence of mutation in gene for aspartoacylase enzyme
Definition
canavan
Term
megalencephaly, seizures and progressive psychomotor retardation
Definition
alexander disease
Term
accumulation of rosenthal fibers around blood vessels, in subpial and subependymal zones in brain parenchyma
Definition
Alexander disease
Term
ataxia, seizures during first few years of life; eIF2B reduced throughout body
Definition
vanishing white matter leukodystrophy
Term
most common neurological syndrome caused my mitrochondria
Definition
MELAS: encephalomyopathy, lactic acidosis and strokelike episodes; tRNA mutaiton
Term
myoclonus, seizure disorder, myopathy, ataxia, mutations in tRNA, mitochondrial disorder
Definition
MERRF (myoclonic epilepsy and ragged red fibers)
Term
lactic acidemia, arrest of psychomotor development, feeding problems seizures, extra-ocular palsies, weakness with hypotonia; death within 1-2 years
Definition
Leigh syndrome (subacute necrotizing encephalopathy)
Term
NARP
Definition
neuropathy, ataxia, retinitis pigmentosa; higher fraction of normal myochondria in Leigh Syndrome (heteroplasmy)
Term
spongiform change in gray and white matter, neuronal loss most evident in CB; ataxia, external opthalmoplegia, pigmentary retinopathy, cardiac conduction defects
Definition
Kearn-Sayre Syndrome (ophthalmoplegia plus) due to large deletion/rearrangement in mito dna
Term
neurosymptoms along with hepatic dysfunction including hepatitis an dbile duct proliferation; developmental delay, hypotonia, ataxia and cortical blindness; spongiform degenration of gray matter
Definition
alpers; mutation in gene for DNA poly gamma- mitochondrial genome
Term
tracts affected by vitamin B12 deficiency
Definition
dorsal columns and descending pyramidal tracts; aka subacute combined degeneration of the spinal cord
Term
Main neuronal cell layers affected by CO (and most other toxins, deprivations, etc)
Definition
Neurons from layer 3/5, also sommer (CA1) sector of hippocampus, purkinje cells of CB
Term
what does methanol toxicity preferentially affect?
Definition
retina; blindness
Term
bergmann gliosis and loss of purkinje cells
Definition
ethanol affects on CB (chronic)
Term
coagulative necrosis and edema; white matter lesions
Definition
radiation on the CNS
Term
drowsiness, ataxia, confussion, leading to recover OR to death; dystrophic mineralization of axons and cell bodies, gliosis,
Definition
methotrexate and radiation induced CNS injury
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