congenital intracranial malformations Flashcards

1
Q

what is cause of anencephaly

A

incomplete closur anterior neuropore betweeen closure 1 and 3- know as closure 2

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2
Q

what getstational day does anterior neuropore close

A

day 24

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3
Q

what primary brain malformations occure during primary neuralation

A

anencephaly
cephalocele
congenital dermal sinus tract

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4
Q

when does primary neuralation occur

A

3-4 weeks

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5
Q

when does holoprosencephaly occur

A

prosencephalic cleavage failure by 6 weeks, could be due to primitive sreak faulure gastrulation

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6
Q

what are common genes invovled and chromosome for holoprosencephaly

A

SHH, SX3- chromosome 13 followed by chromosome 18

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7
Q

what causes hydrancephaly

A

normal brain disrupted by vascular occlusions- drugs, cirgarete smoking

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8
Q

what defines septoptico dysplasia

A

optic
nerve hypoplasia, pituitary dysfunction, and midline brain defects,
particularly absence of the septum pellucidum- fewer than 1/3 have all three- all have optic nerve hpoplasia

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9
Q

genes invovles in SOD

A

sox, Hesx

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10
Q

microcephaly how is it defined

A

2 SD below the age matched mean

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11
Q

what are types of microcephaly

A

MV- microcephaly vera with normal gyral patter

mSG- simplified gyral pattern

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12
Q

what is definition of megalencephaly

A

volume greater than 2 sd above the mean

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13
Q

what are metabolic causes

A

gangliosidoses, mucopolysaccharidoses,
sphingolipidoses, maple syrup urine disease, Alexander disease,
and Canavan disease.

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14
Q

how do children with hemimegicephaly present

A

cranial asymmetry, hemiplegia, and intractable seizures

that star t soon after birth

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15
Q

what is FCD type 1

A

radial (FCD type 1a) or tangential (FCD
type 1b) dyslamination of the neocortex, microscopically identified
in one or multiple lobes

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16
Q

what is FCD type 2

A

usually visible on MRI- Type 2 FCD is an isolated lesion
characterized by cort ical dyslamination and dysmorphic neurons
without (type 2a) or with (type 2b) balloon cells.- lowest success rate operativly

17
Q

what are type 2 FCD

A

Type 3
FCD occurs in combination with hippocampal sclerosis (FCD
type 3a) or epilepsy-associated tumors (FCD type 3b), or adjacent
to vascular malformations (type 3c) or epileptogenic lesions
acquired in early life (type 3d),- such as trauma, ischemic injury, or encephalitis

18
Q

what defines joubert syndrome

A

dysgenesis of the vermis, and
fragmentation and hypoplasia of brainstem nuclei and
tracts

19
Q

what genetic mutation associated withe Lhermit te-Duclos Disease

A

PTEN- assiciated with cowden’s disease