CNS PATHOLOGY HIGH YIELD III

Question 1

types of hemorrhages?

Answer 1

intracranial hemorrhage

subarachnoid hemorrhage

Question 2

type of intracranial hemorrhage?

Answer 2

primary brain parenchymal hemorrhage

intraparenchymal hemorrhage

Question 3

most important predisposing factor of primary Brian parenchymal hemorrhage?

Answer 3

hypertension

Question 4

these are weaker walls w/ Charcot Bouchard micro aneurysms found in the primary brain parenchymal hemorrhage?

Answer 4

hyaline arteriolosclerosis

Question 5

this is an intracranial considered non traumatic; hypertensive hemorrhage

Answer 5

intraparenchymal hemorrhage

Question 6

this can happen as a result of intraparenchymal hemorrhage that causes deposition of amyloidogenic peptides in the walls of medium and small caliber meningeal and cortical vessels

what does this cause?

what causes this?

Answer 6

cerebral amyloid angiopathy

weakened vascular wall

gene polymorphism in apolipoprotein E

Question 7

what are the examples of subarachnoid hemorrhage

Answer 7

saccular/berry aneurysms

Question 8

where do saccular aneurysm occur?

Answer 8

bifurcations

Question 9

what are the two mechanisms possible that cause saccular aneurysms?

Answer 9

congenital and acquired

Question 10

occurrence of saccular aneurysms can be multiple in 20-30% of the time, T/F?

rupture increases w/ increasing size, T/F?

Answer 10

true

true

Question 11

what are the complications of aneuryms?

most frequent?

clinical signs?

Answer 11

rupture
vasospasm
late sequelae

rupture

sudden excruciating headache
rapid loss of consciousness