brain and cord stuff Flashcards

1
Q

what type of reflexes would be expected in an upper motor neurone lesion

A

hyper reflexia

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2
Q

are fasciculation’s seen in upper or lower motor neurone lesion

A

LMN

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3
Q

in central cord syndrome what is seen

A

distal upper limb weakness and cape like spinothalamic loss

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4
Q

normal volume of CSF

A

120-150ml

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5
Q

where is CSF produced

A

choroid plexus

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6
Q

where is CSF absorbed

A

arachnoid granulations

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7
Q

in CSF what should glucose levels be

A

> 2.2

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8
Q

what is hydrocephalus

A

increased CSF in brain

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9
Q

what is non- communicating hydrocephalus

A

obstruction to CSF occurring within ventricular system

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10
Q

what is communicating hydrocephalus

A

obstruction to CSF flow outside of ventricular system eg, subarachnoid space or arachnoid granules

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11
Q

what is hydrocephalus ex vacuo

A

increase in csf vol due to decreased brain vol eg Alzheimers

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12
Q

what would glucose levels look like in lumbar puncture in bacterial meningitis

A

decreased glucose and abundant polymorphs eg neutrophils

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13
Q

what is likely organism in bacterial meningitis in neonates

A

e.coli

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14
Q

what is likely organism in bacterial meningitis in adolescents

A

neisseria meningitides

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15
Q

what is likely organism in bacterial meningitis in older people

A

listeria monocytogenes

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16
Q

what vessel is most commonly injured in extradural haematoma

A

middle meningeal artery

17
Q

what vessels are injured in subdural haematoma

A

bridging veins

18
Q

in a CNS problem what is weaker arm extensors or flexors

A

arm extensor weaker reverse seen in legs

19
Q

what is the gold standard fro anurysms investigation an dtreatment

A

DSA- digital subtraction angiography

20
Q

normal ICP

A

7-15 mmHg

21
Q

what volume of CSF is produced in 24 hr period

A

500ml

22
Q

how is cerebral perfusion pressure calculated

A

MAP - ICP

23
Q

equation for cerebral blood flow

A

cerebral perfusion pressure / cerebral vascular resistance

24
Q

if systemic BP increases what happens to cerebral vessels

A

vasodilate

25
Q

treatmen of normal pressure hydrocephalus

A

shunt