chapter 2 Flashcards

(57 cards)

1
Q

is a window into the

central nervous system

A

Cerebrospinal fluid (CSF

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2
Q

Cerebrospinal fluid is of diagnostic value because its composition can

A

give clues to the nature of neurologic diseases of virus origin

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3
Q

functions of cerebrospinal fluid

A

Physical support and protection

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4
Q

Cerebrospinal fluid can be sampled by

A

lumbar

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5
Q

Where within the central nervous system is cerebrospinal fluid located?

A
  • the ventricles of the brain
  • the central canal of the spinal cord
  • the subarachnoid spaces surrounding the brain and spinal cord
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6
Q

Where is the Lateral ventricles found

A

Situated in the lower medial portion of each cerebral hemisphere
Separated by a thin septum
Each lateral ventricle consists of a body, an anterior horn, and posterior horn that extends into the occipital lobe of the brain

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7
Q

where is the third ventricle located

A

A thin centrally placed cleft below the body of the lateral ventricles

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8
Q

the third ventricle Communicates with the lateral ventricles through the

A

Foramen of Monro

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9
Q

the third ventricle Communicates with the fourth ventricles through the

A

the Aqueduct of Sylvius (Central Aqueduct)

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10
Q

what is the fourth ventricle

A
  • An enlargement of the Aqueduct of Sylvius
  • Forms a space in the pons and medulla of the brain
  • Narrows to form the central canal of the spinal cord
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11
Q

what is the meninges

A

Beneath the bony shell of the cranium lie 3 protective tissue
layers that cover the CNS

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12
Q

what are the three meninges

A

Dura mater outermost layer

Arachnoid layer middle layer

Pia mater inner layer

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13
Q

from the meninges:
what layer is the
(Dura mater )

A

outermost layer

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14
Q

from the meninges:
what layer is the
(Arachnoid layer)

A

middle layer

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15
Q

from the meninges:
what layer is the
(Pia mater)

A

inner layer

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16
Q

where do the meninges extend to ?

A

They extend down the brainstem and the spinal cord

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17
Q

what is the The Subarachnoid Space ?

A

is the space between the arachnoid layer and pia mater that is filled with cerebrospinal fluid

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18
Q

It is within the choroid plexus that cerebrospinal fluid is produced from the

A

plasma of the blood

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19
Q

CSF is not

A

a simple filtrate of plasma

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20
Q

CSF production is the result of

A

active transport by the choroidal epithelium to make the CSF a fluid unique from blood plasma

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21
Q

what are the 4 functions of the cerebrospinal fluid

A
  • Physical support and protection
  • Excretion mechanism for metabolic products
  • Intracerebral transport
  • Maintenance of a stable immunosuppressive “microenvironment” within the CNS
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22
Q

Maintenance of a stable immunosuppressive “microenvironment” within the CNS

A

csf

Helps to maintain the CNS as an immune-privileged site

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23
Q

Serves to distribute biologically active substances within the CNS ( central nerves system) such as hormones and other neuroactive substances (e.g., cytokines and neuropeptides involved in maintaining the immune privilege of brain)

A

csf

Intracerebral transport

24
Q

Physical support and protection

A

> Provides buoyancy for the brain
> When suspended in CSF, a 1500 gm brain with a water content of 80% weighs only 50 gm due to specific gravity of brain vs CSF
> Protective because CSF volume fluctuates reciprocally with changes in intracranial blood volume when skull is intact
> csf Provides a cushioning function for brain during head trauma

25
Serves to remove byproducts of brain metabolism that may be toxic to sensitive neurons and/or glial cells
Excretion mechanism for metabolic products
26
what are the three protective tissue
Dura mater outermost layer Arachnoid layer middle layer Pia mater inner layer
27
what in the choroid plexus line the ventricles of the brain
Ependymal cells From the ependymal cell layer emerges the choroid plexus
28
Each villa contains a blood capillary surrounded by layer of specialized ependymal cells
choroidal epithelium
29
Where within the central nervous system is cerebrospinal fluid produced?What is the origin of CSF?
It is within the choroid plexus that cerebrospinal fluid is produced from the plasma of the blood
30
during cerebrospinal fluid protection what happens to Chloride & magnesium
they increase
31
during cerebrospinal fluid protection what happens to ; potassium & bicarbonate
they decrease
32
during cerebrospinal fluid protection what happens to sodium
stay equivalent
33
What is the fate of cerebrospinal fluid within the central nervous system?
CSF is reabsorbed into the blood
34
what is the Arachnoid Villa
An extension of the arachnoid membrane. | The Arachnoid Villa is the site of cerebrospinal fluid reabsorption into the blood
35
-----------Functions as a one-way valve permitting unidirectional flow from CSF to blood
The Arachnoid Villa
36
what is the Cerebrospinal Fluid normal cell
Contains < 5 cells per mm3 (0 - 4 cells)NORMAL
37
what is the Cerebrospinal total protein
content of < 40 mg/dl, usually ~35 mg/dl
38
what is the Cerebrospinal total protein content of < 40 mg/dl, usually ~35 mg/dl compared to
Compared to 7 gm (not mg!) /dl found in serum
39
what are most proteins in the csf
Most of protein is albumen
40
Cerebrospinal Fluid Contains a total glucose content of
~60 mg/dl (range = 45 - 80 mg/dl)
41
what is the normal Normal blood glucose level in Cerebrospinal Fluid
Normal blood glucose level is ~90 mg/dl
42
Cerebrospinal Fluid Maintains an intracranial pressure (ICP)
(ICP) of ~150 mm as measured by manometer
43
what is the cerebrospinal fluid is diagnostic for
virus infection of the central nervous system
44
what happens to protein in the cerebrospinal fluid & neurologic disease when there is a virus infection of the CNS
Increase in total protein content (albumin, IgG) (breakdown of blood-brain barrier)
45
what happens to glucose in the cerebrospinal fluid & neurologic disease when there is a virus infection of the CNS
Decrease in total glucose content (alteration of glucose transport)
46
innate immunity
- Rapid response - Local - no memory
47
Adaptive Immunity
- Delayed response - Systemic - Memory
48
Effector T cells
Lymphocytes that provide actual protection
49
Cytotoxic T cell (CD8+ T cell)
> Very specific, very precise | > Kills cell by the process of apoptosis
50
Delayed-type hypersensitivity (DTH) cell (CD4+ T cell)
> Not specific, kills innocent bystanders > Mechanism of killing involves complex interaction with macrophages and cytokines (IL-2 & IFN-) > Increases capillary permeability that leads to swelling and characteristic local reaction ( SWELLING) > Responsible for (1) positive skin tests, and (2) many virus- promoted rashes and lesions
51
The Blood-Brain Barrier
A network of tight endothelial junctions sheathed by glial cells that regulate the molecular access to the central nervous system
52
what is the function of the Blood-Brain Barrier
=abnormal variations =potentially toxic molecules =immune effectors - Protects the brain from abnormal variations in the ionic microenvironment - Protects the brain from potentially toxic molecules that find their way into the vasculature - Protects the brain from immune effectors that could cause irreversible (and potentially life-threatening) damage to neurologic tissues
53
is an immune-privileged site
The brain (CNS)
54
Normal cerebrospinal fluid contains
immunoglobulin (IgG), but at levels lower than that of normal blood serum
55
Normal CSF IgG is
5 - 12% of total CSF protein
56
Normal serum IgG
is 15 - 18% of total serum protein
57
are plasma cell (B cells ) found in normal CSF
NO Just because there are IgG, Doesn’t mean there are b cells because these are plasma