CSF Flashcards

1
Q

It begins to close just before birth in full-term newborns and is frequently seen in brain images [computed tomographic (CT) scans and magnetic resonance imaging (MRI)] in neonates.

A

Cavum septum pellucidum

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2
Q

Posterior extension of the cavum septum pellucidum above the fornix and posterior to the foramen of Monro constitutes the______________

A

cavum vergae (sixth ventricle),

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3
Q

The __________ (interventricular cavum) is a triangular cavity located rostral to the superior (quadrigeminal) cistern below the fornix and above the thalamus and the roof of the third ventricle

A

cavum veli interpositi

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4
Q

The ___________ communicates with the subarachnoid space, in contrast to the ____________, which communicates with the ventricle.

A

cavum veli interpositi

cavum vergae

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5
Q

This characteristic bulge of the caudate nucleus into the lateral wall disappears in degenerative diseases of the brain involving the caudate nucleus such as in________

A

Huntington’s chorea

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6
Q

The ________is the most expanded subdivision of the ventricle and the site of early ventricular enlargement in degenerative diseases of the brain.

A

atrium

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7
Q

_________extends from the atrium backward toward the occipital pole. It is the most variable subdivision in shape and size, with the left usually larger than the right, and may be rudimentary or altogether absent.

A

occipital (posterior) horn

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8
Q

Recesses of the 3rd ventricle

A

pineal (suprapineal) recess above the posterior commissure,

the optic recess above the optic chiasma,

and the infundibular recess into the infundibulum

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9
Q

Where is choroid distributed in the vent system

A

It is distributed in the body, trigone, and inferior horn of the lateral ventricle, foramen of Monro, roof of the third ventricle, and posterior part of the roof of the fourth ventricle

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10
Q

extraventricular sites of production of csf

A

(cerebral pial surface, cerebral extracellular space, perineural space, etc).

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11
Q

Almost total cessation of CSF formation from the choroid plexus may result following vasoconstriction induced by________during hyperventilation

A

low PCO2

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12
Q

_________ an ATPase inhibitor, can produce effects similar to those of Diamox in csf production

A

Ouabain,

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13
Q

Three factors seem to facilitate CSF circulation.

A

Drift.

Oscillation.with a to-and-fro movement the amplitude of which increases as the fluid approaches the fourth ventricle.

Pulsatile Movement.These pulsatile oscillations assume an upward and downward movement in the fourth ventricle and basal cisterns.

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14
Q

Arachnoid granulations are not discernible in the newborn. They become evident by the _________ and become numerous and widely disseminated by the _________

A

eighteenth month

third or fourth year of life

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15
Q

Components of the CSF

A

Water.

Protein. 15 -45 (15: Vent, 45:lumbar sas

CHO: Glucose value is slightly higher (75 mg/dl) in ventricular fluid than in lumbar subarachnoid space fluid (60 mg/dl)

Electrolytes: Sodium and potassium constitute the major cations, whereas chloride constitutes the major anion.

Peptides: luteinizing hormone–releasing factor, cholecystokinin, angiotensin II, substance P, somatostatin, thyroid hormone–releasing hormone, oxytocin, and vasopressin.

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16
Q

Three proteins account for the bulk of CSF protein content: _____________

A

albumin and beta and gamma globulins.

17
Q

CSF SG normal CSF varies between _______

A

1.006 and 1.009

18
Q

the space between ______ vertebrae constitutes a safe area into which to introduce the lumbar tap needle without the danger of injuring the spinal cord

A

L-2 and L-3

19
Q

all these result in: __________

(1) overproduction of CSF, as occurs in tumors of the choroid plexus (choroid plexus papilloma), (2) atrophy of the brain with secondary (compensatory) enlargement of the ventricles (hydrocephalus ex vacuo), as in Alzheimer’s disease; (3) developmental failure of growth of the cerebral mantle (the brain between the ventricle and the brain surface), as in the condition known as colpocephaly; or (4) obstruction of CSF flow or absorption, as in obstructive hydrocephalus.

A

ventriculomegaly

20
Q

In ________ hydrocephalus there is free communication between the ventricles and the subarachnoid space. The obstruction to the flow of CSF in this type of hydrocephalus is usually ______

A

communicating

distal to the ventricular system

21
Q

In _________ CSF in the ventricular cavities cannot reach the subarachnoid spaces because of obstruction of CSF flow

A

noncommunicating hydrocephalus

22
Q

________ (a type of communicating hydrocephalus) is a disorder of the elderly characterized by uniform enlargement of the ventricular system without a concomitant increase in CSF pressure or intracranial pressure.

A

Normal-pressure hydrocephalus

23
Q

_______is a disorder of childhood characterized by the accumulation of CSF in the subarachnoid space over the brain surface, particularly over the frontal lobes and in the interhemispheric fissure, without significant involvement of the ventricular cavities

A

Benign external hydrocephalus

24
Q

increased intracranial pressure without hydrocephalus or brain tumor.

A

IDIOPATHIC INTRACRANIAL HYPERTENSION (PSEUDOTUMOR CEREBRI) AND BENIGN INTRACRANIAL HYPERTENSION

25
Q

Types of IIH
type I with _______and
type II with very ________

A

normal CSF conductance (from extracellular brain edema)

low conductance and high CSF pressure.

26
Q

They are believed to arise from choroid plexus tissue derived from primitive neuroepithelium

A

INTRAVENTRICULAR NEUROEPITHELIAL CYSTS

27
Q

_________ is characterized by a to-and-fro, 2- to 3-Hz rhythmic nodding of the head similar to that in a doll with a weighted head attached to a coil-spring neck. The movement disappears in the supine position and during sleep

A

bobble-head doll syndrome

28
Q

The head bobbing is believed

to be a learned behavior which _______ by means of posterior displacement of the cyst away from the foramen of Monro

A

relieves the obstruction