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Flashcards in Parsa Deck (16):
1

What is the most important single cause of cerebrovascular disease?

Atherosclerosis

(with or without superimposed thrombosis)

2

What does a red neuron indicate?

early infarction in the brain

3

What are 90% of non-traumatic intracranial hemorrhages due to?

hypertension

4

What is the most common cause of a SAH?

rupture of a saccular (Berry) aneurysm

common at the bifurcation of the circle of Willis and happens with exertion (childbirth)

5

What is the causes of most abscess in the brain?

bacterial infections

6

What do low-grade astrocytomas normally show?

p53 proliferations and over expression of PDGF-A

well-differentiated diffuse astrocytoma:
slow growing and slowly progressive clinical signs --> similar in appearance to normal brain tissue

7

What are some features of a glioblastoma? What is the prognosis?

very poor prognosis

Histologically, the tumor shows high cellularity, numerous mitotic figures, pleomorphism of cells and their nuclei areas of necrosis, proliferation of blood vessels and their endothelium

8

Where are oligodendrogliomas normal found?

the cerebral hemisphere

9

What do pts with ependymoma often present with?

hydrocephalus because they can block the 4th ventricles (often found in the posterior fossa)

10

What is the degeneration of Pick Disease?

frontotemporal lobar degeneration

Pick bodies
large inclusions of neurofibullary tangles with tau proteins in this

11

What is the pathophysiology behind Friedreich's ataxia?

decreased frataxin leads to mitochondrial dysfunction and increased oxidative damage

frataxin normally stores iron in the mitochondria. it is crucial to ATP formation

12

What is the pathophysiology behind the damage in ALS?

SOD (superoxide dismutase) mutations cause unfolded SOD to accumulate in the cell which can lead to the activation of caspase 1 and 3 which cause an increase in cytokines that damage neurons and apoptosis, respectively

13

What does the CSF of MS patients show?

-oligoclonal bands--> abnormal immunological activity (humoral immunity)

-myelin basic protein canals be seen during active breakdown of the myelin

14

What are the differences between the 2 types of encephalomyelitis?

1. acute disseminated (ADEM):
-perivenous demyelination
-after viral infection or immunization in 1-2 wks
-headache, lethargy, coma

2. Acute necrotizing hemorrhagic leukoencephalitis (AHL):
-fulminant demyelination
-follows URI (mycoplasma)
-usually fatal

15

What causes Krabbe disease?

Deficiency of galactocerebroside -galactosidase →Accumulation of psychosin (galactosyl-sphingosine)→ microglial cells die

16

What is Progressive multifocal leukoencephalopathy?

demyelinated disease linked with HIV and immunosuppression

enlarged oligodendroglial cells with intranuclear inclusions and atypical astrocytes