Path: Neurocytology and PNS path Flashcards Preview

Clinical Neuro Exam 1 > Path: Neurocytology and PNS path > Flashcards

Flashcards in Path: Neurocytology and PNS path Deck (14):

Histological characteristic of damaged neurons (actually schwann cells) that are trying to re-myelinate.

Onion bulb appearance


Common histological presentation of muscle cells that are denervated.

Group atrophy
-this illustrates that multiple muscle fibers are innervated by just one nerve.
-seen in ALS


Describe Wallerian Degeneration.

After an axon is transected, the distal portion degenerates and is "cleared" by macrophages.


Describe Guillain-Barre Syndrome.

Inflammatory demyelinating disease that causes ascending paralysis by segmental demyelination.

Reflexes absent


Describe Charcot-Marie-Tooth disease.

Hereditary demyelinating neuropathy that affects the fibular muscles and does not proceed above the knee. Results in pes cavus (abnormal arch in foot)


Describe Dejerine-Sottas disease.

Demyelinating disease that affects the nerves innervating the trunk and limb muscles. Occurs in infants and is more severe and rapid in progression compared to Charcot-Marie-Tooth.


How does diabetes lead to peripheral neuropathies?

Schwann cells (along with the lens and kidneys) use the polyol pathway as a major source of ATP which involves production of sorbitol.

In diabetics, the sorbitol accumulates due to excess glucose which increases the osmolarity inside the schwann cells.

Water rushes into the schwann cells and causes lysis.


What condition is assoicated with Lambert-Eaton syndrome?

Small cell lung carcinomas


What is neurocytology?

Study of CNS cells including: neurons, glia, meninges and cells composing vasculature


When neurons are injured they can go thru chromatolysis which involves what?

Cell swelling
Dispersed Nissl substance
Nucleus marginalizing


During neuron injury, intracellular inclusions can accumulate which are viewed on histology slides. What leads to:
1. Owl's eye inclusion
2. Negri bodies
3. Lewy Bodies
4. Cowdry bodies
5. Neurofibrillary Tangles

1. CMV
2. Rhabdovirus
3. Parkinson Disease
4. Herpes Virus
5. Alzheimer Disease


What are gemistocytic astrocytes?

Active astrocytes that are responding to neuronal injury.

Occurs in "astrocytosis" / "reactive gliosis"


What do red neurons indicate?

Seen on autopsy of drowning victims. Indicates neuronal cell death due to hypoxia or anoxia.


What part of the brain is most susceptible to hypoxia or anoxia?