Spinal cord disorders
Help!
|
|
||||
|---|---|---|---|---|---|
| Brown Sequard manifestations | lateral column(corticospinal) ipis spastic paralysis babinksi +; Dorsal column(discim) ipsi loss, anterlateral(spinothalamic) pain and temp contra 2 levels below; at level ispi loss motor(flaccid) sensory, reflex)
🗑
|
||||
| ALS manifestations | Progressive bulbar palsy(motor of CN): dysarhtria, Progressive muscular atrophy(motor neurons of SC): flaccid paralysis), Primary lateral Sclerosis(corticospinal tract): hypereflexia, spastic paralysis; all three=ALS
🗑
|
||||
| ALS causes | immune mediate, genetically disposed(10% mutation of SOD), viral
🗑
|
||||
| Syringomyelia | sensory dissociation(still have discrim and pressure)dec pain and temp at level(commissural fibers destroyed) or below, progressive cavitation toward ant horn flaccid at level, spastic below if cortico is hit
🗑
|
||||
| Grade I astrocytoma | pilocystic astrocytoma; children; cerebellum and optic nerve, slow growth, good prog, tx: resect 90% survive
🗑
|
||||
| Grade II astrocytoma | diffuse astrocytoma, 5 year w/ surgery 25% + rad 50% may transform
🗑
|
||||
| Grade III astrocytoma | Cerebral hemisphere no necrosis, no microvascular life expectancy 2-5 years
🗑
|
||||
| Grade IV astrocytoma | Glioblastoma Multiform, 50% bilateral, vascular necrotic center, <10% 2 year survival, 80% die within year of Dx,
🗑
|
||||
| General manifestations of cerebellar | Ataxia, nucal rigidity, papilledem
🗑
|
||||
| most common in Adults | above tentorium;oligodenroglioma
🗑
|
||||
| Tumors most common in children | Below tent; Pilocystic astrocytoma,medulloblastoma, retinoblastoma, Hemangioblastoma hipple lindau,
🗑
|
||||
| Characteristics of mengigiomas | benign 90%, encapsulated, recurrence common, orig from dura or arachnoid, compress underlying, erode bone, seizures
🗑
|
||||
| sources of mets to brain | 25% of all cancer patients get mets to the brain, 1/3 from lung(60% SCLC), 1/6th from breast
🗑
|
||||
| Childhood brain tumors associated with renal tumors | Hipple lindau; tumors in cerebellum brainstem and spinal cord and retina, cysts on kidneys liver and pancreas mutation of tumor supressor gene p53
🗑
|
||||
| Characteristics of acoustic neuroma | CN VIII, pontocerebellar junction, common pres: tinnitus, deafness, vertigo, unsteady gait, surg radassociated with MISME and NF
🗑
|
||||
| Visual field deficits based on location of tumor | temporal pie in the sky, parietal pie on the floor, pituitary bitemporal hemianopsia,
🗑
|
||||
| hormones which regulate blood glucose | GH ^ bs, ACTH ^ BS,
🗑
|
||||
| Manifestations of Cushing's | moon facies, bufalo hump, truncal obesity, skinny arms and legs, insulin resistance
🗑
|
||||
| Locations of ependymomas | 4th ventricle
🗑
|
||||
| Tumors which calcify | oligodenrdomas, meningiomas
🗑
|
||||
| retinoblastoma | mutations of RB gene bilateral both mom and dad found in all cells of body,
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bmg4