What is the onset of intracerebral hemorrhage?
Rapid.
What is the difference between Meningocele and Encephalocele?
Encephalocele includes protruded brain tissue along with the meningeal sac.
1/105
p.3
Intracerebral Hemorrhage

What is the onset of intracerebral hemorrhage?

Rapid.

p.2
Encephalocele

What is the difference between Meningocele and Encephalocele?

Encephalocele includes protruded brain tissue along with the meningeal sac.

p.3
Epidural Hematoma

What type of hematoma occurs between the skull and dura?

Epidural hematoma.

p.3
Epidural Hematoma

What causes an epidural hematoma?

Linear fracture of the skull leading to damage to the middle meningeal artery.

p.2
Spina Bifida

What is Meningomyelocele?

A type of spina bifida that involves both the meningeal sac and spinal cord.

p.3
Subdural Hematoma

Where does a subdural hematoma occur?

In the subdural space.

p.5
Intracerebral Hemorrhage

What is a potential effect of increased intracranial tension?

Compression leading to brain displacement or herniation.

p.2
Meningocele

What is Meningocele in the context of spinal defects?

A type of spina bifida where there is a protrusion of the meningeal sac.

p.3
Subdural Hematoma

What causes a subdural hematoma?

Mild traumatic injury to veins.

p.5
Causes of Traumatic Injuries

What is a stroke?

A sudden disturbance of CNS function due to focal cerebral ischemia.

p.5
Causes of Traumatic Injuries

What risk factor is associated with hypertension in cerebrovascular disease?

Micro-aneurysms leading to hemorrhage (intracerebral or subarachnoid).

p.11
Degenerative Diseases

What are neurofibrillary tangles?

Basophilic structures in the cytoplasm of neurons that can also appear extracellularly.

p.2
Meningocele

What characterizes Meningocele?

Protrusion of a meningeal sac from a skull defect due to incomplete closure.

p.3
Epidural Hematoma

What is the onset of an epidural hematoma?

Rapid.

p.3
Subdural Hematoma

What is the onset of a subdural hematoma?

Gradual (chronic).

p.3
Traumatic Vascular Injury

What are the effects of temporal hematoma?

Mild symptoms, brain edema, increased intracranial pressure (ICP), brain herniation, and neurological dysfunction.

p.4
Malformations and Developmental Diseases

What are the two types of hydrocephalus?

Non-communicating and communicating.

p.11
Malformations and Developmental Diseases

What are the microscopic features of an acute brain abscess?

Liquefied tissue with neutrophils and a necrotic wall.

p.11
Degenerative Diseases

What are the two main microscopic lesions seen in Alzheimer's disease?

Neuritic plaques and neurofibrillary tangles.

p.7
Intracerebral Hemorrhage

What surrounds the liquefactive necrotic tissue in the brain?

Reactive glial cells (astrocytes) and proliferating capillaries.

p.7
Intracerebral Hemorrhage

What is the fate of extravasated blood (hematoma) in the brain?

It can lead to resolution, absorption, and cystic cavity formation or brain herniation.

p.4
Malformations and Developmental Diseases

What causes vasogenic edema?

Increased vascular permeability.

p.4
Malformations and Developmental Diseases

What can lead to excessive CSF production?

Choroid tumors.

p.7
Intracerebral Hemorrhage

What is the fate of liquefactive necrotic tissue after 3 weeks?

It forms a cyst lined by gliosis.

p.9
Infections

What are the two types of meningitis?

Septic (pyogenic) and aseptic (viral).

p.9
Infections

What are some complications of meningitis?

Encephalitis, pyemia, septicemia, adrenal necrosis (Waterhouse-Friedrichsen syndrome), fibrosis, cranial nerve compression, hydrocephalus, and infarction of the brain due to thrombophlebitis.

p.6
Causes of Traumatic Injuries

What is the most common cause of embolic infarction?

Cardiac sources, such as myocardial infarction, valve diseases, and atrial fibrillation.

p.14
Malformations and Developmental Diseases

What is the radiosensitivity of Medulloblastoma?

Highly radiosensitive.

p.4
Malformations and Developmental Diseases

What is hydrocephalus?

Accumulation of excessive CSF in the ventricular system.

p.4
Malformations and Developmental Diseases

What are the complications of hydrocephalus in infants?

Head enlargement.

p.13
Malformations and Developmental Diseases

What are the characteristics of a Grade IV astrocytoma?

Irregular ill-defined grayish-white areas with yellow necrotic and red hemorrhagic areas.

p.9
Infections

What are the four main routes of entry of organisms into the nervous system?

1. Hematogenous spread, 2. Direct implantation (traumatic), 3. Local spread (e.g. from infection in air sinus), 4. Axonal spread (along peripheral nerves, e.g. in rabies).

p.7
Subarachnoid Hemorrhage

What complications can arise from subarachnoid hemorrhage?

Ischemia and infarction due to reflex spasm after rupture, and fibrosis of arachnoid leading to hydrocephalus.

p.6
Intracerebral Hemorrhage

What is the site of impaction for embolic infarction?

Middle cerebral artery at the bifurcation of vessels.

p.12
Malformations and Developmental Diseases

What factors influence the prognosis of CNS tumors?

Size, location, and grade of the tumor.

p.14
Malformations and Developmental Diseases

What skin manifestations are associated with Neurofibromatosis?

Café au lait skin patches.

p.2
Anencephaly

What is Anencephaly?

Complete failure of development of the brain.

p.2
Spina Bifida

What condition results from defective closure of the caudal end?

Spina bifida.

p.3
Intracerebral Hemorrhage

What are some causes of intracerebral hemorrhage?

Massive trauma, hypertension, arterial vascular diseases, and tumors.

p.4
Malformations and Developmental Diseases

What is cytotoxic edema?

Increased intracellular fluid due to cell injury, following ischemia or hypoxia.

p.11
Malformations and Developmental Diseases

What are potential complications of a brain abscess?

Pressure effects and spread of infection, which could be fatal.

p.13
Malformations and Developmental Diseases

What type of cells are found in Grade I astrocytoma?

Few bipolar cells with hair-like processes, Rodenthal fibers, and granular bodies.

p.9
Infections

What is acute meningitis?

Inflammation of the leptomeninges with CSF in the subarachnoid space.

p.8
Intracerebral Hemorrhage

What are the post-mortem findings in hypertensive encephalopathy?

Cerebral edema and fibrinoid necrosis of arterioles.

p.14
Malformations and Developmental Diseases

What is the grade of Medulloblastoma?

Grade IV.

p.14
Malformations and Developmental Diseases

What type of tumor is associated with Multiple Neurofibromatosis (Von Recklinghausen's Disease)?

Multiple neurofibromata.

p.5
Intracerebral Hemorrhage

What are the causes of increased intracranial tension?

Excess CSF, cerebral edema, space-occupying lesions (tumors, trauma, hemorrhage/hematoma, infarction with hemorrhage & edema, infections like abscess, TB, amoebic).

p.5
Causes of Traumatic Injuries

What is the most common cause of stroke?

Atherosclerosis leading to thrombosis and infarction.

p.4
Malformations and Developmental Diseases

What morphological changes occur in the brain due to edema?

Large size, wide gyri, and narrowed sulci and ventricles.

p.4
Malformations and Developmental Diseases

What can cause non-communicating hydrocephalus?

Obstruction of CSF flow due to congenital issues, post-inflammatory fibrosis, or tumors.

p.11
Degenerative Diseases

What are neuritic plaques composed of?

Areas of amyloid beta surrounded by neurites.

p.7
Intracerebral Hemorrhage

What is the leading cause of intracerebral hemorrhage?

Hypertension.

p.13
Malformations and Developmental Diseases

What is the prognosis for oligodendroglioma compared to astrocytoma?

Prognosis is better than astrocytoma.

p.8
Intracerebral Hemorrhage

What characterizes hypertensive encephalopathy?

Headache, confusion, vomiting, convulsions, and potentially coma.

p.6
Causes of Traumatic Injuries

What is paradoxical embolism?

Embolism from deep vein thrombosis (DVT) that bypasses the lung through an atrial septal defect (ASD) or ventricular septal defect (VSD).

p.14
Malformations and Developmental Diseases

What is the inheritance pattern of Multiple Neurofibromatosis?

Autosomal dominant disorder.

p.3
Intracerebral Hemorrhage

What type of hemorrhage occurs within the brain parenchyma?

Intracerebral hemorrhage.

p.4
Malformations and Developmental Diseases

What causes hydrocephalus?

Impaired flow or resorption of CSF.

p.13
Malformations and Developmental Diseases

What are the characteristics of WHO Grade II oligodendroglioma?

Rounded cells with a clear halo around the nucleus and calcifications.

p.7
Subarachnoid Hemorrhage

What is a common clinical symptom of subarachnoid hemorrhage?

Sudden severe headache.

p.9
Infections

What are common pathogens causing aseptic meningitis?

Enteroviruses, measles, mumps, and influenza.

p.9
Infections

What are the CSF changes in aseptic meningitis?

Excess lymphocytes, moderate proteins, and normal glucose.

p.12
Malformations and Developmental Diseases

What are the gross characteristics of meningiomas?

Rounded, well-defined, capsulated, whorly, grayish-white, and firm.

p.14
Malformations and Developmental Diseases

What percentage of brain tumors in children does Medulloblastoma account for?

20%.

p.4
Malformations and Developmental Diseases

What is cerebral edema?

Accumulation of fluid within the brain.

p.4
Malformations and Developmental Diseases

What complications can arise from hydrocephalus in children and adults?

Increased intracranial pressure, brain atrophy, or herniation.

p.13
Malformations and Developmental Diseases

What percentage of primary tumors in adults are astrocytomas?

80%.

p.13
Malformations and Developmental Diseases

What is the origin of ependymomas?

From ependymal cells lining the ventricles and spinal canal.

p.13
Malformations and Developmental Diseases

What complications can ependymomas cause in children?

Hydrocephalus, recurrent.

p.6
Intracerebral Hemorrhage

Where is cerebral infarction most extensive?

In the basal ganglia and thalamus.

p.12
Malformations and Developmental Diseases

What is the classification of meningiomas based on their location?

External and internal (ventricular), with more occurrence at the base.

p.12
Malformations and Developmental Diseases

What are the micro characteristics of benign meningiomas (WHO grade I)?

Syncitial with whorly pattern, indistinct borders, fibroblastic similar to fibroblasts with collagen, transitional (mixed), and psammomatus with excess psammoma bodies.

p.14
Malformations and Developmental Diseases

From which part of the brain does Medulloblastoma originate?

Cerebellum.

p.11
Degenerative Diseases

What morphological changes occur in Alzheimer's disease?

Cortical atrophy with widening of cortical sulci and ventricular dilation.

p.7
Intracerebral Hemorrhage

What type of necrosis is associated with infiltrated macrophages containing lipids from myelin breakdown?

Liquefactive necrosis.

p.6
Causes of Traumatic Injuries

What characterizes thrombotic infarction?

Thrombosis on top of atherosclerosis at the origin of the middle cerebral artery and basilar artery.

p.12
Malformations and Developmental Diseases

What are the complications associated with benign and malignant meningiomas?

Benign tumors may cause compression, while atypical and anaplastic tumors can lead to infiltrative and destructive complications.

p.14
Malformations and Developmental Diseases

What type of cells are characteristic of Medulloblastoma?

Highly cellular small malignant blue cells with Anaplasia forming rosettes.

p.14
Malformations and Developmental Diseases

Which cranial nerve is affected by Acoustic neuroma?

Cranial nerve VIII.

p.11
Malformations and Developmental Diseases

What is a common cause of brain abscesses?

Pyogenic bacterial infections from sinusitis, otitis media, or septic emboli.

p.13
Malformations and Developmental Diseases

What is the classification of astrocytomas based on grade?

Grade I: Pilocytic, Grade II: Diffuse Fibrillary, Grade III: Anaplastic, Grade IV: Glioblastoma.

p.8
Intracerebral Hemorrhage

What is the cause of intracerebral hemorrhage in hypertensive cerebrovascular disease?

Ruptured arteriosclerotic vessels or microaneurysms.

p.13
Malformations and Developmental Diseases

What complications can ependymomas cause in adults?

Compression of the spinal cord.

p.9
Infections

What are the CSF changes in septic meningitis?

Excess amount and turbid CSF, excess neutrophils, pus, bacteria, excess proteins, and reduced glucose.

p.6
Intracerebral Hemorrhage

What are the gross characteristics of cerebral infarction?

Swollen size, soft consistency, loss of definition between grey and white matter, and yellow or hemorrhagic color.

p.12
Malformations and Developmental Diseases

What characterizes atypical meningiomas (WHO grade II)?

Frequent abnormal mitoses.

p.11
Malformations and Developmental Diseases

What is the morphology of a brain abscess?

Irregular cavitation with surrounding edematous brain tissue.

p.11
Malformations and Developmental Diseases

What characterizes the wall of a chronic brain abscess?

A smooth wall with gliosis.

p.11
Degenerative Diseases

What is the most common cause of dementia in the elderly?

Alzheimer's disease.

p.7
Subarachnoid Hemorrhage

What is the primary cause of subarachnoid hemorrhage in individuals under 50?

Rupture of a berry aneurysm on the circle of Willis.

p.9
Infections

What are common pathogens causing septic meningitis?

Meningococci, pneumococci, E. coli, and beta streptococcus (in neonates).

p.9
Infections

What is the clinical picture of septic meningitis?

Fever, headache, irritability, photophobia, neck stiffness (meningeal irritation), and possible epilepsy if the brain is affected.

p.7
Intracerebral Hemorrhage

Where are intracerebral hemorrhages most commonly located?

In the basal ganglia (80%), thalamus, pons, cerebellum, and cerebral cortex.

p.13
Malformations and Developmental Diseases

What are the typical arrangements of cells in ependymomas?

Cells are arranged in rosettes or perivascular pseudorosettes.

p.8
Intracerebral Hemorrhage

What blood pressure level is associated with hypertensive encephalopathy?

A sudden sustained rise in diastolic blood pressure greater than 130 mm Hg.

p.12
Malformations and Developmental Diseases

What are the primary types of CNS tumors?

Meningioma, gliomas (astrocytoma, oligodendroglioma, ependymoma), neuronal tumors (neuroblastoma, ganglioneuroma, ganglioneuroblastoma), nerve sheath tumors (schwannoma, neurofibroma), vascular tumors (hemangioma), pineal body tumors, choroid plexus adenoma & carcinoma, embryonic tumors (medulloblastoma), and malformative masses (craniopharyngioma, cystic lesions).

p.12
Malformations and Developmental Diseases

What defines anaplastic malignant meningiomas (WHO grade III)?

Sarcomatoid features.

p.14
Malformations and Developmental Diseases

What age group is primarily affected by Medulloblastoma?

Children less than 6 years old.

p.14
Malformations and Developmental Diseases

What is the origin of Neurofibroma Schwannoma?

Sensory nerves.

p.14
Malformations and Developmental Diseases

What are some complications of intracranial tumors?

Compression & edema, hemorrhage, hydrocephalus, herniation of brain.

p.7
Subarachnoid Hemorrhage

What are some other causes of subarachnoid hemorrhage?

Trauma, tumor, and vascular malformations.

p.8
Intracerebral Hemorrhage

What are lacunar infarcts?

Small, cavitary infarcts of the deep grey matter in the basal ganglia and thalamus due to occlusion of a single penetrating branch of a large cerebral artery.

p.9
Infections

What morphological changes occur in the meninges during septic meningitis?

Thick swollen meninges with pus and fibrin in the subarachnoid space and ventricles, and dilated vessels.

p.6
Intracerebral Hemorrhage

What is cerebral infarction?

Liquefactive necrosis of the brain caused by cerebral arterial occlusion by a thrombus or an embolus.

p.14
Malformations and Developmental Diseases

What is the characteristic of Neurofibromas in terms of encapsulation?

Not capsulated, fusiform expansion.

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