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Disturbances of CSF and ventricular structures
N/A
28
Anatomy
Graduate
01/28/2012

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Term
What is the normal composition and complexion of cerebrospinal fluid?
Definition
Colorless, clear, contains few cells and little protein
Term
Infections such as meningitis or abscesses produce CSF with what kind of complexion?
Definition
Cloudy
Term
Red blood cells in cerebrospinal fluid is common in cases of what?
Definition
Subarachnoid hemorrhage
Term
A yellow discoloration of cerebrospinal fluid (xanthrochromia) is indicative of what?
Definition
Presence of oxyhemoglobin in cerebrospinal fluid due to subarachnoid hemorrhage
Term
Primary CNS tumors have what effect on cerebrospinal fluid? What does this occur?
Definition
Elevates protein levels because CNS tumors do not have a blood cerebrospinal fluid barrier or a blood brain barrier
Term
What are some other cerebrospinal fluid composition indicators of pathology?
Definition
Glucose composition and the detection of neurotransmitter metabolites
Term
What marker for idiopathic Parkinson's disease can be detected in CSF composition?
Definition
Decrease in catecholamine neurotransmitter metabolites
Term
Skull fractures can produce a leak of CSF into where?
Definition
Nasal cavities or the external auditory meatus, can cause spread of bacteria into the meninges
Term
Lesions bewteen the meningeal dura and arachnoid or disruptions of the arachnoid membrane are known as what?
Definition
Hygromas
Term
What is the common consequence of hemorrhages that spread into the ventricular system?
Definition
Death
Term
Increases in intracranial pressure related to a block in CSF flow is known as what?
Definition
Hydrocephalus
Term
An elevated CSF pressure is generally considered to be in what range?
Definition
200-600 mm H20
Term
Where can CSF pressure be measured?
Definition
Lumbar cistern, epidural, subarachnoid, intraventricular, intraperynchymal (in brain tissue)
Term
What are some symptoms of increased intracranial pressure due to CSF flow?
Definition
Altered levels of consciousness, papilledema, forced downward gaze, seizures, vomiting, Cushing's triad
Term
What is defined as Cushing's triad?
Definition
Hypertension, bradycardia, irregular respiration
Term
An increase in CSF pressure in some parts of the ventricles due to obstruction of the flow of CSF by a physical blockage is known as what?
Definition
Non-communicating hydrocephalus
Term
Where are potential sites of non-communicating hydrocephalus?
Definition
Interventricular foramina, cerebral aqueduct, caudal portions of the fourth ventricle, foramina of the fourth ventricle
Term
An expansion of the lateral ventricles without an increase in size of the third or fourth ventricles would indicate a blockage at what point?
Definition
Interventricular foramen of Monro
Term
What enlarges if the fourth ventricle or foramina of the fourth ventricle is blocked?
Definition
All ventricles
Term
Pressure of CSF naturally varies with what body functions?
Definition
Pulse and respiration
Term
A lack of change in CSF pressure in response to compression of the internal jugular veins is an abnormal sign known as what?
Definition
Queckendtedt's sign
Term
What might occur during a lumbar puncture if increases CSF pressure is present?
Definition
Higher pressure in the cranial compartment may produce a herniation into the spinal column
Term
Total or partial blockage of CSF movement into the venous system is known as what?
Definition
Communicating hydrocephalus
Term
What parts of the ventricular system will be enlarged in cases of communicating hydrocephalus?
Definition
All parts
Term
Disruptions of arachnoid granulations and the waxing and waning of CSF pressure over time is characteristic of what?
Definition
Normal pressure hyrdocephalus
Term
What might cause normal pressure hydrocephalus?
Definition
Chronic meningitis, subarachnoid hemorrhage, osteitis deformans (Paget disease) of the base of the skull
Term
What some symptoms of normal pressure hydrocephalus?
Definition
Urinary problems, impaired gait, dementia, can mimic Alzheimer's and Parkinson's disease
Term
What form of hydrocephalus is not a true hydrocephalus and a result of general atrophy of the brain and relatively larger ventricles because of a loss of white matter, possibly due to ventricular enlargement following a stroke?
Definition
Hydrocephalus ex Vacuo
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