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Exam 2
Trauma-induced Lesions of CNS
15
Veterinary Medicine
Professional
02/20/2017

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Cards

Term
Mild blow to the head may cause ______ and a more serious blow to the head may cause ______. An even more severe blow or penetrating wound may cause ______.
Definition
-concussion
-contusion
-laceration
Term
What is a concussion? Lesions?
Definition
-transient metabolic disturbance in neurons due to trauma and resulting in unconsciousness
-no gross or microscopic lesions
Term
What is a contusion? Types?
Definition
-due to direct damage where brain impacts skull causing hemorrhage
-epidural, subdural, intratehcal
Term
What is a countrecoup contusion (aka diffuse contusion)?
Definition
-brain hits skull so hard that it rips menigneal vessels opposite of the impaction side
Term
What is a laceration?
Definition
-penetrating wound from skull fragments or other object OR severe shearing force due to blunt trauma
Term
Which animals are most commonly affected by vertebral instability?
Definition
-horses & large breed dogs
Term
Which animals are most commonly affected by vertebral malformation & malarticulation?
Definition
-Equine Cervical Stenotic Myelopathy (Wobbles)
Term
Which animals are most commonly affected by disc dz?
Definition
-dogs, occassionally cats
Term
Describe the vertebral malarticulation seen w/ Wobbelrs.
Definition
-articular facets are commonly severely ulcerated due to poort articulation and instability
-gross lesions of cord: often not visible, if present, subtle discoloration
Term
What is cervical stenotic myelopathy? What does it look like?
Definition
-basic lesion: Wallerian degen of ventrolateral spinal cord
-miscroscopically: vacuolation of spinal cord white matter
Term
What is Hansen Type I intervertebral disk dz?
Definition
-annulus fibrosis ruptures dorsally and nucleus pulposus forcibly extrudes into canal causing severe spinal cord trauma w/ contusion and necrosis
Term
What is Hansen Type II intervertebral disk?
Definition
-disk material herniates into the spinal canal w/ intact annulus fibrosis and cuases mild blunt trauma similar to Wobblers
Term
Which dogs are most commonly affected by intervertebral disk dz? Where anatomically?
Definition
-chondrodysplastic and mini breeds
-cervical and lumbar most commonly affected
Term
Which cats are most commonly affected by intervertebral disk dz? Anatomic location? Clinical signs?
Definition
-cats > 8y
-lumbar
-CS ranging from ataxia to incontinence
Term
What is ascending myelomalacia?
Definition
-aka progressive hemorrhagic myelomalacia or ascending hematomyelia
-following severe Hansen type I disk dz, hemorrhage and necrosis may progress from site of rupture up spinal cord
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