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malformations of the nervous system
neuro module
18
Medical
Professional
12/02/2009

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Term
dysraphism
Definition
disturbances due to abnormal closure of the neural tube
Term
spina bifida
Definition
most common CNS malformation; most frequently occurs in lumbosacral area; related to folate deficiency in pregnancy
Term
meningocele
Definition
protrusion of arachnoid and subarachnoid space through the bony defect - cystic protrusion
Term
meningomyelocele (myelomeningocele)
Definition
meningocele accompanied by a portion of the spinal cord and nerves
Term
spina bifida aperta
Definition
open neural groove, blending of neural ectoderm and skin; serious neurologic consequences
Term
congenital dermal sinus
Definition
meninges come out and open to skin - can be infection, loss of barrier; surgically closed at birth
Term
spina bifida occulto
Definition
clinically unimportant; not visible though individuals often have a little tuft of hair over region on back
Term
encephalocele
Definition
brain's analogue of meningomyelocele; usually found in the occipital region or posterior fossa
Term
anencephaly
Definition
brain's analogue of spina bifida aperta, absence of brain and calvarium at the anterior end of the neural tube; jumble of red area of disorganized neural tissue, meninges, choroid plexus and ependymal (area cerebrovasculosa), disruption occurs at ~28 days; cranial vault does not form, ears malformed, eyes often normal
Term
holoprosencephaly
Definition
defective separation of the prosencephalon into two cerebral hemispheres, thus single prosencephalon; associated with severe midline facial defects; associated with trisomies 13 and 18; maternal ingestion of cyclopamin in animals; cleft lip/palate, abnormalities of limbs; very little gyral and sulcal formation
Term
arhinencephaly
Definition
loss of the olfactory bulbs and tracts; often associated with midline facial defects, such as cleft lip/palate
Term
agenesis of the corpus callosum
Definition
may accompany holoprosencephaly or be isoloated; not life threatening
Term
porencephaly/hydranencephaly
Definition
cavities in the brain due to tissue destruction or failure of formation
Term
lissencephaly/agyria/pachygyria
Definition
all refer to a lack of gyral folding and sulcus formation; have been attributed to specific genetic abnormalities, such as the gene encoding the microtubule-associated protein LIS-1; pachy = thickened; not enough neurons and not arranged in the right way
Term
microgyria/polymicrogyria
Definition
little tiny folds that mimic gyri; not real gyri, don't form right connections, jumbled, not enough layers; up branching of white matter into cortex; sometimes band of conspicuous white matter present - heterotopic cortex, gray matter does not migrate up, in wrong place
Term
Arnold-Chiari malformation
Definition
1. elongation of the medulla and 4th ventricle
2. protrusion of the posterior portion of the cerebellar vermis through the foramen magnum, thus lying dorsal to the elongated medulla
3. flattening and "beaking" of the quadrigeminal plate
-almost always associated with spina bifida, typipcally with a lumbosacral meningomyelocele
-most develop hydrocephalus
Term
Dandy-Walker malformation
Definition
characterized by an enlarged posterior fossa; cerebellar vermis is absent or rudimentary, and in its place is a midline cyst lined by ependyma; cyst represents expanded 4th ventricle
Term
cerebral palsy
Definition
term used to describe neurologic deficits which are noted soon after birth and don't progress; no unifying neuropathologic correlate and may be caused by malformative or destructive lesions or may follow perinatal hypoxia/ischemia. Discrete and nonprogressive.
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