Brain Tumours and Intracranial Haemorrhage Flashcards

1
Q

what is the most common extra-axial tumour?

A

meningioma

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2
Q

meningioma arises from which cell type?

A

residual mesenchymal cells in the meninges

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3
Q

name other brain tumours?

A

pituitary adenoma

choroid plexus papilloma

acoustive neuroma (vestibular schwannoma)

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4
Q

bilateral acoustic neuroma cud indicate which underlying condtion?

A

neurofibromatosis type 2

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5
Q

how do brain tumours generally present?

A

headaches

vomiting

mental changes

seizures

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6
Q

how are astrocytic tumours graded?

A

1-4 based on severity

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7
Q

which tumour grades are malignant and which are benign?

A

Grade I- benign

Grade II- low grade

Grade III/IV- malignant

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8
Q

who is affected by pilocytic astrocytoma?

A

children and young adults

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9
Q

what is the curative treatment for pilocytic (gradeI I) astrocytic tumours?

A

surgery

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10
Q

which grade astrocytome presents with seizures?

A

low grade astrocytome (grade II)

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11
Q

what is a grade IV astrocytoma called?

A

glioblastoma

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12
Q

what is usually the underlying cause of subarachnoid haemorrhage?

A

underlyign berry aneurysm

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13
Q

where are berry aneurysms most liekly to form?

A

bifurcation of arteries due to turbulent blood flow

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14
Q

how does subarachnoid haemorrhage usually present?

A

sudden onset severe headache

collapse

vomiting

neck pain

photophobia

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15
Q

how is subarachnoid haemorhage diagnosed?

A

CT brain

LP if -ve

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16
Q

how may LP appear in subarachnoid haemorrhage?

A

xanthochromic- be wary of traumatic tap

17
Q

what is gold standard in diagnosing aneurysm?

A

cerebral angiography

18
Q

what are some complications of haemorrhage?

A

rebleeding

delayed ischameic effect- keep patients hydrated

hydrocephalus

hyponatraemia

19
Q

why does intracerbral haemorrhage occur?

A

hypertension

aneurysm

arteriovenous malformation

20
Q

what are arteriovenous malformations?

A

high flow abnormal connections between arteries and veins

can present w ischameic problems as they are stealing blood from one area for another