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Exam (elaborations)

Patho final neuro 2 Exam

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  • Patho neuro 2
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  • Patho Neuro 2

Patho final neuro 2 Exam Patho final neuro 2 Exam Patho final neuro 2 Exam

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  • October 23, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Patho neuro 2
  • Patho neuro 2
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lectjoseph
Patho final neuro 2 Exam
What causes increased intracranial pressure? - ANS - increased volume in the cranium

- the skull does not expand in adults



When volume increases in the brain, what compensates? - ANS CSF and blood volume shifts



Causes of increased intracranial pressure - ANS traumatic brain injury, tumor, hydrocephalus, cerebral
edema, and hemorrhage



cranial hemorrhage causing increased intracranial pressure - ANS blood that forms a lesion that takes up
space in the closed cranium

- blood is toxic to brain cells and places pressure on brain tissue



Brain tumor causing increased intracranial pressure - ANS - Excess tumor tissue changes the equilibrium
of the ICP's components

- compresses vessels... diminishes blood flow leading to venous congestion & increased hydrostatic
pressure---leads to edema.



Inflammation causing increased intracranial pressure - ANS increases permeability of vessels leading
edema.



Intracranial Hypertension (intracranial pressure) diagnosis - ANS •History & physical exam

•Glasgow Coma scale

•Head CT, MRI



Intracranial Hypertension (intracranial pressure) treatment - ANS - depends on cause (bleed, tumor,
hydrocephalus, meningitis).

, - Rest the brain

•Prevent increases in ICP

•Prevent complications



Manifestations of Intracranial Hypertension - ANS - dec LOC

- Vomiting (often projectile)

−Rising blood pressure

−Increasing pulse pressure

−Bradycardia

−Papilledema

−Fixed and dilated pupils

−Posturing



What is Cushing's triad? - ANS - increased blood pressure, bradycardia, and Cheyne-Stokes respiratory
pattern

- this is a late sign indicating herniation.



What is brain herniation - ANS -is when brain tissue, cerebrospinal fluid, and blood vessels are moved or
pressed away from their usual position inside the skull



Autoregulation - ANS the ability of tissues to regulate their own blood supply

- vessels constrict if ICP increases



Cushing's reflex - ANS •hypothalamus increases sympathetic stimulation when the mean arterial
pressure drops below the ICP.

- vasoconstriction, inc cardiac contractility and output

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