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375lar ppt.ppt ) - İstanbul Üniversitesi · Hydrocephalus • A syndrome, or sign, resulting from...

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Beyin yapıları • Protected by: • Skull Liquid: meninges, CSF Liquid: meninges, CSF • Blood-brain barrier: - tight controls over what enters the brain from the blood - due to tighter junctions and…?!
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Page 1: 375lar ppt.ppt ) - İstanbul Üniversitesi · Hydrocephalus • A syndrome, or sign, resulting from disturbances in the dynamics of cerebrospinal fluid (CSF), which may be caused

Beyin yapıları

• Protected by:

• Skull

• Liquid: meninges, CSF• Liquid: meninges, CSF

• Blood-brain barrier:

- tight controls over what enters the brain from the blood

- due to tighter junctions and…?!

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Dura Mater

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Meninksler (s. meninx)MSS’in dış yüzünde konnektif dokudan oluşmuş üç memran bulunur– dura mater, arachnoid mater, and pia mater

Fonksyonları:

MSS’ni sarar ve onu korurkorur

Kan damarlarını korur ve venous sinusleri enclose

SSS içerir

Kafatası içerisindepartitions oluşturur.

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Meninges

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Dura MaterMeninksler, 2 fibröz CT ltabakadan oluşmuştur. Bu tabakalar birbirlerinden beynin belirli bölgelerindede ayrılarak Dural sinusleri oluştururlar. Bu sinüsler de beyinden venöz kanı toplarlar

3 dural septa beynin aşırı hareketlerini sınırlar3 dural septa beynin aşırı hareketlerini sınırlar

Falx cerebri – longitudinal fissur’ün içlerine dips dural kıvrım

– Falx cerebelli – serebellum’un vermisi boyunca uzanır

- Tentorium cerebelli – transvers fissure içine uzanan horizontal kıvrımdır

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Arachnoid MaterDura mater’den subdural aralık ile ayrılır (Dar serözboşluk)

Beneath the arachnoid geniş subarachnoid spacebulunur ve burasıSSS ile doludur, büyük kan damarlarını içerir

Arachnoid villi protrude superiorly ve SSS venöz kana absorbe edilmesinisağlarabsorbe edilmesinisağlar

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Pia MaterEn derinde yer alır – ince ve hassastır beyne

yapışık olarak tüm kıvrımlarını takip eder

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Serebrospinal Sıvı (SSS)

Watery, similar in composition to blood plasma, but contains less protein and different ion concentrations than plasma

Forms a liquid cushion that gives buoyancy to the CNS organs, prevents the brain from crushing under its own organs, prevents the brain from crushing under its own weight

Protects the CNS from blows and other trauma

Nourishes the brain and may carry chemical signals from one part of the brain to another

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Choroid PlexusClusters of interwoven capillaries in each ventricle

between the pia mater and a layer of ependymal cells.

Iyon pompaları ile

SSS iyon

konsantrasyonlarını konsantrasyonlarını

değiştirir

Artıkların atılımını

sağlayarak SSS’ın

temizlenmesine

yardımcı olur

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Circulation of CSF

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Blood-Brain BarrierProtective mechanism that helps maintain a stable environment for the brain

Bloodborne substances in brain capillaries are separated from neurons by:

Continuous endothelium of capillary walls

Relatively thick basal laminaRelatively thick basal lamina

Bulbous feet of astrocytes

Least permeable capillaries in the body due the nature

of the tight junctions between endothelial cells

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Blood-Brain Barrier: Functions

Selective barrier that allows nutrients to pass freely

Is ineffective against substances that can diffuse through plasma membranes (fats, gasses, alcohol)

Absent in some areas (vomiting center and the hypothalamus), allowing these areas to monitor the hypothalamus), allowing these areas to monitor the chemical composition of the blood

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Hydrocephalus

• A syndrome, or sign, resulting from disturbances in the dynamics of cerebrospinal fluid (CSF), which may be caused by several diseases.caused by several diseases.

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Patofizyoloji

• CSF is formed by two mechanisms:– Secretion by the choroid plexus,

– Lymphatic-like drainage by the extracellular fluid in brain.

CSF circulates thru ventricular system and is

absorbed within subarachnoid spaces by

unknown mechanism.

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VP shunt

• Used in neonates and young infants

• Greater allowance for excess tubing; which minimizes number of revisions needed as child growsneeded as child grows

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SPINA BIFIDA

• Neural Tube defektlerikongenital anomalilerinen büyük gurubu oluşturur .

• Failure of neural tube to • Failure of neural tube to close produces defects of either entire neural tube or small areas.

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SPINA BIFIDA


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