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Neurofibromatosis (Morbus Recklinghausen)
Neurofibroms – schwanomas At periferal nerves – periferal paresis At roots – root´s sy, spreading to spinal chanel – compresion of the spinal cord Autosomal dominant Chromosome 17, 22
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Neurofibromatosis (Morbus Recklinghausen)
Intracranial – n.VIII., II., epileptic seizures, ICH Risk of malignity Neurofibromas at skin Changes at skin – café-aulait
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Neurofibromatosis (Morbus Recklinghausen)
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Neurofibromatosis (Morbus Recklinghausen)
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Ataxia teleangiectasia Louis-Barov sy
Cerebellar ataxia Later teleangiektasie – conjuctives, skin Pat.-anat. – degeneration of Purkyne cells and granular cells Gen ATM also risk of cancer
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Hydrocephalus Enlargment of external and internal space of CSF
CSF – origin in plexus chorioideus lateral ventricles, III., IV. ventricle To cisterna cerebellomedularis (magna), resorption through pacchion´s granulations to sinus sagitalis superior and blood circulation
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Hydrocephalus
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Hydrocephalus Obstructive – tumors of IIIth. ventricle, atresion, stenosis, gliosis, malformation of aqueduc Sylvii, tumors of fossa posterior, obstruction of foramen Magendi, Luschkae, malformations Communicant – obliteration of cysterns (inflammation), obliteration of subarachnoideal space after bleeding, subdural haematoma
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Hydrocephalus „e vacuo“ – loss of brain tissue Clinical feature
Big cranium, knocking on the head – sound of crack pot, eyes – sign of sunset
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Hydrocephalus
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Therapy of hydrocephalus
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Basilar impression
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Klippel-Feil
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