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Glossary of Terms
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GLOSSARY OF TERMS

ABCESS - A circumscribed collection of pus

ANEURYSM - A sac formed by local enlargement of the weakened wall of an artery, caused by disease or injury

ANGIOGRAM - A study which shows the blood vessels leading to and in the brain by injecting a dye or contrast substance through a catheter placed in the artery in the leg

ARACHNOID - Middle layer of membranes covering the brain and spinal cord

ATROPHY - A wasting of the tissues of a body part

BIOPSY - Removal of a small portion of tissue, usually for the purpose of making a diagnosis

CAROTID ARTERY - Large artery on either side of the neck which supplies most of the cerebral hemisphere

CARPAL TUNNEL - Space under a ligament in wrist through which the median nerve enters the palm of the hand

CAUDA EQUINA - The bundle of spinal nerve roots arising from the end of the spinal cord and filling the lower part of the spinal canal(from approximately the thoraco-lumbar junction down)

CEREBELLUM - The lower part of the brain which is beneath the posterior portion of the cerebrum and regulates unconscious coordination of movement

CEREBROSPINAL FLUID - Water-like fluid produced in the brain that circulates around and protects the brain and spinal cord

CEREBRUM - The principal portion of the brain, which occupies the major portion of the interior of the skull and controls conscious movement, sensation and thought

CERVICAL - Of or pertaining to the neck

CERVICAL SPINE - The spinous process of a cervical vertebra

CHRONIC PAIN - Pain of long duration or frequent recurrence

CONCUSSION - A disruption, usually temporary, of neurological function resulting from a blow or violent shaking

CORTEX - The external layer of gray matter covering the hemispheres of the cerebrum and cerebellum

CRANIUM - The part of the skull that holds the brain

CRANIECTOMY - Excision of a portion of the skull

CRANIOPLASTY - The operative repair of a defect of the skull

CRANIOTOMY - Opening of the skull, usually by creating a flap of bone

CSF - Cerebrospinal Fluid

CT SCAN - (Computed Tomography Scan): A diagnostic imaging technique in which a computer reads x-rays to create a three-dimensional map of soft tissue or bone

CYST - An abnormal sac containing gas, fluid, or a semisolid material

DISC - The intervertebral disc - cartilaginous cushion found between the vertebrae of the spinal column. It may bulge beyond the vertebral body and compress the nearby nerve root, causing pain. The terms "slipped disc", "ruptured disc" and "herniated disc" are often used interchangeably even though there are subtle differences.

DOPPLER - A non-invasive study which uses sound waves to show the flow in a blood vessel and can be used to determine the degree of narrowing (percent stenosis) of the vessel. A wand is placed on the skin over the vessel to be imaged. This study has no risks and is not painful.

DURA MATER - A tough fibrous membrane which covers the brain and spinal cord, but is separated from them by a small space

ELECTROENCEPHALOPGRAHY (EEG) - The study of the electrical currents set up by brain actions; the record made is called an electroencephalogram

ELECTROMYOGRAPHY (EMG) - A method of recording the electrical currents generated in a muscle during its contraction

EPENDYMA - The membrane lining the cerebral ventricles of the brain and central canal of the spinal cord

EPENDYMOMA - A growth in the brain or spinal cord arising from ependymal tissue

EPIDURAL - Immediately outside the dura mater

EPIDURAL HEMATOMA - A blood clot between the dura mater and the inside of the skull

EPILEPSY - Disorder characterized by abnormal electrical discharges in the brain, causing abnormal sensation, movement or level of consciousness

EXTRADURAL - Immediately outside the dura mater

FORAMINOTOMY - Surgical opening or enlargement of the bony opening traversed by a nerve root as it leaves the spinal canal

GLIA (Also termed neuroglia) - The major support cells of the brain. These cells are involved in the nutrition and maintenance of the nerve cells

GLIOMA - A tumor formed by glial cells

GLIOBLASTOMA - A rapidly growing tumor composed of primitive glial cells, mainly arising from astrocytes

HEMATOMA - A blood clot

HEMORRHAGE - Bleeding due to the escape of blood from a blood vessel

HERNIATED NUCLEUS PULPOSUS (HNP) - An intervertebral disk in which the nucleus pulposus has protruded through the surrounding fibrocartilage. It occurs most frequently in the lower lumbar region, less commonly in the cervical region. Mild to severe symptoms may result from pressure on spinal nerves. Also called ruptured or slipped disk

HYDROCEPHALUS - A condition, often congenital, marked by abnormal and excessive accumulation of cerebrospinal fluid in the cerebral ventricles. This dilates the ventricles and in infants and young children causes the head to enlarge

HYDROMYELIA - Expansion of the spinal cord due to increased size of the central canal of the cord which is filled with CSF

INTRACEREBRAL HEMATOMA - A blood clot within the brain

INTRACRANIAL PRESSURE (ICP) - The overall pressure inside the skull

LAMINA - The flattened or arched part of the vertebral arch, forming the roof of the spinal canal

LAMINECTOMY - Excision of one or more lamina of the vertebrae

LAMINOTOMY - An opening made in a lamina

LUMBAR - Of or pertaining to the lower back

LUMBAR SPINAL STENOSIS - Constriction or narrowing, especially of a lumen or orifice

LUMEN - The space inside of a tube

MAGNETIC RESONANCE ANGIOGRAPHY (MRA) - A non-invasive study which is conducted in a Magnetic Resonance Imager (MRI). The magnetic images are assembled by a computer to provide an image of the arteries in the head and neck. No contrast material is needed, but some patients may experience claustrophobia in the imager.

MAGNETIC RESONANCE IMAGING (MRI) - Diagnostic test that produces three-dimensional images of body structures using powerful magnets and computer technology rather than x-rays

MEDIAN NERVE - The nerve formed from the brachial plexus that supplies muscles in the anterior forearm and thumb, as well as, sensation of the hand. It may be compressed or trapped at the wrist in carpal tunnel syndrome

MEDULLOBLASTOMA - Tumor composed of medulloblasts which are cells which develop in the roof of the fourth ventricle (medullary velum)

MENINGES - The three membranes covering the spinal cord and brain termed dura mater, arachnoid mater and pia mater

MENINGIOMA - A firm, often vascular, tumor arising from the coverings of the brain.

MENINGITIS - An infection or inflammation of the membranes covering the brain and spinal cord

MENINGOCELE - A protrusion of the coverings of the spinal cord or brain through a defect in the skull or vertebral column

MENINGOENCEPHALITIS - An inflammation or infection of the brain and meninges

MENINGOENCEPHALOCELE - A protrusion of both the meninges and brain tissue through a skull defect

MYELOGRAM - An x-ray of the spinal canal following injection of a contrast material into the surrounding cerebrospinal fluid spaces

MYELOPATHY - Any functional or pathologic disturbance in the spinal cord

MYELOMENINGOCELE - A protrusion of the spinal cord and its coverings through a defect in the vertebral column.

MYOPATHY - Any disease of muscle

NEOPLASM - Tumor

NEUROPATHY - Any functional or pathologic disturbance in the peripheral nervous system

NEUROSURGERY - Surgery of the Nervous System

ORIFICE - An opening to a cavity or tube

SACRUM - The last lumbar vertebra

SHUNT - A tube or device implanted in the body (usually made of Silastic) to redivert excess CSF away from the brain to another place in the body

SPINA BIFIDA - A congenital defect of the spine marked by the absence of a portion of the spine

SPINAL FUSION - Operative method of strengthening and limiting motion of the spinal column. Can be performed with a variety of metal instruments and bone grafts, or bone grafts alone

SPONDYLOLISTHESIS - Forward displacement of one vertebra on another

SPONDYLOSIS - Degenerative bone changes in the spine usually most marked at the vertebral joints

STENOSIS - Narrowing

STROKE - Cerebrovascular accident of sudden onset

SUBARACHNOID HEMORRHAGE - Blood in, or bleeding into, the space under the arachnoid membrane, most commonly from trauma or from rupture of an aneurysm

SUBDURAL HEMATOMA - A collection of blood (clot) trapped under the dura matter, the outermost membrane surrounding the brain and spinal cord

SYRINGOMYELIA - A fluid filled cavity in the spinal cord

THORACI SPINE - the 12 vertebrae associated with the chest and ribs

TRANSSPHENOIDAL APPROACH - Operative method of reaching the pituitary gland or skull base traversing the nose and sinuses

TUMOR - Any abnormal mass resulting from the excessive multiplication of cells

ULTRASOUND - The use of high-frequency sound to create images of internal body structures.

VALVE - Device placed in a shunt system to regulate the rate and direction of CSF flow

VENTRICLE - The cavities or chambers within the brain which contain the cerebrospinal fluid. There are two lateral ventricles and midline third and fourth ventricles

VENTRICULITIS - Inflammation and/or infection of the ventricles

VENTRICULOSTOMY - An opening into the ventricles of the brain, such as by inserting a small, thin, hollow catheter

VENTRICULAR DRAINAGE - Insertion of a small tube into the ventricles to drain cerebrospinal fluid, usually when pressure is increased

VERTEBRA- Any of the thirty-three bones of the spinal column

X-RAY - Application of electromagnetic radiation to produce a film or picture of a bone or soft-tissue area of the body

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