13 Cranial Base and Topography of the Endocrine System Flashcards
What are the 2 divisions of the neurocranium?
Chondrocranium
Membranous neurocranium
How does the chondrocranium ossify?
endochondral route
How does the membranous neurocranium ossify?
intramembranously
Which landmark in the skull marks the division between anterior and posterior cranial bases?
sella turica
What is the embryological origin of the anterior cranial base?
neural crest cells
What is the embryological origin of the posterior cranial base?
paraxial mesoderm
What is the embryological origin of the adenohypophysis?
Rathke’s pouch
What is the embryological origin of the neurohypophysis?
diencephalon
How might you divide the cranial base into 3 parts?
anterior fossa
middle fossa
posterior fossa
Which fossa of the cranial base is the highest?
anterior fossa
what are the 5 bones of the cranial base?
ethmoid frontal sphenoid temporal occipital
Where does the faux cerebri attach anteirorly?
crista galli
Which bones comprise the anterior boundary of the cranial base?
upper surface of ethmoid (horizontal and perpendicular plate)
orbital plate of frontal bone
Which bones comprise the middle portion of the cranial base?
sphenoid bone
temporal bone
Whihc bones comprise the posteior bouundary of the cranial base?
occipital bone
What is the ethmoid bulla?
the largest and most consistent anterior ethmoid air cell
What are the potential consequences of an ethmoid fracture?
tearing of meninges at crista galli
anosmia
CSF rhinorrhea
What test would you use quickly to test for rinorrhea?
ring sign
What lies between the greater and lesser wings of the sphenoid?
superior orbital fissure
What pit is within the sella turcica?
hypopyhseal fossa
What structure allows the pituitary stalk to descend?
foramen sellae
Name 6 parts of the temporal bone
squamous mastoid tympanic styloid zygomatic petrous
What is the most dense bone in the body?
petrous temporal bone (survives cremation)
Where in the cranial base is the petro-occipital fissure?
lateral to foramen magnum
What are the contents of the optic canal?
CN II
Opthalmic artery
What are the contents of the superior orbital fissure?
CN III CN IV CN V1 CNVI opthalmic veins
What are the contents of the foramen rotundum?
CN V2
What are the contents of the foramen ovale?
CN V3
What are the contents of the foramen spinosum?
Middle meningeal Artery Meningeal nerve (V3)
What covers the foramen lacerum?
plate of cartilage
What are the contents of the foramen lacerum?
external carotid canal
greater petrosal nerve
deep petrosal nerve
what links the foramen lacerum and the pterygopalatine fossa?
pterygoid canal
What lies in the pterygopalatine fossa?
sphenopalatine ganglion
Which 2 bones mark the boundaries of the foramen lacerum?
petrous temporal bone
sphenoid bone
What lies in the pterygoid canal?
vidian nerve
What links the pterygopalatine fossa and the foramen lacerum?
pterygoid canal
What links the foramen lacerum and jugular foramen?
petro-occipital fissure
What is the posterior extension of the jugular foramen called?
hypoglossal canal
What 2 foramena are connected to teh pterygopalatine fossa?
foramen lacerum foramen rotundum (higher level)
What foramina are between sphenoid spine and foramen rotundum?
foramen ovale
foramen spinosum
What indicator arouund the ear would suggest serious cranial base injury?
battle sign (ecchymosis)
What sign on the face might indicate cranial base injury?
Racoon’s eyes
Name the 3 major pathways for CSF rhinorrhoea
anterior cranial fossa
middle cranial fossa
posterior cranial fossa
Which sinus lies underneath cavernuos sinus?
sphenoid sinus
What structure marks the pasage of the internal carotid artery through the carotid sinus?
Carotid siphon
What is Rathke’s pouch?
a finger of ectoderm which grows upwards from the roof of the mouth, ultimately forming the adenohypophysis
Name 4 types of supratentorial herniation
uncal
central (transtentorial)
Cingulate (subfalcine)
transcalvarial
NAme 2 types of infratentorial herniation
Upward (upward cerebellar or transtentorial)
tonsillar (downward cerebellar)
Tonsillar infratentorial herniation, what does the cerebellar tonsil compress against?
medulla
How might tonsillar herniation present on a radiograph?
coning