2.2&3 Anatomy of the NS - Meninges, CSF, Blood Supply, Grey & white matter, Spinal Cord Flashcards

1
Q

MENINGES are the 3 LAYERS of MEMBRANES that cover the Brain and are continuous with the Spinal Cord.

layers:

A

DURA - TOUGH OUTER LAYER

ARACHNOID - Spider web

PIA - THIN, INNER LAYER that ADHERES to SURFACE of BRAIN/SPINAL CORD

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2
Q

DURA has many different reflections consisting of how many LAYERS

A

2 LAYERS but only 1 PASSES THROUGH FORAMEN MAGNUM

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3
Q

ARACHNOID is the delicate MIDDLE layer that lines the Dura matter and DEEP to this is the..

A

SUB-ARACHNOID with CSF

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4
Q

PIA - inner layer firmly attached to surface of brain or spinal cord- FORMS what that ATTACH to ARACHNOID and DURA

A

DENTICULATE LIGAMENTS

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5
Q

VENTRICULAR SYSTEM of the BRAIN has how many VENTRICLES
how are they named

A

4

LATERAL ventricles (2)
3RD ventricle (near thalamus)
4TH ventricle (at level of cerebellum)

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6
Q

VENTRICLES of brain do what

A

CSF - PRODUCTION and CIRCULATION

spaces filled with CSF

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7
Q

CSF is PRODUCED by what in ALL ventricles

A

CHOROID PROCESS

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8
Q

what does CSF help with

A

CHEMICAL STABILITY
NUTRIENTS
PROTECTION of brain

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9
Q

how does CSF PASS BETWEEN VENTRICLES

A

through VENTRICULAR FORAMEN

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10
Q

approx how much CSF in the VENTRICULAR and SUBARACHNOID SPACES

A

150 ml

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11
Q

CSF is continuously produced by choroid plexus, circulated and REABSORBED into the…

A

DURAL VENOUS SINUSES
- SUPERIOR SAGITTAL SINUS

through ARACHNOID VILLI

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12
Q

CSF is REABSORBED INTO DURAL VENOUS SINUSES through the …

A

ARACHNOID VILLI

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13
Q

MOST CSF produced in which Ventricle

A

LATERAL VENTRICLES (2 of them)

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14
Q

how does CSF LEAVE the 4TH VENTRICLE into Subarachnoid space

via…

A

3 APERTURES

  • MEDIAN aperture aka FORAMEN of MAGENDIE
  • 2 LATERAL apertures
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15
Q

CSF travels from LATERAL VENTRICLES through ….. to the 3RD VENTRICLE

(but produced in all ventricles)

A

INTERVENTRICULAR FORAMEN (of Monro)

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16
Q

CSF travels from 3RD VENTRICLE through ….. to the 4TH VENTRICLE

A

CEREBRAL AQUEDUCT

and out through 3 apertures

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17
Q

SOME CSF MAY NOT enter the SUPERIOR SAGITTAL SINUS (dural venous sinus)

where might some of it go?

A

some may enter SMALL ARACHNOID VILLI

projecting into SPINAL VEINS
exiting through INTERVENTRICULAR FORAMINA

in LYMPHATICS, ADVENTITIA of ARTERIES, BASE of BRAIN, EPINEURIUM of CRANIAL NERVES

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18
Q

what is the FORAMEN OF MAGENDIE

A

name for the MEDIAN APERTURE

  • one of the 3 apertures that CSF leaves 4th ventricle via, into subarachidonic space
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19
Q

what rises from the BRACIOCEPHALIC TRUNK (from Arch of Aorta)

A

(right) COMMON CAROTID ARTERY

(right) SUBCLAVIAN ARTERY

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20
Q

COMMON CAROTID ARTERY BIFURCATES at what LEVEL into the INTERNAL CAROTID and EXTERNAL CAROTID (to face)

A

around C3-C5

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21
Q

SUBCLAVIAN ARTERIES give rise to…

A

VERTEBRAL ARTERIES

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22
Q

VERTERBRAL ARTERIES pass THROUGH the TRANSVERSE FORAMEN of the CERVICAL VERTEBRAE at which LEVELS

A

from C1-C6

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23
Q

VERTEBRAL ARTERIES MERGE to form which artery

A

BASILAR ARTERY
at the base of the skull

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24
Q

INTERNAL CAROTID ARTERY enters the SKULL THROUGH the…

A

CAROTID CANAL (MIDDLE CRANIAL FOSSA)

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25
Q

ANTERIOR and POSTERIOR BLOOD SUPPLIES coming from 2 PAIRS of ARTERIES:

A

INTERNAL CAROTID and VERTEBRAL ARTERIES

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26
Q

2 PAIRS of ARTERIES (vertebral & internal carotid) are CONNECTED together via which artery

A

POSTERIOR COMMUNICATING ARTERY

  • part of CIRCLE OF WILLIS (ring of arteries located at the base of the brain)
27
Q

what JOINS the ANTERIOR CEREBARAL ARTERIES

A

ANTERIOR COMMUNICATING artery

28
Q

ANTERIOR CEREBRAL ARTERY supplies which part of BRAIN

A

MEDIAL SURFACE
(heads anteriorly)

29
Q

MIDDLE CEREBRAL ARTERY supplies which part of BRAIN

A

MIDDLE portion

30
Q

POSTERIOR CEREBRAL ARTERY supplies which part of BRAIN

A

INSIDE MEDIAL PORTION back towards OCCIPITAL LOBE

(heads posteriorly)

31
Q

POSTERIOR COMMUNICATING ARTERY joins the INTERNAL CAROTID to the..

A

POSTERIOR CEREBRAL ARTERY

32
Q

ARTERIES SUPPLYING the CEREBELLUM

A

SUPERIOR CEREBELLAR (coming of basilar)

ANTERIOR INFERIOR CEREBELLAR (coming off basilar artery)
POSTERIOR INFERIOR CEREBELLAR (PICA)
(coming off vertebral artery)

33
Q

ARTERIES SUPPLYING BRAIN STEM PONS

A

PONTINE (multiple coming off basilar)

34
Q

where do the DURAL VENOUS SINUSES JOIN UP (drain into)

A

CONFLUENCE OF SINUSES

35
Q

CONFLUENCE OF SINUSES drains back to CVS by which PATHWAY

A

-> TRANSVERSE SINUS
-> SIGMOID SINUS
->INTERNAL JUGULAR VEIN

36
Q

which BRANCHES JOIN to form the STRAIGHT SINUS which also drains into CONFLUENCE OF SINUSES

A

INFERIOR SAGITTAL SINUS & GREAT CEREBRAL VEIN

37
Q

name of the DURAL VENOUS SINUS around the PITUITARY GLAND

A

CAVERNOUS SINUS

(gives rise to sphenoparietal sinus)

38
Q

what DRAINS INTO the INTERNAL JUGULAR VEIN

A

SIGMOID SINUS

39
Q

MAIN DURAL VENOUS SINUS

A

SUPERIOR SAGITTAL SINUS

40
Q

SPINAL CORD and BRAIN are made up of GREY & WHITE MATTER

how are they arranged in the SPINAL CORD

A

Inside GREY MATTER

Outside WHITE MATTER

(majority)

41
Q

SPINAL CORD and BRAIN are made up of GREY & WHITE MATTER

how are they arranged in the BRAIN

A

Inside WHITE MATTER

Outside GREY MATTER

(majority)

42
Q

GREY MATTER CONTAINS

A

numerous NERVE CELL BODIES

which form LONGITUDINAL COLUMNS ALONG the SPINAL CORD

separation of cell bodies give a characteristic H / BUTTERFLY SHAPE

43
Q

GREY MATTER has 4 EXTENSIONS / PROJECTIONS that project in which directions towards the Lines of Attachment

A

DORSOLATERALLY / DORSAL
(pointed ends)

VENTROLATERALLY / VENTRAL

44
Q

role of VENTRAL EXTENSIONS of GREY MATTER

A

MOTOR neurones that innervate Skeletal Muscles

45
Q

role of DORSAL EXTENSIONS of GREY MATTER

A

SENSORY

AFFERENT NEURONES conveying IMPULSES from the body and the site of ASCENDING pathways toward the Brain

46
Q

what can you see LATERALLY on GREY MATTER at THORACIC and LUMBAR ENLARGEMENTS

A

LATERAL HORN

47
Q

LATERAL HORN of GREY MATTER contains PREGANGLIONIC NEURONES belonging to which nervous system

A

SYMPATHETIC NERVOUS SYSTEM (AUTONOMIC)

48
Q

WHITE MATTER consists of

A

MYELINATED AXON TRACTS

  • for FASTER SIGNALS between cells

(pale appearance due to fat / myelin)

49
Q

WHITE MATTER of the SPINAL CORD consists of

A

ASCENDING and DESCENDING AXONS that LINK SPINAL CORD SEGMENTS to one another and to the brain

50
Q

what makes up the BULK of the CENTRAL PART of BRAIN

A

WHITE MATTER

51
Q

SPINAL CORD is CONTINUOUS With..

A

MEDULLA OBLONGATA

52
Q

where are the ENLARGEMENTS of the SPINAL CORD due to INCREASED NERVOUS TISSUE to the upper and lower limbs

A

at CERVICAL and LUMBOSACRAL regions

53
Q

INFERIOR part of the SPINAL CORD TAPERS OFF and finises at the…

A

CONUS MEDULLARIS

(cone shaped)

54
Q

CONUS MEDULLARIS of SPINAL CORD is ANCHORED to the COCCYX by a FIBROUS STRAND of TISSUE called the..

A

FILUM TERMINALE

55
Q

whats the CHORDAE EQUINA

A

collection of NERVES at the END of the SPINAL CORD

After it finishes off at the Conus Medullaris

56
Q

SPINAL NERVE is connected by … and … ROOTS

A

DORSAL (Posterior) and VENTRAL (Anterior) ROOTS

57
Q

DORSAL ROOT of SPINAL NERVE

afferent or efferent?
sensory or motor?

A

AFFERENT SENSORY root

carries signals TOWARDS the CNS

58
Q

In DORSAL ROOT the CELL BODIES can be seen CLUSTERED as..

A

DORSAL ROOT GANGLION

59
Q

VENTRAL ROOT of SPINAL NERVE

afferent or efferent?
sensory or motor?

A

EFFERENT MOTOR root

contains motor nerve fibres taking signals AWAY FROM CNS

60
Q

which MATTER has ASCENDING and DESCENDING PATHWAYS along the SPINAL CORD

A

WHITE MATTER

61
Q

how is WHITE MATTER in CERVICAL REGION as opposed to SACRAL REGION

A

MORE in CERVICAL REGION
LESS in SACRAL REGION

(less as you go further down)

62
Q

which ROOT deals with SENSORY INFORMATION

A

DORSAL

63
Q

the LATERAL HORN of GREY MATTER in the SPINAL CORD is RESPONSIBLE for what

A

SYMPATHETIC NERVOUS SYSTEM

64
Q

name of the 2 BUMPS visible on the DORSAL SURFACE on the SPINAL CORD known as DORSAL COLUMNS

in the WHITE MATTER, particularly visible in CERVICLE Region

A

FASICULUS CUNEATUS
FASICULUS GRACILIS

(go to upper limbs or to lower thoracic and lower limbs)