Anatomy Flashcards
Which endocrine glands are found in the cranial cavity
Hypothalamus
Pituitary
Which endocrine glands are found in the neck
4 parathyroid glands Thyroid gland
Which endocrine glands are found in the abdomen
2 adrenal
Pancreas
Which endocrine glands are found in the pelvis and perineum
2 ovaries in females
2 testes in men
What is the diencephalon
Made up of the thalamus and hypothalamus
Forms the centre core of cerebrum
Has connections to L&R cerebral hemispheres and midbrain
How is the hypothalamus connected to the pituitary
By the infundibulum
Also called pituitary stalk
Anatomical and functional connection
How is the pituitary divided
anatomically and functionally into anterior and posterior
Anterior is glandular tissue
Posterior is neural tissue
Describe the anterior lobe of the pituitary gland
Also called adenohypophysis
Made up of the pars distalis, pars tuberalis and pars intermedia
Releases most of the hormones
What hormones does the anterior lobe of the pituitary release
Growth hormone (GH) Thyroid stimulating (TSH) Adrenocorticotropic hormone (ACTH) Follicle stimulating (FSH) Luteinising (LH) Prolactin (PRL)
Describe the posterior lobe of the pituitary
Also called neurohypophysis
Made up of pars nervosa
Actually an extension of the brain
Released hormones synthesised in the hypothalamus
Which hormones does the posterior pituitary release
Anti-diuretic - ADH
Oxytocin - OT
Where does the pituitary gland lie within the skull
In the pituitary fossa within the sella turcica
This is part of the sphenoid bone
Lies directly below the optic chiasm and is closely related to the sphenoid sinus
What structures surround the pituitary gland
Venous blood supply
Internal carotid arteries
CN 2-6
How is the visual field divided
Nasal side - closest to nose
Temporal side - peripheral vision
What forms the optic chiasm
Right and left optic nerves (CN II)
How are the retina divided
Nasal retina - receives info from temporal visual field
Temporal retina - receives input from nasal visual field
Describe signals from the nasal retina travel to the brain
Travel up associated optic nerve
Will cross over at optic chiasm to opposite side
Passes up the optic tract and synapses at thalamus
Next axons pass via the optic radiation to the visual cortex in the occipital lobe
Describe signals from the temporal retina travel to the brain
ravel up associated optic nerve
Stay on same side at optic chiasm (doesn’t cross)
Passes up the optic tract and synapses at thalamus
Next axons pass via the optic radiation to the visual cortex in the occipital lobe
How would a pituitary tumour affect vision
Can press on the optic chiasm
This disrupts AP’s from nasal retina on both sides
Patient will lose ability to see structures in temporal field - peripheral vision
Called bitemporal hemianopia
What are the two pathways used to gain surgical access to the pituitary
Transcranial - through the skull, under the frontal lobe
Transsphenoidal - via nasal cavities and sphenoid sinus
List the bones that make up the nasal cavity - superior to inferior
Nasal bone - L&R Ethmoid bone Inferior nasal concha Maxilla Vomer - septum
What forms the roof of the nasal cavity
Cribiform plate of the ethmoid bone
What are the paranasal sinuses
Air-filled spaces within the bones surrounding the nasal cavities
Found in the frontal bone, maxillae, ethmoid bone and sphenoid bone
Lined by mucous secreting respiratory muscosa
What is the function of the paranasal sinuses
Make mucous and drain it into the nasal cavities through ostia
Reduce the weight of the skull
Add resonance to the voice
The transnasal approach to surgery requires fracture of which structures
Nasal septum
Floor and roof of the sphenoid sinuses
Which fracture is used to gain more space during operation in the skull
Le Fort 1
Removes floor of the nasal cavity to gain better access
What forms the roof of the pituitary fossa
Diaphragm sellae
Tough sheet of dura mater
Describe the dura mater
Layer of tough tissue that is adherent to the internal aspect of all bones in the cranial vault
How does most of the blood from the cranial cavity drain
Through venous sinuses in the dura mater
Drains blood into the internal jugular veins via the jugular foraminae
What important structure passes through the cavernous sinus
Internal carotid arteries
What is the function of the optic chiasm and what can go wrong if it is damaged/impinged
Conducts APs bilaterally from the nasal retinae
Bitemporal hemianopia
What is the function of the oculomotor nerve and what can go wrong if it is damaged/impinged
Motor innervation to muscles that move the eyeball (globe)
Parasympathetic to the sphincter
muscle of the iris
Problems with eye movement and a dilated pupil