B6-091 Head Anatomy Flashcards
5 layers of scalp
Skin
Connective tissue (dense)
Aponeurotic layer
Loose connective tissue
Pericranium
why does a scalp wound bleed profusely?
the dense connective tissue holds the arteries open
what layers are considered the scalp when someone has been scalped?
skin
dense connective tissue
aponeurotic layer
allows scalp movement and also provides a potential space for infection
loose connective tissue layer
aponeurosis of the scalp comes from which muscle?
occipital frontalis
**causes gaping wound
what causes a scalp injury to be a gaping wound?
cut is through aponeurosis and the
occipital frontalis pulls down on it
the anterior cranial fossa houses the […] lobe
frontal
the middle cranial fossa houses the […] lobe
temporal
the posterior cranial fossa houses the […] lobe
cerebellum and bainstem
what nerve passes through the cribriform formina?
CN1 olfactory
what nerve passes through the optic canal?
CN2 optic
what nerve passes through the superior orbital fissure? [4]
CN 3 occulomotor
CN 4 trochlear
CN 5-1 ophthalmic of trigeminal
CN 6 abducens
what nerve passes through the foramen rotundum?
CN 5-2 maxillary of trigeminal
what nerve passes through the foramen ovale?
CN 5-3 mandibular of trigeminal
what nerve passes through the internal acoustic meatus? [2]
CN 7 facial
CN 8 vestibulocochlear
what nerve passes through the jugular foramen? [3]
CN 9 glossopharyngeal
CN 10 vagus
CN 11 spinal accessory
what nerve passes through the hypoglossal canal?
CN12 hypoglossal
middle meningeal artery passes through foramen […]
spinosum
brainstem passes through foramen […]
magnum
optic nerve and […] pass through optic canals
ophthalamic arteries (supply orbit)
[…] and accessory meningeal artery pass through foramen ovale
mandibular nerve
interior pertrosal, sigmoid sinuses, and ascending pharygeal/occipital arteries pass through […] foramen
jugular
provide a route for infection to go between the scalp and dural venous sinuses
emissary veins
anosmia indicates damage to
CN 1 (olfactory)
cerebrospinal fluid rhinorrhea indicates damage to
CN1 olfactory
loss of pupillary constriction indicates damage to
CN 2 optic
visual field defects indicates damage to
CN 2 optic
dilated pupil
lost pupillary reflex on side of lesion
indicates damage to
CN3 occulomotor
ptosis
eye turns “down and out”
indicates damage to
CN3 occulomotor
inability to look down when eye is adducted indicates damage to
CN 4 trochlear
loss of pain and touch over cheek indicates damage to
CN5 trigeminal
deviation of mandible to side of lesion when mouth is opened indicates damage to
CN5 trigeminal
temporalis and masseter muscles do not contract indicating damage to
CN 5 trigeminal
eye fails to move laterally
diplopia on lateral gaze
indicates damage to
CN 6 abducens
paralysis of facial muscles (eye remains open, angle of mouth drops, forehead doesnt wrinkle)
indicated damage to
CN 7 facial
progressive unilateral hearing loss
tinnitus
indicates damage to
CN 8 vestibulocochlear
loss of taste on posterior third of tongue
loss of sensation on affected side of palate
indicates damage to
CN 9 glossopharyneal
sagging of soft palate, deviation of uvula to one side, hoarseness
indicates damage to
CN 10 vagus
paralysis of SCM and trapezius causing drooping of the shoulder indicates damage to
CN 11 spinal accessory
protruded tongue deviates toward affected side indicates damage to
CN 12 hypoglossal
“dipping in” of the anterior fontanel indicates
dehydration of infant
anterior fontanelle typically fuses by […]
18 months
bulging of anterior fontanel indicates
increased ICP
posterior fontanel usually fuses by
end of 1st year
fontanelles located deep to temporalis [2]
sphenoidal
mastoid
3 layers of meninges
dura mater
arachnoid mater
pia mater
protrudes through meningeal layer of dura into venous sinuses and spinal cord
arachoid mater
what meninge is adherent to the brain and highly vascularized?
pia mater
2 layers of dura mater
periosteal layer
meningeal layer
the space between the arachnoid mater and pia mater contains
CSF
dural sheath that separates the right and left hemispheres of brain
falx cerebri
dural sheath that separates the occipital lobe from cerebellum
tentorium cerebelli
dural sheath that separates the two hemispheres of the cerebellum
falx cerebellum
dural sheath that covers the pituitary gland
diaphragma sellae
eventually the dural sinuses lead to the
internal jugular vein
sinus that extends from superior orbital fissure, runs along either side of the stella tursica to petras bone
cavernous dural sinus
cavernous sinus has direct communication with the
ophthalmic vein (has direct communication with facial vein)
how can zits cause infection of the cavernous sinus?
valveless veins with direct communication between facial and ophthalmic veins
the region where the frontal, parietal, temporal, and sphenoid bones join
pterion
a blow to the side of the head can cause a fracture of the pterion, damaging what artery?
middle meningeal artery
what nerves supply innervation to the anterior fossa? [2]
CN V1-opthalmic
CN V2-maxillary
what nerve supplies innervation to the middle fossa?
CN V3, mandibular
tentorium cerebelli is innervated by
CN1 olfactory
**tumor pressing here can cause headaches behind eyes
what nerve supplies innervation to posterior fossa?
C2 and C3 but carried by Hypoglossal and Vagus
the […] produces CSF
choroid plexus
describe the flow of CSF
lateral ventricle -> foramen of monroe -> third ventricle -> cerebral aqueduct -> 4th ventricle -> subarachnoid space
CSF is returned to blood stream via
subarachnoid granulations and villi
CSF drains primarily into the […] sinus
superior sagittal
true space that contains CSF, arteries of Circle of Willis, and veins
subarachnoid space
potential space between cranium and periosteal dura
epidural
potential space between dura and arachnoid
subdural
fracture of middle meningeal artery at pterion would result in […] hematoma
epidural
lens shaped deficit on CT imaging
epidural hematoma
crescent shaped deficit on CT imaging
subdural hematoma
blood leaking into ventricles on CT imaging
subarachnoid hematoma
falls or lumbar punctures can tear the […] causing a subdural hematoma
cerebral veins
a subarachnoid hematoma results from tearing what vessels?
vessels in circle of willis
what structures run through the parotid gland? [3]
CN 7 (facial)
retromandibular vein
external carotid artery
a tumor of the parotid gland can cause
facial paralysis (compression of CN 7)
muscle going around eye
orbicularis oculi
muscle going around mouth
orbicularis oris
what muscle keeps the cheeks taut when chewing so food doesn’t fall out?
buccinator
muscle that helps you smile
zygomaticus major
muscle that helps you frown
compressor anguli oris
muscles of mastication [2]
masseter
temporalis
branches of external carotid artery in face [3]
facial
superficial temporal
transverse facial
branches of internal carotid artery [2]
supraorbital
supratrochlear
facial artery terminates as
angular artery (at the eye)
what branches of facial a. supply the lips?
superior and inferior labial (anastomose with each other)
artery that lies anterior to the ear, enabling you to take a pulse there
superficial temporal
superficial temporal a. anastomoses with
supraorbital
facial a. anastomoses with
supratrochlear a.
exits the skull via the internal acoustic meatus
runs in facial canal
exits via stylomastoid foramen
facial nerve CN7
provides motor innervation to muscles of facial expression
CN 7 facial
provides parasympathetic innervation to lacrimal, nasal, and palatine glands
and submandibular/sublingual salivary glands
CN 7 facial
provides taste to anterior 2/3 of tongue
CN 7 facial via chorda tympani
provides sensation to external acoustic meatus
CN 7 facial
provides motor innervation to muscles of mastication
CN V3- mandibular
passes through the cavernous sinus and enters the orbit via the superior orbital fissure
V1-ophthalmic
passes through the cavernous sinus and exits the skull via foramen rotundum
V2 maxillary
exits the skull via the foramen ovale
V3 mandibular
provides sensation from cornea, skin of forehead, scalp, upper eyelid, and part of nasal cavity
V1 ophthalmic
provides sensation from the skin of face, lower eyelid, cheek, upper lid, maxillary teeth, mucosa of nose, maxillary sinus
V2 maxillary
sensation from skin of mandible, lower lip, side of head, mandibular teeth, TMJ joint, anterior 2/3 of tongue
V3 mandibular
4 paranasal sinuses
frontal
ethmoid
sphenoid
maxillary
all of the sinuses are innervated by
CN 5
inflammation of the mucous membranes of paranasal sinuses
sinusitis