Brain & Spinal Cord 1 Flashcards
What three parts make up the brainstem?
Midbrain
Pons
Medulla
What cranial cavity does the brainstem lie in?
Foramen Magnum
What two vesicles of the neural tube give rise to the brainstem?
Metencephalon
Myelencephalon
What cavities (of the ventricular system) lie within the brainstem?
3rd & 4th Ventricle
Where do most arachnoid villi pierce and drain into?
Superior Sagittal Sinus
What cranial nerves emerge from the pontomedullary junction?
CN VI-VIII
What cranial nerve has the longest intracranial course?
CN VII - Facial Nerve
What produces the pyramids?
Descending fibres of ipsilateral cerebral cortex
What is the olive?
The connection primarily with the cerebellum and is involved in the control of movement
What percentage of fibres cross over?
75-90%
What structure does the open part of the medulla open onto?
4th Ventricle
What connects the 3rd and 4th ventricle and where is it found?
Cerebral Aqueduct
Midbrain
What are the colliculi part of?
Midbrain
What is the middle cerebellar peduncle of the pons made up of?
Centripetal fibres
What lies immediately superior to the midbrain?
Diencephalon - Thalamus & Hypothalamus
What fibres make up the cerebral peduncles and where are they destined for?
Efferent fibres
Thalamic nuclei
What does the diencephalon lie between?
Cerebrum & Midbrain
What are superior and inferior colliculi responsible for?
Superior - Visual reflex
Inferior - Auditory reflex
What midline structure connects the two cerebellar hemispheres?
Falx cerebelli
What ventricular space lies immediately anterior to the cerebellum?
4th Ventricle
What happen when there is a sudden drop in intracranial pressure?
Cerebellar coning - Tonsils may herniate through the foramen
What fissure separates the two cerebral hemispheres?
Median Longitudinal Fissure
What connects the two cerebral hemispheres?
Corpus callosum
What nerves fibres are carried in the corpus callosum?
Commissural
What is the tentorium cerebelli?
A fold of dura mater which covers the cerebellum
What lobe is responsible for primary motor cortex?
Frontal
What lobe is responsible for primary sensory cortex?
Parietal
What lobe is responsible for primary visual cortex?
Occipital
What lobe is responsible for primary auditory cortex?
Temporal
What is the sulcus called that sits inferiorly to the parieto-occipital sulcus?
Calcarine sulcus
What level does the spinal cord terminate (Conus Medullaris) in adults and children?
Adults - L1
Children - L2-3
At what vertebral level do the dura and arachnoid mater terminate at?
S2
What does the pia mater extend as past the end of the spinal cord and where does it go to?
Filum terminale
Coccyx
What are the maters called that hang down?
Cauda Equina
How many pairs of spinal nerves are there?
31
Where is an UMN lesion located?
Primary motor cortex
Where is a LMN lesion located?
Spinal cord/Cranial nerve nuclei
What arteries make up the Circle of Willis? (14)
Anterior cerebral Anterior communicating Ophthalmic ICA Middle cerebral Posterior communicating Posterior cerebral Anterior superior cerebellar Basilar Labyrinthe Anterior inferior cerebellar Posterior inferior cerebellar Vertebral Anterior spinal
What arteries do the right and left vertebral arteries arise from?
Subclavian
How is the basilar artery formed and what part of the brainstem is it most closely related to?
Intracranial parts of the vertebral arteries unite at the caudal border of the pons
Pons
In which fissure do the anterior cerebral arteries run in?
Median longitudinal fissure
In which fissure do the middle cerebral arteries run in?
Lateral fissure
In which fissure do the posterior cerebral arteries run in?
Parieto-occipital?
Which cerebral artery(s) supply the primary motor cortex?
Anterior
Middle
Which cerebral artery(s) supply the primary sensory area?
Anterior
Middle
Which cerebral artery(s) supply the primary visual cortex?
Posterior
Which cerebral artery(s) supply the primary auditory area?
Middle
Which cerebral artery(s) supply the area for olfaction?
Posterior
Into which vein do the dural venous sinuses drain?
IJV
What veins drain into the cavernous sinus?
Superficial middle cerebral vein
What fluid is found in the subarachnoid space?
CSF
What bony structures does the falx cerebri attach to anteriorly?
Ethmoid & Crista gali processes
Which dural venous sinus runs within the upper border of the falx cerebri?
Superior sagittal sinus
Which dural venous sinus runs along the upper border of the falx cerebri?
Straight sinus
What bony points of the anterior edge of the tentorium cerebelli attach to?
Superior angle of the petrous part of the temporal bone
Which dural venous sinus runs along the attachment of the falx cerebri?
Transverse
What is the fold of dura that surrounds the pituitary stalk called?
Diaphragma Sellae
In what sections of the brain to the different parts of the lateral ventricle lie?
Anterior horn - Frontal lobe
Body - Frontal/Parietal lobes extending to the splenium of the corpus callosum
Posterior horn - Occipital lobe
Inferior horn - Temporal lobe
What specialised structures lining the ventricles generate CSF?
Choroid plexus
How does CSF pass into the subarachnoid space from the 4th ventricle?
Interpeduncular & Quadrigeminal cisterns
Foramen of Magendi
At what point is CSF reabsorbed into general circulation?
Arachnoid granulations
What area arachnoid granulations?
Protrusions of arachnoid villi into the walls of dural venous sinuses