Central Nervous System Anatomy (Exam II) Flashcards

1
Q

What structure is denoted by 1 on the picture?

A

Precentral Gyrus

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2
Q

What structure is denoted by 2 on the image?

A

Central Sulcus

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3
Q

What structure is denoted by 3 on the image?

A

Post Central Gyrus

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4
Q

What structure is denoted by 5 on the image?

A

Cerebellum

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5
Q

What structure is denoted by 6 in the image below?

A

Medulla Oblongata

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6
Q

What structure is denoted by 7 on the image below?

A

Pons

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7
Q

What structure is denoted by 8 in the image below?

A

Temporal Lobe

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8
Q

What structure is denoted by 9 in the image below?

A

The Temporolateral Sulcus

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9
Q

What structure is denoted by purple line on the image below?

A

The Longitudinal Fissure

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10
Q

What structure is denoted by the blue outline on the image below?

A

The olfactory cranial nerve (CN 1)

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11
Q

What structure is indicated by the red outline in the image below?

A

The optic nerve

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12
Q

What structure is denoted by the orange line on the figure below?

A

The left temporal fissure

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13
Q

What structure is denoted by the pink outline in the image below?

A

Hypophysis (Pituitary Gland)

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14
Q

What structure is indicated by the green outline in the figure below?

A

Mesencephalon (or Midbrain)

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15
Q

What structure is indicated by the 1 on the figure below?

A

Caudate Nucleus

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16
Q

What structure is indicated by the 2 on the figure below?

A

Putamen

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17
Q

What structure is indicated by 3 on the figure below?

A

The Globus Pallidus

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18
Q

What structure is indicated by 4 on the figure below?

A

Claustrum

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19
Q

What structure is indicated by 5 on the figure below?

A

Amygdala

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20
Q

What structure is indicated by 6 on the image below?

A

Diencephalon

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21
Q

What structure of the brain is being indicated by 7 on the image below?

A

White matter

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22
Q

What structure is indicated by 8 on the image below?

A

The cerebral cortex (aka gray matter)

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23
Q

What structure is indicated by 1 on the image below?

A

Cingulate Gyrus

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24
Q

What structure is indicated by 2 on the image below?

A

Pineal Gland

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25
Q

What structure is indicated by 4 on the image below?

A

Cerebellum

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26
Q

What structure is indicated by 5 on the image below?

A

Medulla Oblongata

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27
Q

What structure is indicated by 6 on the figure below?

A

Pons

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28
Q

What structure is indicated by 7 on the image below?

A

Hypophysis (Pituitary Gland)

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29
Q

What structure is indicated by 8 on the image below?

A

Hypothalamus

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30
Q

What structure is indicated by 9 on the image below? Which side of the brain does this structure belong on?

A

Corpus Callosum.

The corpus callosum connects the left and right sides of the brain.

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31
Q

What structure is denoted by 1 on the image below? What two regions does this structure divide?

A

The Central Sulcus. Motor and Somato-sensory regions.

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32
Q

What region is indicated by 2 on the image below?

A

The somato-sensory region

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33
Q

What region is indicated by 3 on the image below?

A

PAA (Posterior Association Area)

Visual-Auditory-Spatial coordination of body with surroundings region

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34
Q

What region is indicated by 4 on the image below?

A

Visual processing region (visuals of words also processed here)

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35
Q

What region is indicated by 5 on the image below?

A

Vision Region

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36
Q

What region is indicated by 6 on the image below?

A

Naming of objects region

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37
Q

What region is indicated by 7 on the image below?

A

Wernicke’s area; language comprehension and intelligence.

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38
Q

What region is indicated by 8 on the image below? What area is just barely posterior and superior to this area?

A

Limbic Association Area

Behavior, emotions, and motivation region

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39
Q

What region is indicated by 9 on the image below? What lobe is this located in? Why is that important?

A

Broca’s area; word formation.

Broca’s area is in the frontal lobe. Decision making regarding what words to say occurs in the front lobe because you have to “think before you speak”.

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40
Q

What region is indicated by 10 on the image below?

A

The frontal lobe; planning complex movements, and elaboration of thought.

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41
Q

What region is indicated by 1 on the figure below?

A

The Telencephalon

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42
Q

What region is indicated by the 2 in the figure below?

A

The Diencephalon

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43
Q

What region is indicated by the 6 on the figure below?

A

The midbrain (mesencephalon)

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44
Q

What direction does information travel in the blue shaded spinal tracts? What information is carried? Is this efferent or afferent?

A

Ascending spinal tracts (PNS → CNS)

Sensory information is carried

These are afferent

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45
Q

What direction does information travel in the red/orange shaded spinal tracts? What information is carried? Is this efferent or afferent?

A

These are descending spinal tracts (CNS → PNS)

Motor information

These are efferent

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46
Q

What anatomical feature is depicted by 1 on the figure below?

A

Afferent nuclei of the gray matter

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47
Q

What anatomical feature is depicted by 2 on the figure below?

A

Efferent nuclei of the gray matter

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48
Q

What anatomical feature is depicted by 3 on the figure below? What information does this structure carry?

A

Anterior horn of the gray matter

Motor

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49
Q

What anatomical feature is depicted by 4 on the figure below? What information is carried by this structure?

A

Lateral horn of the gray matter

Visceromotor

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50
Q

What anatomical feature is depicted by 5 on the figure below? What information is carried by this structure?

A

Posterior horn of the gray matter

Sensory

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51
Q

What structure is indicated by the blue arrow in the figure below? What does this structure do?

A

The central canal of the spinal cord. This structure carries CSF throughout the cord.

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52
Q

What structure is indicated by the green box in the figure below? What does this structure do?

A
  • Lamina X (10)
  • This structure is the “crossover” point of the spinal cord. Similar to the Corpus Callosum of the Brain.
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53
Q

What structure is indicated by the pink box in the figure below? What does this structure do?

A

Anterior White Commissure (This is a crossover for communication between left and right sides of the CNS).

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54
Q

What structure is indicated by 1 on the figure below?

A

Posterior Rootlets

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55
Q

What structure is indicated by 2 on the figure below?

A

Posterior Root Ganglion

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56
Q

What structure is indicated by 3 on the figure below?

A

Spinal Nerve

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57
Q

What structure is indicated by 4 on the figure below?

A

Anterior root

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58
Q

What structure is indicated by 5 on the figure below?

A

Anterior Rootlets

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59
Q

What structure is indicated by 1 on this figure?

A

Vertebral Body

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60
Q

What structure is indicated by 2 on this figure?

A

Superior Articular Process

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61
Q

What structure is indicated by 4 on this figure?

A

Transverse Process

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62
Q

What structure is indicated by 5 on this figure?

A

Spinous Process

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63
Q

What structure is indicated by 6 on this figure?

A

Inferior Articular Facet

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64
Q

What structure is indicated by 7 on this figure?

A

Inferior Articular Process

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65
Q

What Vertebrae is listed here? What structure is held via various ligaments to the spot denoted by 1?

A

C1 (Atlas)

The Dens Process

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66
Q

What structure is indicated by 2 on the figure below?

A

The Posterior Arch

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67
Q

What structure is indicated by 3 on the figure below?

A

The Posterior Tubercle

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68
Q

What structure is indicated by 4 on the figure below?

A

Anterior Arch

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69
Q

What structure is indicated by 5 on the figure below?

A

Anterior Tubercle

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70
Q

What structure is indicated by 6 on the figure below?

A

Facet for Dens

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71
Q

What structure is indicated by 7 on the figure below?

A

Superior Articular Facet

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72
Q

What is the name of the structure indicated in the picture below? What structure is indicated by 1 on the figure?

A

C2 (Axis)

The Dens Process

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73
Q

What structure is indicated by 4 on the figure below?

A

Inferior Articular Facet of the Axis

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74
Q

What structure is indicated by 7 on the figure below?

A

The Transverse Foramen of the Axis

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75
Q

What structure is indicated by 8 on the figure below?

A

Superior articular facet of the Axis

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76
Q

What structure is indicated by 9 on the figure below?

A

Anterior Articular Facet of the Dens

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77
Q

What structure is indicated by the 1 on the figure below? What should be known about this structure?

A

Anterior Longitudinal Ligament

This structure runs the length of the spinal cord, adding strength and stability to the vertebral bodies.

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78
Q

What structure is indicated by the 2 on the figure below? What sets this ligament apart from the other spinous ligaments? What procedure involves this ligament?

A

Ligamenta Flava

This ligament is stretchy and made of elastin as opposed to collagen.

Epidurals pierce this ligament to reach the epidural space of the spinal cord.

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79
Q

What structure is indicated by the 3 on the figure below?

A

Interspinous ligaments

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80
Q

What structure is indicated by the 4 on the figure below?

A

Intertransverse Ligaments

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81
Q

What structure is indicated by the 5 on the figure below?

A

Supraspinous Ligament

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82
Q

What structure is indicated by 3 on the figure below?

A

Anterior Atlanto-Occipital Membrane

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83
Q

What structure is indicated by the 4 on the figure below?

A

Apical Ligament of the Dens

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84
Q

What structure is indicated by the 6 on the figure below?

A

Posterior Atlanto-Occipital Ligament

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85
Q

What structure is indicated by the 10 on the figure below?

A

Nuchal Ligaments

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86
Q

What opening being depicted from left to right below? Is this possible in the Thoracic vertebrae? Why or why not?

A

Opening of the Interlaminar Foramen by spinal flexion

This is difficult in the thoracic vertebrae because of their long, down-angled spinous processes.

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87
Q

What structure is indicated by 1 in the figure below? What is this structure the dividing line for?

A

The Sacral Promontory

The abdominal cavity is above and the pelvic cavity is below.

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88
Q

What structure is indicated by the 2 on the figure below?

A

The superior articular process of the sacrum

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89
Q

What structure is indicated by 3 in the figure below? What is indicated by these structures?

A

Transverse Lines of the Sacrum

This is where the vertebrae were prior to fusion

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90
Q

What structures are indicated by 4 in the figure below? What should be known about these structures?

A

These are the Anterior Sacral Foramina

The spinal nerves that come out here (anteriorly) are larger than the ones that exit posteriorly

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91
Q

What structure is indicated by the 1 below? What is “housed” in this structure?

A

The Sacral Canal

Cauda Equina

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92
Q

What structure is indicated by the 5 below?

A

The Lateral Sacral Crest

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93
Q

What structure is indicated by the 6 below?

A

Median Sacral Crest

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94
Q

What structure is indicated by the 7 below?

A

Medial Sacral Crest

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95
Q

What structure is indicated by the 8 below? Which two structures fuse to form this? What comes out of this structure? Knowing all of this what is important to know about this structure for anesthesia?

A

Sacral Hiatus

S5 and Cocc1 fuse to form this

Coccygeal nerves exit here

Anesthetics can be given here to block lower body innervation

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96
Q

What structures are indicated by the 9 below? Can these be palpated? What happens with applied pressure to these points?

A

Sacral Cornua

Rarely can they be palpated

If palpable, applied pressure will cause legs to “tingle” or go numb

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97
Q

What structure is indicated by the 11 below? What should be known about these structures?

A

Posterior sacral foramina

The spinal nerves that exit here are smaller than the ones that exit anteriorly.

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98
Q

What structure is indicated by the 12 below?

A

Lateral part of sacral wing

99
Q

What structure is indicated by 1 on the figure below? If a line was drawn between this structure on the identical structure on the right, what landmark would be indicated?

A

Iliac Crest

A line drawn from crest-to-crest would sit right on the L4 vertebral body.

100
Q

What structure is indicated by the 2 below? How does this structure differ in adults and newborns?

A

The Coccyx

Adults have Cocc 1 and 2 (Cocc 2 is Cocc 2,3,4 fusion)

Newborns have Cocc 1 - 4 with 2,3,4 unfused.

101
Q

What structure is indicated by the 3 below?

A

Posterior-Superior Iliac Spines

102
Q

There is a red triangle in the figure below, what concept important in associated with this imaginary triangle?

A

By locating the left and right Posterior-Superior Iliac Spines, we can form an imaginary triangle to located the Sacral Hiatus for access.

103
Q

What structure is indicated by the 1 below?

A

Anterior Superior Iliac Spine

104
Q

What structure is indicated by the 2 below?

A

Anterior Inferior Iliac Spine

105
Q

What structure is indicated by the 5 below?

A

Pubic Symphysis

106
Q

What structure is indicated by the 8 below?

A

Pubic Tubercle

107
Q

What structure is indicated by the 1 below? Where does this structure terminate?

A

Anterior Longitudinal Ligament

Around the base of the coccyx

108
Q

What structure is indicated by the 2 below?

A

Iliolumbar Ligament

109
Q

What structure is indicated by the 11 below? What should be known about this ligament? Where at the attachments for this ligament?

A

Inguinal Ligament

This ligament is palpable even in obese patients

This ligament connects the anterior-superior iliac spine and the pubic tubercle

110
Q

What ligament is represented by 1 on the figure below?

A

Supraspinous Ligament

111
Q

What ligament is represented by the 3 below? What structure is this ligament connected to superiorly?

A

Iliolumbar ligament

Transverse process of the L4 vertebrae

112
Q

What structure is indicated by the 1 on the figure below? Where is it stronger?

A

Anulus Fibrosus

Stronger anteriorly

113
Q

What structure is indicated by the 2 below? What is it’s purpose?

A

Nucleus Pulposus

Gel-like providing shock absorption and flexibility

114
Q

What structure is indicated by the 3 below?

A

Hyaline Cartilage End-Plate

115
Q

What structure is indicated by the 5 below?

A

Intervertebral body surface

116
Q

What structure is indicated by the 1 below? What should be known about the anterior of this structure?

A

Anterior Anulus Fibrosus

It is much stronger than the Posterior Anulus Fibrosus

117
Q

What pathophysiology is indicated below? Why do these usually occur postero-laterally?

A

Disc Herniation (Nucleus pulposus herniation out of anulus fibrosus) with impinged nerve

The anulus fibrosus is weaker postero-laterally.

118
Q

What structure is indicated by 1 in the figure below?

A

Cauda Equina

119
Q

What structure is indicated by the 2 below? Where does this structure terminate in relation to the spinal vertebrae?

A

Spinal Cord Conus Medullaris

The spinal cord ends around the L1 vertebrae

120
Q

A spinal needles is inserted into the spinal column as indicated by 3 in the figure below. Why is this procedure done in this location?

A

The needle for spinal access is away from the spinal cord and is instead around the area of the cauda equina which move out of the way of the needle (hopefully).

121
Q

Where is the needle being inserted for sacral anesthesia indicated by 4 in the figure below?

A

Sacral Hiatus

122
Q

What structure is indicated by 2 on the figure below? What two things should be known about this structure?

A

Pia Mater

Pia Mater actually touches nervous tissue (essentially inseparable from neurons of cord)

Pia Mater lies below the large blood vessels

123
Q

What structure is indicated by 3 on the figure below? What 3 things should be known about this structure?

A

The Arachnoid Mater

  1. Superficial to larger blood vessels with CSF in between arachnoid mater and pia mater
  2. Connected to dura with very little space in between dura and arachnoid.
124
Q

What structure is indicated by 5 on the figure below? What two things should be known about this structure?

A

The Dura Mater of the spinal cord

  1. The dura mater is the outermost and strongest layer
  2. The dura mater has no space in between it and the arachnoid mater
125
Q

What is shown by the 6 on the figure below?

A

Termination of the Spinal Meninges ending around the spinal nerve

126
Q

What space is indicated by 1 below? What 2 things inhabit this space? What are considerations if this space is accessed?

A

Epidural space

  1. Adipose Tissue - Could absorb drug and prolong effects
  2. Epidural Veins - Could bleed or transport drug elsewhere
127
Q

What space is indicated by 2 in the figure below? What inhabits this space?

A

Subarachnoid space

CSF

128
Q

What space is indicated by 3 in the figure below?

A

Arachnoid Mater

129
Q

What space is indicated by 4 in the figure below?

A

Spinal Dura Mater

130
Q

What structure is indicated by 1 in the figure below?

A

The Cauda Equina

131
Q

What structure is indicated by 2 in the figure below?

A

Anterior Internal Vertebral Venous Plexus

132
Q

What structure is indicated by 3 in the figure below?

A

Spinal Dura Mater

133
Q

What structure is indicated by 4 in the figure below?

A

Dural Sac

134
Q

What structure is shown in 1 on the figure below? Why is the spinal cord thicker here?

A

C3 - C6 Cervical Enlargement

Heavy Innervation to upper body (especially hands)

135
Q

What structure is indicated by 2 in the figure below?

A

Dural Sac Termination

136
Q

What structure is indicated by 3 in the figure below? What is the name of the space inside this structure?

A

Dural Sac (space inside is Lumbar Cistern)

137
Q

What is the concept being shown with images 1 and 2?

A

The difference between the Conus Medularis (CM) in an adult at L1 and the CM in a newborn at L2).

138
Q

What should be known about the 15o midline approach for spinal/epidural access?

A
  1. Some people have incomplete fusion of ligamentum flava, so no elastin “pop” occurs meaning you can access too deep into the cord.
139
Q

What structure is indicated by 1 in the figure below?

A

Dural Sac termination

140
Q

What structure is indicated by 2 in the figure below?

A

Filum Terminale Externa

141
Q

What structure is indicated by 1 in the figure below?

A

Filum Terminale Interna

142
Q

What structure is denoted by 2 on the figure below? What is the purpose of this structure? What lies underneath?

A

Tentorium Cerebelli

Rigid shelf for occipital lobe

Cerebellum lies underneath

143
Q

What structure is indicated by 2 on the figure below? What should be known about this structure?

A

Superior Sagittal Sinus

This is where Arachnoid Granulations are located.

144
Q

What structure is indicated by 3 on the figure below? What should be known about this structure?

A

Arachnoid Granulations

If ICP > 10cmH2O then CSF will drain into venous system.

This is where CSF is dumped into venous drainage

145
Q

What structure is indicated by 4 on the figure below? Where are these structures located, what cells compose these structures, and what is their purpose?

A

Choroid Plexus

Located in all 4 ventricles with ependymal cells that make CSF

146
Q

What structure is indicated by 10 on the figure below? What structure drains into this one?

A

The Cerebellomedullary Cistern

Median aperture of the 4th ventricle drains here

147
Q

What structure is indicated by 11 on the figure below?

A

Median Aperture (Foramen of Magendie)

Exit point for CSF to circulate around posterior of brain

148
Q

What concept is indicated by 12 on the figure below?

A

Cisterna Magnum Foramen

CSF could technically be accessed here in the cerebellomedullary cistern by someone brave enough to try.

149
Q

What concept is indicated by 14 on the figure below?

A

A very small amount of CSF will drain here into the vertebral venous system

150
Q

What structure is indicated by 7 on the figure below?

A

Cerebral Aqueduct of Sylvius (connection point for V3 and V4)

151
Q

What structure is indicated by 2 on the figure below?

A

Left Lateral Ventricle

152
Q

What structure is indicated by 8 on the figure below?

A

Median Aperture of the 4th Ventricle (or Foramen of Magendie)

153
Q

What structure is indicated by 9 on the figure below?

A

Central Canal

154
Q

What structure is indicated by 10 on the figure below? What is important about this structure?

A

The Left Lateral Recess of the 4th Ventricle

The Lateral aperture located at the tip of this structure is a point where CSF flows out to circulate around the brain.

155
Q

What structure is indicated by 1 on the figure below? What should be known about this structure?

A

The two Foramen of Monroe

This is where CSF flows from the two lateral ventricles into the 3rd ventricle.

156
Q

What structure is indicated by 2 on the figure below?

A

The 3rd ventricle

157
Q

What structure is indicated by 4 on the figure below?

A

Cerebral Aqueduct of Sylvius

158
Q

What structure is indicated by 7 on the figure below?

A

Posterior Horn of the Left Ventricle

159
Q

What structure is indicated by 8 on the figure below?

A

Inferior Horn of the Left Ventricle

160
Q

What structure is indicated by 9 on the figure below?

A

Anterior Horn of the Left Ventricle

161
Q

What structure is indicated by 6 on the figure below? What is the hole at the end of this structure called?

A

The Left Lateral Recess of the 4th ventricle

Left Foramen of Luschka (Left Lateral Aperture)

162
Q

What structure is indicated by 1 below?

A

Anterior Communicating Artery

163
Q

What structure is indicated by 2 below?

A

Internal Carotid Artery (Left)

164
Q

What structure is indicated by 3 below? What large artery precedes this one?

A
  • Middle Cerebral Artery
  • Internal Carotid Artery
165
Q

What structures are indicated by 4 below?

A

Posterior Communicating Arteries

166
Q

What structure is indicated by 7 below?

A

Superior Cerebellar Artery

167
Q

What structure is indicated by 8 below? On which structure does this artery sit? What two arteries converge to form this one?

A
  • Basilar Artery
  • Pons
  • Left and Right Vertebral Arteries
168
Q

What structure is indicated by 11 below? What is the importance of this structure? Where does this structure sit?

A
  • The Right Vertebral Artery
  • This structure perfuses the posterior of the brain
  • The two vertebral arteries sit on the brainstem
169
Q

What structure is indicated by 12 below?

A

PosteroInferior Cerebellar Artery

170
Q

What structure is indicated by 13 below?

A

AnteroInferior Cerebellar Artery

171
Q

What structure is indicated by 15 below?

A

Precommunicating (P1) of the Posterior Cerebral Artery

172
Q

What structure is indicated by 16 below?

A

Postcommunicating (P2) of the Posterior Cerebral Artery

173
Q

What structure is indicated by 17 below?

A

Precommunicating (A1) of the Anterior Cerebral Artery

174
Q

What structure is indicated by 18 below?

A

Postcommunicating (A2) of the Anterior Cerebral Artery

175
Q

What structure is indicated by 19 below? What makes up this artery? Where does its blood flow come from?

A
  • Anterior Cerebral Artery
  • A1 and A2
  • Middle Cerebral Artery
176
Q

What structure is indicated by 1 below?

A

Superior Cerebellar Artery

177
Q

What structure is indicated by 2 below?

A

Basilar Artery

178
Q

What structure is indicated by 3 below?

A

AnteroInferior Cerebellar Artery

179
Q

What structure is indicated by 4 below?

A

PosteroInferior Cerebellar Artery

180
Q

What structure is indicated by 5 below?

A

Vertebral Artery

181
Q

What structure is indicated by 2 below?

A

Carotid Artery

182
Q

What structure is indicated by 1 below?

A

External Carotid Artery

183
Q

What structure is indicated by 3 below? What is interesting to note about where the vertebral artery enters the vertebrae here?

A

Vertebral Artery

The artery enters at C6 and skips C7

184
Q

What structure is indicated by 4 below? What important structures would this artery feed?

A

Internal Carotid Artery

The front and middle of the brain

185
Q

What structure is indicated by 1 below?

A

Superior Sagittal Sinus

186
Q

What structure is indicated by 2 below?

A

Confluence of Sinuses

187
Q

What structure is indicated by 3 below?

A

Right Transverse Sinus

188
Q

What structure is indicated by 4 below? What ligament is attached here?

A

Occipital Protuberance

Nuchal Ligament

189
Q

What is the significance of the ridge designated by the number 6 below?

A

This Nuchal Ridge is where the rest of the nuchal ligament connects to the cranium

190
Q

What structure is indicated by 2 below?

A

Inferior Sagittal Sinus

191
Q

What structure is indicated by 1 below?

A

Superior Sagittal Sinus

192
Q

What structure is indicated by 3 below? Which two structures come together to empty into this one?

A

Straight Sinus

Inferior sagittal sinus + Great Cerebral Vein

193
Q

What structure is indicated by 3 below? Where does this blood flow come from?

A

Cavernous Sinus

Venous drainage from eyes and frontal lobe

194
Q

What structure is indicated by 4 below?

A

Jugular Foramen

195
Q

What structure is indicated by 5 below?

A

Sigmoid Sinus

196
Q

What structure is indicated by 6 below?

A

Transverse Sinus

197
Q

What structure is indicated by 9 below?

A

Straight Sinus

198
Q

What structure is indicated by 7 below?

A

Confluence of Sinuses

199
Q

What structure is indicated by 8 below?

A

Superior Sagittal Sinus

200
Q

What information is carried by the pathways denoted by blue? Is this information descending/ascending? Efferent/Afferent?

A

Sensory

Afferent / Ascending

201
Q

What information is carried by the pathways denoted by red? Is this information descending/ascending? Efferent/Afferent?

A

Motor

Efferent / Descending

202
Q

What is the structure called that is made up of both 1 and 2 on the figure below?

What information does this structure carry?

A

Dorsal Column Medial Lemniscus System (DCML)

Main Sensory

203
Q

What structure is denoted by 1 below?

A

Gracile Fasciculus

204
Q

What structure is denoted by 2 below?

A

Cuneate Fasciculus

205
Q

What is the structure called that is made up of both 3 and 4 on the figure below? What information is carried here? Where is it carried to?

A

Spinocerebellar tracts

Feedback on body position → Cerebellum

206
Q

What structure is denoted by 3 below?

A

Posterior Spinocerebellar Tract

207
Q

What structure is denoted by 4 below?

A

Anterior Spinocerebellar Tract

208
Q

What is the structure called that is made up of both 5 and 6 on the figure below? What information is carried by this system?

A

AnteroLateral Spinothalamic System

Pain

209
Q

What is the structure called that is made up of both 13 and 14 on the figure below? What information is carried by these tracts? Why are they called what they are called?

A

Pyramidal Tracts

Motor information

They run through the Pyramids of the Medulla Oblongata

210
Q

What structure is denoted by 13 below? How about 14?

A
  1. Anterior Corticospinal Tract
  2. Lateral Corticospinal Tract
211
Q

What are the structures, made up of 9,10,11 & 12 on the figure below, collectively called? Why?

A

Extrapyramidal Tracts

Because they run outside of the pyramid of the Medulla

212
Q

What structure is denoted by 9 below? How about 10? 11? 12?

A
  1. VestibuloSpinal Tract
  2. OlivoSpinal Tract
  3. ReticuloSpinal Tracts
  4. RubroSpinal Tract
213
Q

What other name does lamina 1 go by? What information does this lamina carry?

A
  • Laminae Marginalis
  • Fast A-δ pain
214
Q

What are Lamina II, III collectively known as?

What information is carried by lamina II, III, and V?

A
  • Substantia Gelatinosa
    • Slow Pain (C Fibers)
215
Q

What information does Lamina 8 carry?

A

Motor

216
Q

What is denoted by 1 on the structure below?

A

Periventricular Nuclei

217
Q

What is denoted by 2 on the structure below?

A

Periaqueductal Gray Matter

218
Q

What is denoted by 3 on the structure below?

What is secreted by this structure?

A
  • 1st Order DIC Enkephalin Neurons
  • Enkephalin
219
Q

What is denoted by 5 on the structure below?

What occurs at this structure?

A
  • Raphe Magnus Nucleus
  • 1st and 2nd order DIC neurons synapse
220
Q

What is denoted by 7 on the structure below?

What is secreted by this structure?

A
  • 2nd Order DIC Serotonergic Neurons
  • Serotonin
221
Q

What is denoted by 8 on the structure below?

What are these activated by? What do they secrete?

A

3rd Order DIC Enkephalin Neurons

  • Activated by Serotonin
  • Secrete Enkephalins
222
Q

What is indicated by 2 on the figure below?

A

Superior Cerebellar Peduncle

223
Q

What is indicated by 9 on the figure below?

A

Inferior Cerebellar Peduncle

224
Q

What is indicated by 10 on the figure below?

A

Anterior Spinocerebellar Tract

225
Q

What is indicated by 11 on the figure below?

A

Posterior Spinocerebellar Tract

226
Q

What structure is noted by 1 below?

How many of these are there?

How much of the spinal cord is perfused by these?

A
  • Posterior Spinal Artery
  • Two
  • 25%
227
Q

What structure is noted by 2 below?

Where does the blood flow from these come from?

A

Vasocorona

Posterior Spinal Arteries

228
Q

What structures are noted by 3 & 4 below?

What is another name for these?

A

Anterior/Posterior Segmental Medullary Arteries

Radicular Arteries

229
Q

What structure is noted by 5 below?

What is the name of the fissure that this artery runs in?

What percent of blood flow to the spinal cord flows from here?

A
  • Anterior Spinal Artery
  • Anterior Median Fissure
  • 75% of Blood Flow
230
Q

What structure is noted by 7 below?

Which artery feeds this structure?

What is important about this structure?

A
  • Sulcal Artery
  • Anterior Spinal Artery

The Sulcal Artery runs deep through the anterior median fissure and feeds the gray matter of the spinal cord.

231
Q

What structure is noted by 1 below?

A

Vertebral Arteries

232
Q

What structure is noted by 7 below?

What arteries that feed the spinal cord branch off of these?

A

Posterior Intercostal Arteries

Radicular Arteries

233
Q

What structure is noted by 7 below?

What arteries that feed the spinal cord branch off of these?

A

Posterior Intercostal Arteries

Radicular Arteries

234
Q

What structure is noted by 8 below?

A

Great Radicular Artery of Adamkiewicz

235
Q

How much of the entire blood flow for the anterior of the spinal cord comes from 8 below?

Where does this artery originate? Is this variable?

A
  • T9-T12 (yes, T5-L5)
236
Q

What structure is noted by 5 below?

What does it run alongside?

A

Posterior Intercostal Artery

Runs along rib cage

237
Q

What structure is noted by 3 below?

A

Posterior Branch of a Posterior Intercostal Artery

238
Q

What 3 arteries feed the posterior spinal arteries?

A
  1. Vertebral Arteries 2. Anterior Inferior Cerebellar Artery 3. Posterior Inferior Cerebellar Artery
239
Q

Based on the picture shown in class, how many radicular arteries feed the anterior spinal artery of the cervical spinal cord? Where do these radicular arteries feed in at?

A

3 Inbetween: - C3 and C4 - C5 and C6 - C7 and T1

240
Q

Based on the picture shown in class, how many radicular arteries feed the posterior spinal artery of the cervical spinal cord? Where do these radicular arteries feed in at?

A

2 Inbetween: - C4 and C5 - T1 and T2 (*need to verify*)

241
Q

Based on the picture shown in class, how many radicular arteries feed the posterior spinal artery of the thoracic spinal cord? Where do these radicular arteries feed in at?

A

1 Inbetween: - T7 and T8

242
Q

Based on the picture shown in class, how many radicular arteries feed the anterior spinal artery of the thoracic spinal cord? Where do these radicular arteries feed in at?

A

2 Inbetween: - T3 and T4 - T11 and T12 (GRA)

243
Q

In the picture given to us in class, which vertebrae does the Artery of Adamkiewicz feed inbetween at? What range is the GRA typically found at? What total range can the GRA be found in?

A

T11 and T12 T9 - T12 T5 - L5