Cranial Contents Flashcards
Cavernous sinuses
On either side of the sella turcica (sphenoid)
Gets blood from ophthalmic veins, superficial middle cerebral vein, sphenopareital sinus
Communicate with eachother via intercavernous sinuses
Drain posteriorly into the superior/inferior petrosal sinuses
Structures that run through sinus: internal carotid artery, oculomotor nerve, trochlear nerve, ophthalmic and maxillary divisions of trigeminal nerve, abducens nerve
How does the middle menangial artery enter the skull?
Foramen spinosum
What is the primary artery of the dura mater?
Middle menangial artery
How does CSF leave the ventricles and enter the blood stream?
Leaves through apertures in the 4th ventricle (near brainstem/cerebellum) into the subarachnoid space
It then enters superior sagittal sinus via arachnoid villi
What structures run through the center of the cavernous sinuses?
Internal carotid artery
Abducens (CN VI)
Emissary veins
Veins connecting diploic veins to the superior sagittal sinus
Epidural hematoma
Aka menangial artery tear
Caused by fracture in skull = tear in menangial artery
Leads to bleeding of arterial blood between dura mater and skull
Falx cerebri
Double layer of meningial dura
In the longitudinal fissure separating the cerebral hemispheres
Extends from crista galli (ethmoid) - internal occipital protuberance (occipital)
Reduces side to side movement of the brain
What are the pathways for venous drainage from the scalp?
Can directly drain into internal/external jugular veins
OR
Drain into diploic veins - emissary veins - superior sagittal sinus
Tentorial notch
Hold in tentorium cerebelli through which the brainstem travels
Subdural hematoma
Aka cerebral vein tear
Venous blood collects between dura and arachnoid mater
Which part of the brain sites in the middle cranial fossa?
Temporal lobes
Superior petrosal sinuses
Drain blood from cavernous sinuses - transverse sinuses (as they become the sigmoid sinuses)
At crest of petrous part of temporal bone
Tentorum cerebelli
Separates occipital lobes of cerebrum from the cerebellum
Attached to pterous portion of temporal bone - anterior clinoid processes (sphenoid)
Tentorial notch: hole through which brainstem travels
Supports posterior cerebrum so it doesn’t compress cerebellum
Which artery can be torn when there is a fracture at the pterion?
Middle menangial artery
Sigmoid sinuses
S shaped
Run in posterior cranial fossae (grooves)
Gets blood from transverse sinuses to jugular foramen - internal jugular vein
Which layer of the dura mater is considered to be the “true dura”?
Meningeal dura mater
Circle of Willis
Circular anastomotic communication of the arteries at the base of the brain Contributing arteries: - Basilar - posterior cerebral - posterior communicating - internal carotid - middle cerebral - anterior cerebral - anterior communicating