Cranial Meninges Flashcards

1
Q

What are cranial meninges?

A

Coverings of the brain that lie immediately internal to the cranium

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2
Q

Purpose of the meninges

A

Protect the brain and form the supporting framework for arteries, veins, and venous sinuses

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3
Q

The cranial meninges are composed of what membranous layers?

A

Dura mater

Arachnoid mater

Pia mater

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4
Q

Leptomeninx includes the:

And are separated by ____ ___, which contains:

A

Arachnoid and pia maters

Subarachnoid space

Cerebrospinal fluid

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5
Q

____ provides nutrients to the brain. It is formed by the ___ ___ within:

A

CSF

Choroid plexuses

The 4 ventricles of the brain

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6
Q

A two-layered membrane that is adherent to the internal surface of the cranium

A

Dura mater

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7
Q

2 laters of the dura mater

A

Periosteal layer

Meningeal layer

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8
Q

The periosteal layer of the dura mater is formed by the ______ covering the internal surface of the ____.

A

Periosteum

Calvaria

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9
Q

The meningeal layer of the dura mater is a ___ ____ membrane that is continuous with the:

A

Strong fibrous

Meningeal layer covering the spinal cord

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10
Q

What forms the dural infoldings (reflections)?

A

The internal meningeal layer of the dura reflecting away from the external periosteal layer of the dura

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11
Q

Purpose of the dural infoldings

A

Divides the cranial cavity into compartments and support parts of the brain

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12
Q

What are the dural reflections?

A

Falx cerebri

Tentorium cerebelli

Falx cerebelli

Diaphragmatic sellae

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13
Q

The falx cerebri is a _____-shaped partition that lies in the ________ fissure that separates the:

A

Sickle

Longitudinal

Right and left cerebral hemispheres

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14
Q

The flax cerebri extends from the ___ ___ of the frontal bone and the ___ ___ of the ethmoid bone anteriorly to the ____ ____ ____ posteriorly

A

Frontal crest

Crista Galli

Internal occipital protuberance

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15
Q

The falx cerebri ends _____ by becoming continuous with the ___ ___.

A

Posteriorly

Tentorium cerebelli

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16
Q

The falx cerebri attaches to the ____ ____ in the _____ and holds it up, giving it a tent-like appearance

A

Tentorium cerebelli

Midline

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17
Q

The tentorium cerebelli is a wide ____ ___ that separates the ___ ___ of the cerebral hemispheres from the cerebellum

A

Crescentic septum

Occipital lobes

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18
Q

The tentorium cerebelli attaches anteriorly to the ___ ____ of the sphenoid bone, anterolaterally to the ___ ___ of the temporal bone, and posterolateral to the _____ ____ of the occipital bone

A

Clinoid process

Petrous part

Internal surface

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19
Q

What is the tentorial notch?

A

The anteromedial concave free border, through which the brain stem extends from the posterior into the middle cranial fossa

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20
Q

The tentorium cerebelli divides the cranial cavity into _______ and _____ compartments

A

Supratentorial

Infratentorial

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21
Q

The falx cerebelli is a _____ dural infoldings that lies inf to the ____ ___ and partially separates the:

A

Vertical

Tentorium cerebelli

Cerebellar hemispheres

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22
Q

The diaphragma sellae is the ____ and a ___ sheet of dural infolding that is suspended between the ___ ____, forming a partial roof over the ______ fossa.

A

Smallest

Circular

Clinoid processes

Hypophysial fossa

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23
Q

What are the dural venous sinuses

A

Endothelial-lined spaces between the periosteal and meningeal layers of the dura

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24
Q

Dural venous tributaries are the veins from the:

A

Surface of the brain and from the fipole of the skull

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25
What are the dural venous sinuses?
Superior Sagittal sinus Inf Sagittal sinus Straight sinus Transverse sinuses Sigmoid sinuses Occipital sinus Cavernous sinus Superior petrosal sinuses Inf petrosal sinuses Emissary veins
26
Where does the superior Sagittal sinus lie?
In the convex attached (superior) border of the falx cerebri
27
The sup. Sagittal sinus begins at the ___ ___ and ends near the __ ___ ___ at the:
Crista galli Internal occipital protuberance Confluence of sinuses
28
lateral expansions of the sup sagittal sinus
lateral venous lacunae
29
the sup sagittal sinus receives the ____ ___ veins and communicates on each side through with the ___ ___ ___.
sup cerebral veins lateral venous lacunae
30
what are arachnoid granulations
(collections of arachnoid villi) Tufted prolongations of the arachnoid that protrude through the meningeal layer of the dura mater into the dural venous sinuses and lateral venous lacunae
31
What transfers the CSF to the venous system?
arachnoid granulations
32
which is smaller, superior or inferior sagittal sinus?
inferior
33
the inf sagittal sinus runs in the _____ ____ ___ border of the ____ ____ and ends in the ___ ___.
inferior free concave falx cerebri straight sinus
34
The straight sinus is formed by what?
the union of the inf sagittal sinus w/ the great cerebral vein
35
the straight sinus runs ______ along the line of attachment of the ___ ____ to the ____ ____ to join the:
inferoposteriorly falx cerebri tenrorium cerebelli confluence of sinuses
36
the trasverse sinuses pass laterally from the ____ ___ ___ in the ____ attached margin of the ____ _____, grooving the:
confluence of sinuses posterior tentorium cerebelli occipital bones
37
The transverse sinuses become the ___ ____ at the posterior aspect of the ___ ____ __
sigmoid sinuses petrous temporal bone
38
The sigmoid sinuses follow the __-shaped courses in the __ ___ ___, forming deep grooves where?
S post cranial fossa temporal and occipital bones
39
after forming deep grooves in the temporal and occipital bones, the sigmoid sinuses turn ____, then continue ___ as the ____ after transversing the _____
anteriorly inferiorly IJVs jugular foramen
40
the occipital sinus lies in the attached border of ___ ____ and ends ____ in the:
falx cerebelli superiorly confluence of sinuses
41
The occipital sinus communicates _____ with the :
inferiorly internal vertebral venous plexus
42
the cavernous sinus is located bilaterally on each side of the ___ ____ on the body of the ___ bone
sella turcica sphenoid
43
the cavernous sinus consists of (THICK/THIN)-walled veins that extend from the ___ ___ ___ anteriorly to the _________ posteriorly
sup orbital fissure apex of the petrous part of the temporal bone
44
contents in the cavernous sinus
internal carotid art abducent nerve (CN V1)
45
contents in the lateral wall of each cavernous sinus
oculomotor nerve (CN III) trochlear nerve (CN IV) CN V1 and CN V2 divisions of the trigeminal nerve
46
tributaries to the cavernous sinus
sup and inf ophthalmic veins superficial middle cerebral vein sphenoparietal sinus sup and inf petrosal sinuses pterygoid venous plexuses (through emissary veins) intercavernous sinuses
47
the intercavernous sinuses and and post to the _____ of the ____ gland communicate:
infundibulum pituitary the cavernous sinuses w/ each other
48
the sup petrosal sinuses run from the post end of the ___ ___ to join the ___ ___, there they curve inferiorly to form the:
cavernous sinuses transverse sinuses sigmoid sinuses
49
each sup petrosal sinus lies in the _____ attached margin of the ____ ____, which attaches to the:
anterolateral tentorium cerebelli sup border of the petrous part of the temporal bone
50
the inf petrosal sinuses begin at the post end of the ____ ___ and drain them directly into the origin of the:
cavernous sinuses IJVs
51
what connects the inf petrosal sinuses w/ the internal vertebral venous plexus?
basilar plexus
52
what connects the dural venous sinuses w veins outside the cranium
emissary veins
53
arteries of the dura mater
middle meningeal artery (with anterior and posterior branches)
54
the middle meningeal art is a branch of:
maxillary artery
55
the middle meningeal art enders the ____ cranial fossa through the:
middle foramen spinosum
56
the ant branch of the middle meningeal art runs superiorly to the _____ then curves ____ to ascend toward the:
pterion posteriorly vertex of the cranium
57
the post branch of the middle meningeal art runs ______ and ramifies over the ____ aspect of the cranium
posterosuperiorly posterior
58
veins of the dura accompany the:
meningeal arteries
59
innervation of the dura mater
3 divisions of CN V (main innervation) Vagus (CN X) and hypoglassal (CN XII) sup 3 cervical nerves
60
the arachnoid mater and pia mater (___) develop from:
leptomeninx a single layer of mesenchyme surrounding the embryonic brain
61
what passes between the arachnoid and pia
arachnoid trabeculae
62
which is an avascular layer-- arachnoid or pia?
arachnoid mater
63
the pia mater is a (THICK/THIN) membrane that is highly _____ by a network of fine ___ ____ and adheres to the surface of the ____ and follows its ___
thin vascularized blood vessels brain contours
64
what are the 3 meningeal spaces
epidural space subdural space subarachnoid space
65
where is the epidural space located
between the cranium and external periosteal layer of the dura it is not a natural space
66
when does the epidural space become a space?
pathologically (blood extravasation)
67
location of the subdural space
between dura and arachnoic (not a potential space)
68
location of the subarachnoic space
between arachnoid and pia
69
the subarachnoid is a ___ space that contains:
real CSF Trabecular cells cerebral arteries
70
review clinical relevance. not sure he will ask theses
head injuries and such