Cranial Meninges Flashcards

1
Q

Internal to the cranium

A

Cranial Meninges

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2
Q

A fluid filled cavity vital to the normal fxn of the brain

A

Subarachnoid space

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3
Q

Protection
Supporting framework
Encloses subarachnoid

A

Cranial meninges

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4
Q

3 membranous CT layers

A

Dura mater
Arachnoid mater
Pia mater

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5
Q

Arachnoid and pia mater collectively make up the

A

Leptomeninx (slender membrane)

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6
Q

This contains the CSF and helps maintain the balance of ECF in the brain.

A

Subarachnoid or leptomeningeal space

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7
Q

Similar to blood in constitution but less protein and diff ion conc.

A

CSF

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8
Q

CSF is formed by

A

Choroid plexus of the four ventricles of the brain.

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9
Q

Leaves the ventricular system and enters the subsrachnoid space where it cushionc and nourishes the brain

A

CSF

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10
Q

Dense and bilaminar. Aka pachymeninx

Adherent to the internal table of the calvaria

A

Dura mater

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11
Q

Periosteum covering of th internal surface of the calvaria

A

External periosteal layer

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12
Q

Strong fibrous membrane that is continuous at the foramen magnum with the spinal dura covering the spinal cord

A

Internal meningeal layer

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13
Q

Its attachment is tenacious along the suture lines and in the cranial base and continuous at the cranial foramina.

A

External periosteal layer of dura

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14
Q

Intimately fused with the periosteal layer and cannot be separated from it
Except at where the dural sinuses and infoldings occur.

A

Internal meningeal layer

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15
Q

Separation of the 2 layers at the dural-cranial interface occurs only pathologically, creating an

A

Epidural space

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16
Q

Sustentacular layer that reflects away from the external periosteal to form ______

A

Internal meningeal–dural infoldings

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17
Q

Divide into compartments (septa) forming partial partitions of the brain and supporting other parts

A

Dural infoldings

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18
Q

Dural infoldings include

A

Falx cerebri
Tentorium cerebelli
Falx cerebelli
Diaphragm sellae

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19
Q

Largest infolding in the longitudinal cerebral fissure that separates the right and left cerebral hemispheres

A

Falx cerebri

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20
Q

Median: internal surface of the calvaria
Anteriorly: crista galli of the ethmoid bone
Posteriorly: internal ocipital protuberance

A

Falx cerebri

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21
Q

2nd largest wide crescentic septum that separates the occipital lobes of the cerebral hemispheres from ththe cerebellum

A

Tentorium cerebelli

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22
Q

Tentorium cerebelli attachments:

A

Rostrally: to the clinoid process of the sphenoid
Rostrolaterally: petrous part of the temporal bone
Posterolaterally: internal surface of the occipital bone and part of the parietal bone

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23
Q

Tentorium cerebelli divides the cranial cavity into:

A

Supratentorial and infratentorial

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24
Q

A gap Thru which the brainstwm extends from the posterior into the middle cranial fossa

A

Tentorisl notch

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25
Brainstem
Midbrain Pons Medulla oblongata
26
Vertical. Inferior to the tentorium cerebelli in the posterior part of the posterior cranial fossa Attach to the internal occipital crest and partially separates the cerebellar hemispheres
Falx cerebelli
27
Smallest dural infolding circular but covers the Pituitary gland and has an aperture for passage of the infundibulum and hypophysial veins
Diaphragm sellae
28
Diaphragm sellae is suspended between the
Clinoid processes forming a partial roof over the hypophysial fossa in the sphenoid
29
Endothelium lined spaces between the periosteal and meningeal layers of the dura. Where large veins from the surface of the brain empty into and most of the blood from the brainultimately drains into them
Dural venous sinuses
30
Form where the dural septa attach along the free edge of the fals cerebri
Dural venous sinuses
31
Lies in the convex attached border of the falx cerebri | Begins at the crista galli and ends near rhe internal occipital protuberance
Superior sagittal sinus
32
A meeting place of the superior sagittal, straight, occipital, and transverse sinuses.
Confluence of sinuses
33
Communicate with the superior sagittal sinus | Lateral expansions of it
Lateral venous lacunae
34
Tufted prolongationsthat protrude thru the meningesl layer of the dura mater into the dural venous sinuses Structurally adapted for the transport of CSF
Arachnoid granulations Pacchionian bodies if enlarged
35
Pits formed by pacchionian podies that erode bone in the calvaria
Granular foveolae
36
Runs on the inferior concave free border of the falx cerebri and ends in the straight sinus
Infeior sagittal sinus
37
Formed by the union of the inferior with the great cerebral vein and runs inferoposteriorly along the line of attachment of the falx cerebri to the tentorium cerebelli
Straight sinus
38
Groove in the occipital bones and the postero-inferior angles of the parietal bones.
Transverse sinus
39
This sinus course along the posterolateral attached margins of the tentorium cerebelli and become the_____
Transverse sinus--sigmois sinuses
40
Deep grooves in the temporal snd occipital bones. Turns anteriorly and continues inferiorly as the IJV after transversing the jugular foramen
Sigmois sinus
41
Lies in the attached border of the falx cerebelli and ends superiorly in the confluence
Occipital sinus
42
Occipital sinus communicates inferiorly with the
Internal vertebral venous plexus
43
A large venous plexus located on each side of the sella turnia on the upper surface of the body of the sphenoid. Extends from the superior orbital fissure to the apex of the petrous part of the temporal bone
Cavernous sinus
44
Cavernous sinus received blood from the (3)
Ophthalmic veins (S/In) S middle cerebral vein Sphenoparietal sinus
45
Stalk of the pituitary gland venous channels
Intercavernouse sinuses
46
The cavernous sinuses drain postero-inferiorly thru the S and In petrosal sinuses and emissary veins to the
Basilar and | Pterygoid plexuses
47
Its small branched inside the cavernous sinuses are surrounded by the carotid plexus of sympathetic nerve/s and the abducent nerve.
Internal carotid artery
48
Said to promote prupulsion of venous blood from the sinus
Pulsations of the artery, as does gravity
49
From the posterior ends of the veins making up the cavernous sinus to the transverse sinuses at the site where these sinuses surve inferiorly to form the sigmoid sinuses.
Superior petrosal sinuses
50
Each superior petrosal sinus lies in the anterolateral attwched margin of the
Tentorium cerebelli
51
Commence at the posterior end of the cavernous sinus. | Runs in a groove between the petrous part of the temporal bone and the basilar part of the occipital bone
Inferior petrosal sinuses
52
Drain the cavernous sinus directly into the transition of the sigmoid sinus to the IJV at the jugular foramen
Inferior petrosal sinus
53
Connects the inferior petrosal sinuses and communicates inferiorly with the internal vertebral venous plexus
Basilar plexus
54
Connects the dural venous sinuses with veins outside the cranium.
Emissary veins
55
Presend in children and some adults Passes thru the foramen cecum of the cranium, connecting the superior sagittal sinus with the veins of the fronts, sinus and nasal cavities
Frontal emissary vein
56
Paired bilaterally passes thru the parietal foramen in the calvaria, connecting the S sagittal sinus with the veins external to it, particularly those in the scalp.
Parietal emissary vein
57
Connects each sigmois sinus with the occipital or poesterior auricular vein
Mastoid emissary vein thru the mastoid foramen
58
Passing thru the condylar canal, connecting the sigmoid sinus with the
Posterior condylar emissary vein--suboccipital venous plexus
59
A branch of the maxillary artery, largest of the dura arteries
Middle meningeal artery
60
MMA enters the fooor of the middle cranial fossa thru the
Foramen spinosum
61
Runs laterally in the spinosum fossa and turns supero snteriorly on the greater wing of rhe sphenoid
MMA
62
Runs superiorly to the pterion and then curves posteriorly to ascen toward the vertex of the cranium
Frontal branch of the MMA
63
Runs posterosuperiorly and ramifies over the posterior aspect of the cranium.
Parietal branch of the MMA
64
Middle meningeal veins drains into the
Pterygoid venous plexus
65
The derivation of the arachnoid-pia feom a single embryonis layer is indicated in the adult by the numerous
Web-like arachnoid trabeculae hence the name
66
Flattened irregularly shaped fibroblast that bridge the subarachnoid space
Arachnoid trabeculae
67
Avascular, thin, unattached to the dura, held against the inner surface of the dura by the pressure of the CSF in the subsrachnoid space
Cranial arachnoid mater
68
Thinner highly vascularized, fives the surface of the brain a shiny appearance as it adheres to it and follow its contours.
Cranial pia mater
69
When the cerebral A penetrate the cerebral cortex, the pia then follow for a short distance, forming
Pial coat and peri-arterial space
70
Between the cranium and the external periosteal layer of the dura. Not a natural space because attached to the bones.
Dura-cranial interface
71
A natural space occupied by epidural fat and a venous plexus internal to the periosteum covering the vertebrae
Spinal epidural space
72
Subarachnoid space contains
CSF Trabecular cells Arteries Veins
73
The brain is suspended in the CSF fills subarachnoid space by the arachnoid trabeculae T/F
True
74
Produces a rupture of the frontal branch of the MMA or V ceossing the pterion causing hematoma and death
Fracture of pterion
75
Inflammation of the facial vein with secondary thrombus formation.
Thrombophlebitis of the facial veins. Pcs of clots may extend into intracranial venous system-thrombophlebitis of the cavernous sinus
76
Composed of flattened fibroblasts separated by large EC spaces
Dural border cell layer
77
The temporal bone may be lacerated by the tough tentorium cerebelli and the oculomotor nerve may be stretched, compressed, or both.
Tentorial herniation