CRANIUM Flashcards
SCALP ACRONYM
s - skin - outermost layer
c - connective tissue dense - subcutaneous layer rich in neurovascular structures
a - epicranial aponeurosis - tough layer containing muscle attachments
l - loose connective tissue - allows free movement of outer layers, contains spaces susceptible to distension
p - pericranium - external periosteum of the skull
VIA WHAT CAN INFECTION SPREAD FROM LOOSE CONNECTIVE TISSUE INTO BRAIN OR EYELIDS/NOSE
brain - emissary nerves
nose/eyelids - frontal belly of occipitofrontalis inserts into skin not bone
WHAT NERVE SUPPLIES SENSATION TO ANTERIOR SCALP AND ENTIRE FACE
CN V
WHAT NERVE SUPPLIES SENSATION TO POSTERIOR OF SCALP , HEAD AND ANGLE OF MANDIBLE
cervical nerves 2 and 3 (C2 AND C3)
ARTERIAL SUPPLY TO ANTERIOR SCALP
ICA via opthalmic branch branches supraorbital and supratrochlear
ARTERIAL SUPPLY TO POSTERIOR AND LATERAL SCALP
ECA via superficial temporal, posterior auricular and occipital
VENOUS DRAINAGE OF SCALP
veins have same names as arteries - supraorbital , supratrochlear, superficial temporal, posterior auricular and occipital
all drain into EJV except occipital which drains into IJV
ARTERIO VENOUS ANASTOMOSES
direct connections between small arteries and veins
prevalent in scalp and lie superficially so can bleed profusely
ANTERIOR CRANIAL FOSSA
- occupied by
- bones in make up
occupied by frontal lobes,
shallowest part of cranial base,
made up by frontal ethmoid and sphenoid bones
MIDDLE CRANIAL FOSSA
- occupied by
- bones in make up
- structures surrounding pituitary gland
occupied by temporal lobe
made up by sphenoid and temporal bones.
pituitary gland surrounded by 4 clinoid processes (at corners) and 2 superior projections anteriorly (tuberculum sellae) and posteriorly (dorsum sellae)
FORAMINA PRESENT IN MIDDLE CRANIAL FOSSA
superior orbital fissure
foramen rotundum
foramen ovale
foramen spinosum
FORAMEN LACERUM
found in dry skulls in the middle cranial fossa
closed by cartilage in real life
located close to midline on each side outwith cresent of foramina
POSTERIOR CRANIAL FOSSA
- occupied by
- bones made up of
occupied by brainstem and cerebellum
made up of sphenoid, temporal and occipital bones
CLIVUS
flat portion of bone anterior to foramen magnum in posterior cranial fossa that protects brainstem
HYPOGLOSSAL CANAL
found in posterior cranial fossa , where hypoglossal nerve (CNVII) enters/exits
found just lateral to foramen magnum , slightly hidden by bone from superior view
WHAT ENTERS/EXITS THROUGH JUGULAR FORAMEN
jugular foramen found in posterior cranial fossa
IJVs, CN IX, X, XI
lateral to foramen magnum , decent sized foramina , posterior to internal acoustic meatus
BUTTRESES
thicker portions of cranial bone that transmit forces around and away from weaker areas e.g nasal cavity and orbit
buttresses - zygomatic , frontonasal, occipital
MENINGES
membranous layers that protect the brain
3 layers: dura mater , arachnoid mater, pia mater
DURA MATER
outermost layer of meninges
has 2 layers
- periosteal - attached to bone
- meningeal - in contact with arachnoid layer
layers separated by venous sinuses and dural folds
ARACHNOID MATER
lines dura mater
trabecular projections from arachnoid mater through arachnoid space to pia mater present
SUBARACHNOID SPACE
space between arachnoid mater and pia mater
filled with CSF and blood vessels
CSF reabsorbed back into venous circulations via arachnoid granulations
PIA MATER
thin membrane that covers brain surface and enters sulci
WHAT ARE THE 4 MAIN DURA MATER FOLDS
falx cerebri - largest , longitudanal
falx cerebelli - smallest, between cerebellumlobes
tentrorium cerebelli - forms roof over cerebellum
diaphragma sellae - covers sella turcica
WHAT ARTERY SUPPLIES THE DURA AND CALVARIA
meningeal arteries - found periosteal layer of dura mater
middle meningeal artery = main artery supply (branch of maxillary and therefore ECA)
WHAT SEPARATES AND WHAT CONNECTS THE 2 BRAIN HEMISPHERES
separated - longitudanal cerebral fissure and the falx cerebri
connects - corpus callosum
WHITE AND GREY MATTER COMPOSITION OF BRAIN
outer surface of brain (cerebral cortex) = grey matter (non myelinated cell bodies)
inner surface = white matter (myelinated)