cranium Flashcards
what are the two main contents of the skull?
skeleton
- contents
- mandible, lower jaw
- cranium
- viscerocranium
- facial skeleton
- neurocranium
- cranial cavity and internal ear
- viscerocranium
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list the facial skeleton
skeleton
- contents
- mandible, lower jaw
- cranium
-
viscerocranium
- facial skeleton
- neurocranium
- cranial cavity and internal ear
-
viscerocranium
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list the cranial cavity and internal portion of the skull
skeleton
- contents
- mandible, lower jaw
- cranium
- viscerocranium
- facial skeleton
-
neurocranium
- cranial cavity and internal ear
- viscerocranium
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how many bones make up the cranium? what is excluded?
cranium
-
contents
- 22 bones, excluding the 3 ear ossicles
- arrangement
- single unpaired
- frontal
- occipital
- sphenoid
- ethmoid
- paired bones
- temporal
- parietal
- nasal
- ppalatine
- lacrimal
- zygomatic
- maxilla
- inferior conchae
- single unpaired
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list the single unpaired bones of the cranium
cranium
- contents
- 22 bones, excluding the 3 ear ossicles
- arrangement
-
single unpaired
- frontal
- occipital
- sphenoid
- ethmoid
- paired bones
- temporal
- parietal
- nasal
- ppalatine
- lacrimal
- zygomatic
- maxilla
- inferior conchae
-
single unpaired
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listt the paired bones oft the cranium
cranium
- contents
- 22 bones, excluding the 3 ear ossicles
- arrangement
- single unpaired
- frontal
- occipital
- sphenoid
- ethmoid
-
paired bones
- temporal
- parietal
- nasal
- palatine
- lacrimal
- zygomatic
- maxilla
- inferior conchae
- single unpaired
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list the sutures and fontanells of the skull
skull
- features
-
sutures (fibrous joints)
- coronal, sagital, lamboidal, ppterion, and squamous
- allow growth between adjacent bones of the infant’s skull
- most calvarial sutures begin to fuse in the third decade
- premature fusion of a suture (craniosynostosis) may lead to distortion of the head shape
-
Fontanelles - sites where sutures intersect
-
anterior fontanelle
- “soft spot” of a baby’s head
- used tot assess
- ossification
- intracranial pressure
- hydration level
- posterior fontanelle
-
anterior fontanelle
-
sutures (fibrous joints)
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what is the function of the sutures in the following scenerios?
- infants skull
- when do they fuse?
- what occurs with premature fusion?
skull
- features
-
sutures (fibrous joints)
- allow growth between adjacent bones of the infant’s skull
- most calvarial sutures begin to fuse in the third decade
- premature fusion of a suture (craniosynostosis) may lead to distortion of the head shape
- Fontanelles - sites where sutures intersect
- anterior fontanelle
- “soft spot” of a baby’s head
- used tot assess
- ossification
- intracranial pressure
- hydration level
- posterior fontanelle
- anterior fontanelle
-
sutures (fibrous joints)
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answer the following with regard to fontanelles
- soft spot?
- how is this area used for assessment?
skull
- features
- sutures (fibrous joints)
- allow growth between adjacent bones of the infant’s skull
- most calvarial sutures begin to fuse in the third decade
- premature fusion of a suture (craniosynostosis) may lead to distortion of the head shape
-
Fontanelles - sites where sutures intersect
-
anterior fontanelle
- “soft spot” of a baby’s head
-
used tot assess
- ossification
- intracranial pressure
- hydration level
- posterior fontanelle
-
anterior fontanelle
- sutures (fibrous joints)
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what are the fonatanelles?
skull
- features
- sutures (fibrous joints)
- allow growth between adjacent bones of the infant’s skull
- most calvarial sutures begin to fuse in the third decade
- premature fusion of a suture (craniosynostosis) may lead to distortion of the head shape
- Fontanelles - sites where sutures intersect
-
anterior fontanelle
- “soft spot” of a baby’s head
- used tot assess
- ossification
- intracranial pressure
- hydration level
- posterior fontanelle
-
anterior fontanelle
- sutures (fibrous joints)
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list the details regarding the anterior foramen
- supra-orbital foramn
- content
- infra-orbital foramen
- content
- mental foramen
- content
-
anterior
-
supra-orbital foramn
- supra-orbital nerve and vessels
-
infra-orbital foramen
- infra-orbital nerve and vessels
-
mental foramen
- mental nerve and vessels
-
supra-orbital foramn
- inferior
- incisive foramina
- nasopalatine nerve
- sphenopalatinve vessels
- greater palatine foramen
- greater palatine nerve an dvessels
- lesser palatine foramina
- lesser palatine nerve and vessels
- foramen ovale
- mandibular nerve (V3)
- lesser petrosal nerve
- foramen spinosum
- middle meningeal artery
- carotid canal
- internal carotid artery and nerve plexus
- foramen magnum
- continuation of brain and spinal cord
- vertbral arteries and nerve plexuses
- anterior spinal artery
- posterior spinal arteries
- roots of accessory nerve XI
- mininges
- hypoglossal canal
- hypoglossal nerve XII and vessels
- jugular foramen
- internal jugular vein
- inferior petrosal sinus
- flossopharyngeal nerve IX
- vagus nerve X
- accessory nerve
- stylomastoid foramen
- facial nerve VII
- incisive foramina
- anterior cranial fossa
- olfactory foramina in cribriform plate
- olfactory nerves (I)
- olfactory foramina in cribriform plate
- middle cranial fossa
- optic canal
- optic nerve II
- ophthalmic artery
- superior orbital fissure
- oculomotor nerve III
- trochlear nerve IV
- ophthalmic division of the trigeminal nerve V1
- abducent nerve VI
- ophthalmic veins
- foramen rotundum
- maxillary division of the trigeminal nerve V2
- foramen ovale
- mandibular division of the trigeminal nerve V3
- lesser petrosal nerve
- optic canal
- posterior cranial fossa
- foramen magnum
- endo of brainstem/beginning of spinal cord
- vertebral arteries
- spinal roots of the accessory nerve
- meninges
- internal acoustic meatus
- facial nerve VII
- vestibulocochlear nerve VIII
- labyrinthine artery
- jugular foramen
- glossopharyngeal nerve IX
- vagus nerve X
- accessory nerve XI
- inferior petrosal sinus
- sigmoid sinus
- forming internal jugular vein
- hypoglossal canal
- hypoglossal nerve XII
- meningeal branch of the ascending pahryngeal artery
- foramen magnum
list the details regarding the inferior foramen
- incisive foramina
- greater palatine foramen
- lesser palatine foramina
- foramen ovale
- foramen spinosum
- carotid canal
- foramen magnum
- hypoglossal canal
- jugular foramen
- stylomastoid foramen
1.
- anterior
- supra-orbital foramn
- supra-orbital nerve and vessels
- infra-orbital foramen
- infra-orbital nerve and vessels
- mental foramen
- mental nerve and vessels
- supra-orbital foramn
- inferior
- incisive foramina
- nasopalatine nerve
- sphenopalatinve vessels
- greater palatine foramen
- greater palatine nerve an dvessels
- lesser palatine foramina
- lesser palatine nerve and vessels
- foramen ovale
- mandibular nerve (V3)
- lesser petrosal nerve
- foramen spinosum
- middle meningeal artery
- carotid canal
- internal carotid artery and nerve plexus
- foramen magnum
- continuation of brain and spinal cord
- vertbral arteries and nerve plexuses
- anterior spinal artery
- posterior spinal arteries
- roots of accessory nerve XI
- mininges
- hypoglossal canal
- hypoglossal nerve XII and vessels
- jugular foramen
- internal jugular vein
- inferior petrosal sinus
- flossopharyngeal nerve IX
- vagus nerve X
- accessory nerve
- stylomastoid foramen
- facial nerve VII
- incisive foramina
- anterior cranial fossa
- olfactory foramina in cribriform plate
- olfactory nerves (I)
- olfactory foramina in cribriform plate
- middle cranial fossa
- optic canal
- optic nerve II
- ophthalmic artery
- superior orbital fissure
- oculomotor nerve III
- trochlear nerve IV
- ophthalmic division of the trigeminal nerve V1
- abducent nerve VI
- ophthalmic veins
- foramen rotundum
- maxillary division of the trigeminal nerve V2
- foramen ovale
- mandibular division of the trigeminal nerve V3
- lesser petrosal nerve
- optic canal
- posterior cranial fossa
- foramen magnum
- endo of brainstem/beginning of spinal cord
- vertebral arteries
- spinal roots of the accessory nerve
- meninges
- internal acoustic meatus
- facial nerve VII
- vestibulocochlear nerve VIII
- labyrinthine artery
- jugular foramen
- glossopharyngeal nerve IX
- vagus nerve X
- accessory nerve XI
- inferior petrosal sinus
- sigmoid sinus
- forming internal jugular vein
- hypoglossal canal
- hypoglossal nerve XII
- meningeal branch of the ascending pahryngeal artery
- foramen magnum
list the details with regard to anterior cranial fossa foramen
- olfactory foramina in cribriform plate
1.
- anterior
- supra-orbital foramn
- supra-orbital nerve and vessels
- infra-orbital foramen
- infra-orbital nerve and vessels
- mental foramen
- mental nerve and vessels
- supra-orbital foramn
- inferior
- incisive foramina
- nasopalatine nerve
- sphenopalatinve vessels
- greater palatine foramen
- greater palatine nerve an dvessels
- lesser palatine foramina
- lesser palatine nerve and vessels
- foramen ovale
- mandibular nerve (V3)
- lesser petrosal nerve
- foramen spinosum
- middle meningeal artery
- carotid canal
- internal carotid artery and nerve plexus
- foramen magnum
- continuation of brain and spinal cord
- vertbral arteries and nerve plexuses
- anterior spinal artery
- posterior spinal arteries
- roots of accessory nerve XI
- mininges
- hypoglossal canal
- hypoglossal nerve XII and vessels
- jugular foramen
- internal jugular vein
- inferior petrosal sinus
- flossopharyngeal nerve IX
- vagus nerve X
- accessory nerve
- stylomastoid foramen
- facial nerve VII
- incisive foramina
- anterior cranial fossa
- olfactory foramina in cribriform plate
- olfactory nerves (I)
- olfactory foramina in cribriform plate
- middle cranial fossa
- optic canal
- optic nerve II
- ophthalmic artery
- superior orbital fissure
- oculomotor nerve III
- trochlear nerve IV
- ophthalmic division of the trigeminal nerve V1
- abducent nerve VI
- ophthalmic veins
- foramen rotundum
- maxillary division of the trigeminal nerve V2
- foramen ovale
- mandibular division of the trigeminal nerve V3
- lesser petrosal nerve
- optic canal
- posterior cranial fossa
- foramen magnum
- endo of brainstem/beginning of spinal cord
- vertebral arteries
- spinal roots of the accessory nerve
- meninges
- internal acoustic meatus
- facial nerve VII
- vestibulocochlear nerve VIII
- labyrinthine artery
- jugular foramen
- glossopharyngeal nerve IX
- vagus nerve X
- accessory nerve XI
- inferior petrosal sinus
- sigmoid sinus
- forming internal jugular vein
- hypoglossal canal
- hypoglossal nerve XII
- meningeal branch of the ascending pahryngeal artery
- foramen magnum
list the details with regard to middles cranial fossa
- optic canal
- superior orbital fissure
- foramen rotundum
- foramen ovale
- 2.
- anterior
- supra-orbital foramn
- supra-orbital nerve and vessels
- infra-orbital foramen
- infra-orbital nerve and vessels
- mental foramen
- mental nerve and vessels
- supra-orbital foramn
- inferior
- incisive foramina
- nasopalatine nerve
- sphenopalatinve vessels
- greater palatine foramen
- greater palatine nerve an dvessels
- lesser palatine foramina
- lesser palatine nerve and vessels
- foramen ovale
- mandibular nerve (V3)
- lesser petrosal nerve
- foramen spinosum
- middle meningeal artery
- carotid canal
- internal carotid artery and nerve plexus
- foramen magnum
- continuation of brain and spinal cord
- vertbral arteries and nerve plexuses
- anterior spinal artery
- posterior spinal arteries
- roots of accessory nerve XI
- mininges
- hypoglossal canal
- hypoglossal nerve XII and vessels
- jugular foramen
- internal jugular vein
- inferior petrosal sinus
- flossopharyngeal nerve IX
- vagus nerve X
- accessory nerve
- stylomastoid foramen
- facial nerve VII
- incisive foramina
- anterior cranial fossa
- olfactory foramina in cribriform plate
- olfactory nerves (I)
- olfactory foramina in cribriform plate
-
middle cranial fossa
-
optic canal
- optic nerve II
- ophthalmic artery
-
superior orbital fissure
- oculomotor nerve III
- trochlear nerve IV
- ophthalmic division of the trigeminal nerve V1
- abducent nerve VI
- ophthalmic veins
-
foramen rotundum
- maxillary division of the trigeminal nerve V2
-
foramen ovale
- mandibular division of the trigeminal nerve V3
- lesser petrosal nerve
-
optic canal
- posterior cranial fossa
- foramen magnum
- endo of brainstem/beginning of spinal cord
- vertebral arteries
- spinal roots of the accessory nerve
- meninges
- internal acoustic meatus
- facial nerve VII
- vestibulocochlear nerve VIII
- labyrinthine artery
- jugular foramen
- glossopharyngeal nerve IX
- vagus nerve X
- accessory nerve XI
- inferior petrosal sinus
- sigmoid sinus
- forming internal jugular vein
- hypoglossal canal
- hypoglossal nerve XII
- meningeal branch of the ascending pahryngeal artery
- foramen magnum
list the details with regard to the posterior cranial fossa
- foramen magnum
- internal acoustic meatus
- jugular foramen
- hypoglossal canal
- 2.
- anterior
- supra-orbital foramn
- supra-orbital nerve and vessels
- infra-orbital foramen
- infra-orbital nerve and vessels
- mental foramen
- mental nerve and vessels
- supra-orbital foramn
- inferior
- incisive foramina
- nasopalatine nerve
- sphenopalatinve vessels
- greater palatine foramen
- greater palatine nerve an dvessels
- lesser palatine foramina
- lesser palatine nerve and vessels
- foramen ovale
- mandibular nerve (V3)
- lesser petrosal nerve
- foramen spinosum
- middle meningeal artery
- carotid canal
- internal carotid artery and nerve plexus
- foramen magnum
- continuation of brain and spinal cord
- vertbral arteries and nerve plexuses
- anterior spinal artery
- posterior spinal arteries
- roots of accessory nerve XI
- mininges
- hypoglossal canal
- hypoglossal nerve XII and vessels
- jugular foramen
- internal jugular vein
- inferior petrosal sinus
- flossopharyngeal nerve IX
- vagus nerve X
- accessory nerve
- stylomastoid foramen
- facial nerve VII
- incisive foramina
- anterior cranial fossa
- olfactory foramina in cribriform plate
- olfactory nerves (I)
- olfactory foramina in cribriform plate
- middle cranial fossa
- optic canal
- optic nerve II
- ophthalmic artery
- superior orbital fissure
- oculomotor nerve III
- trochlear nerve IV
- ophthalmic division of the trigeminal nerve V1
- abducent nerve VI
- ophthalmic veins
- foramen rotundum
- maxillary division of the trigeminal nerve V2
- foramen ovale
- mandibular division of the trigeminal nerve V3
- lesser petrosal nerve
- optic canal
- posterior cranial fossa
- foramen magnum
- endo of brainstem/beginning of spinal cord
- vertebral arteries
- spinal roots of the accessory nerve
- meninges
- internal acoustic meatus
- facial nerve VII
- vestibulocochlear nerve VIII
- labyrinthine artery
- jugular foramen
- glossopharyngeal nerve IX
- vagus nerve X
- accessory nerve XI
- inferior petrosal sinus
- sigmoid sinus
- forming internal jugular vein
- hypoglossal canal
- hypoglossal nerve XII
- meningeal branch of the ascending pahryngeal artery
- foramen magnum
discuss the cavities of the viscerocranium.
may help to draw out the stacked cube diagram
viscerocranium
-
cavities
- orbits
- nasal cavity and sinuses
- external ears
- oral cavity (with mandible)
- 15 bones
- paired
- nasal
- palatine
- lacrimal
- zygomatic
- maxilla
- inferior conchae
- unpaired
- vomer and ethmoid
- mandible
- paired
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list the paired bones of the viscerocranium (6)
viscerocranium
- cavities
- orbits
- nasal cavity and sinuses
- external ears
- oral cavity (with mandible)
-
15 bones
-
paired
- nasal
- palatine
- lacrimal
- zygomatic
- maxilla
- inferior conchae
- unpaired
- vomer and ethmoid
- mandible
-
paired
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list the unpaired bones of the viscerocranium(3)
viscerocranium
- cavities
- orbits
- nasal cavity and sinuses
- external ears
- oral cavity (with mandible)
-
15 bones
- paired
- nasal
- palatine
- lacrimal
- zygomatic
- maxilla
- inferior conchae
-
unpaired
- vomer and ethmoid
- mandible
- paired
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discuss the cranial cavities with regards to the neurocranium
neurocranium
-
cranial cavity
- hosts the brain
- meninges
- part of cranial nerves
- vasculature of brain
- 8 bones
- 2 paired
- temporal
- parietal
- 4 unpaired
- frontal
- occipital
- sphenoid
- ethmoid
- minor contribution to neurocranium
- 2 paired
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discuss the paired bones of the neurocranium
neurocranium
- cranial cavity
- hosts the brain
- meninges
- part of cranial nerves
- vasculature of brain
- 8 bones
-
2 paired
- temporal
- parietal
- 4 unpaired
- frontal
- occipital
- sphenoid
- ethmoid
- minor contribution to neurocranium
-
2 paired
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list the unpaired bones of the neurocranium
neurocranium
- cranial cavity
- hosts the brain
- meninges
- part of cranial nerves
- vasculature of brain
- 8 bones
- 2 paired
- temporal
- parietal
-
4 unpaired
- frontal
- occipital
- sphenoid
-
ethmoid
- minor contribution to neurocranium
- 2 paired
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discuss the contents with respect to the nerurocranium, two main constituents
neurocranium
- contents
-
cranial vault
- contains roof aka calvaria (skullcap)
-
cranial base
- cranial floor aka:internal surface
- divided into 3 sections
- anterior cranial fossa
- middle cranial fossa
- posterior cranial fossa
-
cranial vault
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list the division of the internal surface/cranial floor of the neurcranium
neurocranium
- contents
- cranial vault
- contains roof aka calvaria (skullcap)
- cranial base
- cranial floor aka:internal surface
-
divided into 3 sections
- anterior cranial fossa
- middle cranial fossa
- posterior cranial fossa
- cranial vault
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list the structures with regard to the anterior cranial fossa
cranial base
-
anterior cranial fossa
- cribriform plate
- middle cranial fossa
- optic canal
- foramen rotundum
- superior orbital fissure
- foramen ovale
- posterior cranial cavity
- internal acoustic meatus
- jugular foramen
- hypoglossal canal
- foramenmagnum
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describe the middle cranial cavity contents in the cranial base
cranial base
- anterior cranial fossa
- cribriform plate
-
middle cranial fossa
- optic canal
- foramen rotundum
- superior orbital fissure
- foramen ovale
- posterior cranial cavity
- internal acoustic meatus
- jugular foramen
- hypoglossal canal
- foramenmagnum
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list the contents fo the cranial base with the posterior cranial cavity
cranial base
- anterior cranial fossa
- cribriform plate
- middle cranial fossa
- optic canal
- foramen rotundum
- superior orbital fissure
- foramen ovale
-
posterior cranial cavity
- internal acoustic meatus
- jugular foramen
- hypoglossal canal
- foramenmagnum
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describe the tables of the cranial vault
bones of the cranial vault consists of
-
tables
-
An external table of compact bone
- thicker
-
an internal table of compact bone
- thinner
-
An external table of compact bone
- central layer of cancellous bone
- diploe
- diploic veins
- are part of the route for the intracranial spread of infection as they drain in venous sinsuses
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describethe diploe structures in the cranial vaults
bones of the cranial vault consists of
- tables
- An external table of compact bone
- thicker
- an internal table of compact bone
- thinner
- An external table of compact bone
-
central layer of cancellous bone
- diploe
-
diploic veins
- are part of the route for the intracranial spread of infection as they drain in venous sinsuses
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describe the contents of the brain in the following areas
- anterior cranial fossa
- middle cranial fossa
- posterior cranial fossa
- contained by neurocranium
- anterior cranial fossa
- frontal lobe of cerebrum
- middle cranial fossa
- temporal lobe of cerebrum
- midbrain
- junction between middle and posterior cranial fossa
- midbrain
- temporal lobe of cerebrum
- posterior cranial fossa
- pons, medulla oblongata, cerebellum
- occiciptal lobe of cerebrum
- over tentorium cerebelli
- anterior cranial fossa
- arteries
- vertebral a. (subclavian a)
- basilar a->posterior cerebrala
- cerebellar aa and pontine aa
- basilar a->posterior cerebrala
- internal carotid a
- anterior cerbral a
- middle cerevral a
- ophthalmic a
- vertebral a. (subclavian a)
- veins
- drains in venous sinuses formed by dura
- internal jugular veins drain blood from venous sinsuses
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junction between middle and posterior cranial fossa, with regard to the brain.
- contained by neurocranium
- anterior cranial fossa
- frontal lobe of cerebrum
-
middle cranial fossa
-
temporal lobe of cerebrum
-
midbrain
- junction between middle and posterior cranial fossa
-
midbrain
-
temporal lobe of cerebrum
- posterior cranial fossa
- pons, medulla oblongata, cerebellum
- occiciptal lobe of cerebrum
- over tentorium cerebelli
- anterior cranial fossa
- arteries
- vertebral a. (subclavian a)
- basilar a->posterior cerebrala
- cerebellar aa and pontine aa
- basilar a->posterior cerebrala
- internal carotid a
- anterior cerbral a
- middle cerevral a
- ophthalmic a
- vertebral a. (subclavian a)
- veins
- drains in venous sinuses formed by dura
- internal jugular veins drain blood from venous sinsuses
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area of tthe brain over tenttorium cerebelli.
- contained by neurocranium
- anterior cranial fossa
- frontal lobe of cerebrum
- middle cranial fossa
- temporal lobe of cerebrum
- midbrain
- junction between middle and posterior cranial fossa
- midbrain
- temporal lobe of cerebrum
-
posterior cranial fossa
- pons, medulla oblongata, cerebellum
-
occiciptal lobe of cerebrum
- over tentorium cerebelli
- anterior cranial fossa
- arteries
- vertebral a. (subclavian a)
- basilar a->posterior cerebrala
- cerebellar aa and pontine aa
- basilar a->posterior cerebrala
- internal carotid a
- anterior cerbral a
- middle cerevral a
- ophthalmic a
- vertebral a. (subclavian a)
- veins
- drains in venous sinuses formed by dura
- internal jugular veins drain blood from venous sinsuses
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describe thte arteries to the brain from the carotid and internal carotid.
- contained by neurocranium
- anterior cranial fossa
- frontal lobe of cerebrum
- middle cranial fossa
- temporal lobe of cerebrum
- midbrain
- junction between middle and posterior cranial fossa
- midbrain
- temporal lobe of cerebrum
- posterior cranial fossa
- pons, medulla oblongata, cerebellum
- occiciptal lobe of cerebrum
- over tentorium cerebelli
- anterior cranial fossa
-
arteries
-
vertebral a. (subclavian a)
-
basilar a->posterior cerebrala
- cerebellar aa and pontine aa
-
basilar a->posterior cerebrala
-
internal carotid a
- anterior cerbral a
- middle cerevral a
- ophthalmic a
-
vertebral a. (subclavian a)
- veins
- drains in venous sinuses formed by dura
- internal jugular veins drain blood from venous sinsuses
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describe the venous drainage from the brain
- contained by neurocranium
- anterior cranial fossa
- frontal lobe of cerebrum
- middle cranial fossa
- temporal lobe of cerebrum
- midbrain
- junction between middle and posterior cranial fossa
- midbrain
- temporal lobe of cerebrum
- posterior cranial fossa
- pons, medulla oblongata, cerebellum
- occiciptal lobe of cerebrum
- over tentorium cerebelli
- anterior cranial fossa
- arteries
- vertebral a. (subclavian a)
- basilar a->posterior cerebrala
- cerebellar aa and pontine aa
- basilar a->posterior cerebrala
- internal carotid a
- anterior cerbral a
- middle cerevral a
- ophthalmic a
- vertebral a. (subclavian a)
-
veins
- drains in venous sinuses formed by dura
- internal jugular veins drain blood from venous sinsuses
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describet the dura mater layers with attachment to structures.
meninges
- details
- the brain is enclosed by three connetive tissue membranes
-
layers
-
dura mater
- tough outer membrane
-
consists of two layers
-
periosteal layer
- lining the bone of the calvaria
- inner meningeal layer
-
periosteal layer
- arachnoid mater
- thin, transparent intermediate layer
- pia mater
- thin layer adherent to the brain
-
dura mater
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describe the following with respect to the meninges
- lining the bone of the calvaria
- lines the deep portion superficial to the arachnoid mater
meninges
- details
- the brain is enclosed by three connetive tissue membranes
- layers
- dura mater
- tough outer membrane
-
consists of two layers
-
periosteal layer
- lining the bone of the calvaria
- inner meningeal layer
-
periosteal layer
- arachnoid mater
- thin, transparent intermediate layer
- pia mater
- thin layer adherent to the brain
- dura mater
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describe the space between the pia mater and the arachnoid space.
- what generates the fluid here?
- what disease and how can it manifest involving this location?
meninges
- details
- the brain is enclosed by three connetive tissue membranes
- layers
- dura mater
- tough outer membrane
- consists of two layers
- periosteal layer
- lining the bone of the calvaria
- meningeal layer
- periosteal layer
- arachnoid mater
- thin, transparent intermediate layer
- pia mater
- thin layer adherent to the brain
- dura mater
-
spaces
-
subarachnoid space
- lacated between the arachnoid matter and pia matter
-
contains
-
CSF
- helps protect the brain
-
produced
- chroid plexus - within ventricles of the brain and passes into the subarachnoid space and is reabsorbed in superior sinus
-
CSF
-
disease
-
hydrocephalus
- overproduction of CSF leads while the flow is obstructed and/or failure of reabsorbtion, leads to the dilation of cerebral ventricular system.
-
hydrocephalus
-
subarachnoid space
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describe the layers of connective tissue surrounding the brain.
meninges
- details
- the brain is enclosed by three connetive tissue membranes
- layers
-
dura mater
- tough outer membrane
- consists of two layers
-
periosteal layer
- lining the bone of the calvaria
- meningeal layer
-
periosteal layer
-
arachnoid mater
- thin, transparent intermediate layer
-
pia mater
- thin layer adherent to the brain
-
dura mater
- spaces
- subarachnoid space
- lacated between the arachnoid matter and pia matter
- contains
- CSF
- helps protect the brain
- produced
- chroid plexus - within ventricles of the brain and passes into the subarachnoid space and is reabsorbed in superior sinus
- CSF
- disease
- hydrocephalus
- overproduction of CSF leads while the flow is obstructed and/or failure of reabsorbtion, leads to the dilation of cerebral ventricular system.
- hydrocephalus
- subarachnoid space
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describe the following with respect to dural folds.
- what are they?
- partially separattes hemipheres of cerebrum
- between cerebellum andoccipital lobe of the cerebrum
dural folds and brain herniation
-
meningeal layer of dura mater projects inwardly in places, forming dural folds:
-
cerebral falx aka falx cerebri
- partially separates hemispheres of cerebrum
-
cerebellar tentorium
- contains an oval opening the tentorial notch
- between cerebellum andoccipital lobe of the cerebrum
- cerebellar falx (falx cerebilli)
- parially separates hemispheres of cerebellum
- sella diaphragm (diaphragma sellae)
- ocer hypophysial fossa
-
cerebral falx aka falx cerebri
- details
- dural folds partly subdivide the crania lcavity into intracranial compartments
- space occupying lesions may caues a brain heniation from one compartment into another that results in compression of nerves and vessels
- dural folds partly subdivide the crania lcavity into intracranial compartments
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describe the following with respect to dural folds
- parially separates hemispheres of cerebellum
- over hypophysial fossa
dural folds and brain herniation
- meningeal layer of dura mater projects inwardly in places, forming dural folds:
- cerebral falx aka falx cerebri
- partially separates hemispheres of cerebrum
- cerebellar tentorium
- contains an oval opening the tentorial notch
- between cerebellum andoccipital lobe of teh cerebrum
-
cerebellar falx (falx cerebilli)
- parially separates hemispheres of cerebellum
-
sella diaphragm (diaphragma sellae)
- over hypophysial fossa
- cerebral falx aka falx cerebri
- details
- dural folds partly subdivide the cranial cavity into intracranial compartments
- space occupying lesions may caues a brain herniation from one compartment into another that results in compression of nerves and vessels
- dural folds partly subdivide the cranial cavity into intracranial compartments
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partly divide the cranial cavity into intracranial compratments. What implications does this have during a trauma?
dural folds and brain herniation
- meningeal layer of dura mater projects inwardly in places, forming dural folds:
- cerebral falx aka falx cerebri
- partially separates hemispheres of cerebrum
- cerebellar tentorium
- contains an oval opening the tentorial notch
- between cerebellum andoccipital lobe of teh cerebrum
- cerebellar falx (falx cerebilli)
- parially separates hemispheres of cerebellum
- sella diaphragm (diaphragma sellae)
- ocer hypophysial fossa
- cerebral falx aka falx cerebri
-
details
-
dural folds partly subdivide the cranial cavity into intracranial compartments
- space occupying lesions may caues a brain herniation from one compartment into another that results in compression of nerves and vessels
-
dural folds partly subdivide the cranial cavity into intracranial compartments
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describe the arterial supply of dura matter and neurocranium with regard to the branches of the internal carotid and external carotid.
- arterial supply ofdura matter and neurocranium
-
anterior fossa
-
anterior meningeal a
-
branches of thmoidal->ophthalmic a
- from the internal carotid
-
branches of thmoidal->ophthalmic a
-
anterior meningeal a
-
middle fossa
-
middle meningeal and accessory meningeal
-
branches of maxillary
- from the external carotid
-
branches of maxillary
-
middle meningeal and accessory meningeal
-
posterior fossa
-
posterior meningeal a
-
branch of ascending phryngeal a
- from external caraotid
-
branch of ascending phryngeal a
-
meningeal branches of
- ascending pharyngeal a
- occipital a
- vertebral a
-
posterior meningeal a
-
anterior fossa
- intracranial hemorrhage
- details
- middle meningeal artery and epidural hematoma
- usually traverses a deep groove or canal in the region of pterion
- temporal region of the skull
- if fracture occurs here it may result in a life-threatening extradural (epidural) hematoma where the double layer dura separates from bone
- usually traverses a deep groove or canal in the region of pterion
- subdural hematoma
- occurs at the junctiton between dura and arachnoid
- usually venous in origin
- vein of the brain torn from the sinus where it drains
- subarachnoid hematoma
- occurs between arachnoid and pia
- results from the rutpture of an artery of the brain dur to aneurysm or cerebral laceration
- middle meningeal artery and epidural hematoma
- details
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Describe the feed from the external carotid that enters the foramen spinosum
- arterial supply of dura matter and neurocranium, in the periosteal layer
- anterior cranial fossa
- anterior meningeal a
- branches of thmoidal->ophthalmic a
- from the internal carotid
- branches of thmoidal->ophthalmic a
- anterior meningeal a
-
middle cranial fossa
-
middle meningeal and accessory meningeal
-
branches of maxillary
- from the external carotid
- middle meningeal artery supplies the greatest part of the dura
- enters through tthe foramen spinosum and divides into branches
-
branches of maxillary
-
middle meningeal and accessory meningeal
- posterior cranial fossa
- posterior meningeal a
- branch of ascending phryngeal a
- from external caraotid
- branch of ascending phryngeal a
- meningeal branches from a
- ascending pharyngeal a
- enter the posterior cranial fossa through the hypoglossal canal
- occipital a
- enter the posterior cranial fossa through the jugular foramen and the mastoid foramen
- vertebral a
- enters the posterior cranial fossa through the foramen magnum
- ascending pharyngeal a
- posterior meningeal a
- anterior cranial fossa
- intracranial hemorrhage
- details
- middle meningeal artery and epidural hematoma
- usually traverses a deep groove or canal in the region of pterion
- temporal region of the skull
- middle meningeal artery supplies the greatest part of the dura
- if fracture occurs here it may result in a life-threatening extradural (epidural) hematoma where the double layer dura separates from bone
- usually traverses a deep groove or canal in the region of pterion
- subdural hematoma
- occurs at the junctiton between dura and arachnoid
- usually venous in origin
- vein of the brain torn from the sinus where it drains
- subarachnoid hematoma
- occurs between arachnoid and pia
- results from the rutpture of an artery of the brain dur to aneurysm or cerebral laceration
- middle meningeal artery and epidural hematoma
- details
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which artery is at greates risk for hemorrhage? Explain
- arterial supply of dura matter and neurocranium, in the periosteal layer
- anterior cranial fossa
- anterior meningeal a
- branches of thmoidal->ophthalmic a
- from the internal carotid
- branches of thmoidal->ophthalmic a
- anterior meningeal a
- middle cranial fossa
- middle meningeal and accessory meningeal
- branches of maxillary
- from the external carotid
- middle meningeal artery supplies the greatest part of the dura
- enters through tthe foramen spinosum and divides into branches
- branches of maxillary
- middle meningeal and accessory meningeal
- posterior cranial fossa
- posterior meningeal a
- branch of ascending phryngeal a
- from external caraotid
- branch of ascending phryngeal a
- meningeal branches from a
- ascending pharyngeal a
- enter the posterior cranial fossa through the hypoglossal canal
- occipital a
- enter the posterior cranial fossa through the jugular foramen and the mastoid foramen
- vertebral a
- enters the posterior cranial fossa through the foramen magnum
- ascending pharyngeal a
- posterior meningeal a
- anterior cranial fossa
-
intracranial hemorrhage
-
details
-
middle meningeal artery and epidural hematoma
-
usually traverses a deep groove or canal in the region of pterion
- temporal region of the skull
- middle meningeal artery supplies the greatest part of the dura
- if fracture occurs here it may result in a life-threatening extradural (epidural) hematoma where the double layer dura separates from bone
-
usually traverses a deep groove or canal in the region of pterion
- subdural hematoma
- occurs at the junctiton between dura and arachnoid
- usually venous in origin
- vein of the brain torn from the sinus where it drains
- subarachnoid hematoma
- occurs between arachnoid and pia
- results from the rutpture of an artery of the brain dur to aneurysm or cerebral laceration
-
middle meningeal artery and epidural hematoma
-
details
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describe a subdural hematoma
- arterial supply ofdura matter and neurocranium
- anterior fossa
- anterior meningeal a
- branches of thmoidal->ophthalmic a
- from the internal carotid
- branches of thmoidal->ophthalmic a
- anterior meningeal a
- middle fossa
- middle meningeal and accessory meningeal
- branches of maxillary
- from the external carotid
- branches of maxillary
- middle meningeal and accessory meningeal
- posterior fossa
- posterior meningeal a
- branch of ascending phryngeal a
- from external caraotid
- branch of ascending phryngeal a
- meningeal branches of
- ascending pharyngeal a
- occipital a
- vertebral a
- posterior meningeal a
- anterior fossa
- intracranial hemorrhage
- details
- middle meningeal artery and epidural hematoma
- usually traverses a deep groove or canal in the region of pterion
- temporal region of the skull
- if fracture occurs here it may result in a life-threatening extradural (epidural) hematoma where the double layer dura separates from bone
- usually traverses a deep groove or canal in the region of pterion
-
subdural hematoma
- occurs at the junctiton between dura and arachnoid
-
usually venous in origin
- vein of the brain torn from the sinus where it drains
- subarachnoid hematoma
- occurs between arachnoid and pia
- results from the rutpture of an artery of the brain dur to aneurysm or cerebral laceration
- middle meningeal artery and epidural hematoma
- details
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describe a subarachnoid hematoma
- arterial supply ofdura matter and neurocranium
- anterior fossa
- anterior meningeal a
- branches of thmoidal->ophthalmic a
- from the internal carotid
- branches of thmoidal->ophthalmic a
- anterior meningeal a
- middle fossa
- middle meningeal and accessory meningeal
- branches of maxillary
- from the external carotid
- branches of maxillary
- middle meningeal and accessory meningeal
- posterior fossa
- posterior meningeal a
- branch of ascending phryngeal a
- from external caraotid
- branch of ascending phryngeal a
- meningeal branches of
- ascending pharyngeal a
- occipital a
- vertebral a
- posterior meningeal a
- anterior fossa
- intracranial hemorrhage
- details
- middle meningeal artery and epidural hematoma
- usually traverses a deep groove or canal in the region of pterion
- temporal region of the skull
- if fracture occurs here it may result in a life-threatening extradural (epidural) hematoma where the double layer dura separates from bone
- usually traverses a deep groove or canal in the region of pterion
- subdural hematoma
- occurs at the junctiton between dura and arachnoid
- usually venous in origin
- vein of the brain torn from the sinus where it drains
-
subarachnoid hematoma
- occurs between arachnoid and pia
- results from the rutpture of an artery of the brain dur to aneurysm or cerebral laceration
- middle meningeal artery and epidural hematoma
- details
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describe the following venous sinuses
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dural venous sinuses
- endothelial - lined spaces between periosteal and meningeal layers of dura mater or within folds of the meningeal layer
- they drain most of the blood from the brain
- include
-
superior sagittal sinus
- recieves: superior cerebral diploic and emissary veins and CSF
-
inferior sagittal sinus
- receives: A few cerebral veins and veins from the falx cerebri
-
straight sinus
- receives: inferior sagittal sinus, great cerebral vein, posterior cerebral veins, superior cerebellar veins, and veins from the falx cerebri
-
transvere sinuses
- receives: drainage from conluence of sinuses
- sigmoid sinuses
- becomes the internal jugular vein as itt exits the cranial cavity
- it drains tthe most of the venous blood from the cranial cavity
- cavernous and intercaverous sinuses
- located lateral to the sell tucica
- important connections to other
- dural sinuses
- pterygoid plexusophthalmic veins
- has the internal carotid artery and abducent nerve (VI) traversing it
- lateral wall contains
- oculomotor CNIII
- trochlear CNIV
- ophthalmic CNV1
- maxillary nerves CNV2
- basilar plexus and occipial sinus
- occlusions of cavernous sinus by clots, infectious thrmbi or tumors can affect function of nerves
- are continuous with the internal vertebral plexus
- this connection allows the spread of cancer cells or infection fro mthe vertebral canal into the cranial cavity
-
superior sagittal sinus
- occipital, strait and superior sagittal sinuses meet at confluence of sinuses
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this dural venous sinus becomes the internal jugular vein as it exits the cranial cavity. What does it drain?
dural venous sinuses
- endothelial - lined spaces between periosteal and meningeal layers of dura mater or within folds of the meningeal layer
- they drain most of the blood from the brain
- include
- superior sagittal sinus
- inferior sagittal sinus
- straight sinus
- transvere sinuses
-
sigmoid sinuses
- becomes the internal jugular vein as itt exits the cranial cavity
- it drains the most of the venous blood from the cranial cavity
- cavernous and intercaverous sinuses
- located lateral to the sell tucica
- important connections to other
- dural sinuses
- pterygoid plexusophthalmic veins
- has the internal carotid artery and abducent nerve (VI) traversing it
- lateral wall contains
- oculomotor CNIII
- trochlear CNIV
- ophthalmic CNV1
- maxillary nerves CNV2
- basilar plexus and occipial sinus
- occlusions of cavernous sinus by clots, infectious thrmbi or tumors can affect function of nerves
- are continuous with the internal vertebral plexus
- this connection allows the spread of cancer cells or infection fro mthe vertebral canal into the cranial cavity
- occipital, strait and superior sagittal sinuses meet at confluence of sinuses
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describe the contents of the lateral wall in the cavernous sinus. What nerve travels below the internal carotid in the cavernous sinus?
dural venous sinuses
- endothelial - lined spaces between periosteal and meningeal layers of dura mater or within folds of the meningeal layer
- they drain most of the blood from the brain
- include
- superior sagittal sinus
- inferior sagittal sinus
- straight sinus
- transvere sinuses
- sigmoid sinuses
- becomes the internal jugular vein as itt exits the cranial cavity
- it drains tthe most of the venous blood from the cranial cavity
- cavernous and intercaverous sinuses
- located lateral to the sell tucica
- important connections to other
- dural sinuses
- pterygoid plexusophthalmic veins
- has the internal carotid artery and abducent nerve (VI) traversing it
-
lateral wall contains
- oculomotor CNIII
- trochlear CNIV
- ophthalmic CNV1
- maxillary nerves CNV2
- basilar plexus and occipial sinus
- occlusions of cavernous sinus by clots, infectious thrmbi or tumors can affect function of nerves
- are continuous with the internal vertebral plexus
- this connection allows the spread of cancer cells or infection fro mthe vertebral canal into the cranial cavity
- occipital, strait and superior sagittal sinuses meet at confluence of sinuses
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located lateral to the sell tucica. what part of the brain sits in the middle of this structure?
dural venous sinuses
- endothelial - lined spaces between periosteal and meningeal layers of dura mater or within folds of the meningeal layer
- they drain most of the blood from the brain
- include
- superior sagittal sinus
- inferior sagittal sinus
- straight sinus
- transvere sinuses
- sigmoid sinuses
- becomes the internal jugular vein as itt exits the cranial cavity
- it drains tthe most of the venous blood from the cranial cavity
-
cavernous and intercaverous sinuses
- located lateral to the sell tucica
- important connections to other
- dural sinuses
- pterygoid plexus ophthalmic veins
- has the internal carotid artery and abducent nerve (VI) traversing it
- lateral wall contains
- oculomotor CNIII
- trochlear CNIV
- ophthalmic CNV1
- maxillary nerves CNV2
- note the pituitary gland sits in the cavernous sinus
- basilar plexus and occipial sinus
- occlusions of cavernous sinus by clots, infectious thrmbi or tumors can affect function of nerves
- are continuous with the internal vertebral plexus
- this connection allows the spread of cancer cells or infection fro mthe vertebral canal into the cranial cavity
- occipital, strait and superior sagittal sinuses meet at confluence of sinuses
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describe the contents of the cavernous sinus.
dural venous sinuses
- endothelial - lined spaces between periosteal and meningeal layers of dura mater or within folds of the meningeal layer
- they drain most of the blood from the brain
- include
- superior sagittal sinus
- inferior sagittal sinus
- straight sinus
- transvere sinuses
- sigmoid sinuses
- becomes the internal jugular vein as itt exits the cranial cavity
- it drains tthe most of the venous blood from the cranial cavity
-
cavernous and intercaverous sinuses
- located lateral to the sell tucica
-
important connections to other
- dural sinuses
- pterygoid plexusophthalmic veins
- has the internal carotid artery and abducent nerve (VI) traversing it
-
lateral wall contains
- oculomotor CNIII
- trochlear CNIV
- ophthalmic CNV1
- maxillary nerves CNV2
- basilar plexus and occipial sinus
- occlusions of cavernous sinus by clots, infectious thrmbi or tumors can affect function of nerves
- are continuous with the internal vertebral plexus
- this connection allows the spread of cancer cells or infection fro mthe vertebral canal into the cranial cavity
- occipital, strait and superior sagittal sinuses meet at confluence of sinuses
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what can occur if clots, infectious thrombi or tumors reach/influence the cavernous sinus?
dural venous sinuses
- endothelial - lined spaces between periosteal and meningeal layers of dura mater or within folds of the meningeal layer
- they drain most of the blood from the brain
- include
- superior sagittal sinus
- inferior sagittal sinus
- straight sinus
- transvere sinuses
- sigmoid sinuses
- becomes the internal jugular vein as itt exits the cranial cavity
- it drains tthe most of the venous blood from the cranial cavity
- cavernous and intercaverous sinuses
- located lateral to the sell tucica
- important connections to other
- dural sinuses
- pterygoid plexusophthalmic veins
- has the internal carotid artery and abducent nerve (VI) traversing it
- lateral wall contains
- oculomotor CNIII
- trochlear CNIV
- ophthalmic CNV1
- maxillary nerves CNV2
- basilar plexus and occipial sinus
-
occlusions of cavernous sinus by clots, infectious thrmbi or tumors can affect function of nerves
- are continuous with the internal vertebral plexus
- this connection allows the spread of cancer cells or infection fro mthe vertebral canal into the cranial cavity
- occipital, strait and superior sagittal sinuses meet at confluence of sinuses
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describe the innervation of the dura mater with respect to trigeminal nerve
- GSE/GSA/GVE/GVA?
- anterior cranial fossa contain branches of the _____
- meningeal branch go to?
- middle cranial fossa branch conain branches of ?
innervation of the dura mater
-
trigeminal nerve
- GSA
-
in the anterior cranial fossa
- branches of the ethmoidal nerve V1
- a meningeal branch of V1 to the falx cerebri and tentorium cerbelli
-
in the middle cranial fossa
- meningeal branches of V2 and V3
- spinal nerves C1-C3
- GSA
- meningeal branches to the posterior cranial fossa
- many headaches are dural in origin, releated to venous sinus or meningeal arteries
- pain is referred to cutaneous or mucosal areas innervated by these nerves
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meningeal branches to the posterior cranial fossa, contain spinal nerves from which portion of the spine?
GSE/GSA/GVE/GVA?
innervation of the dura mater
- trigeminal nerve
- GSA
- in the anterior cranial fossa
- branches of the ethmoidal nerve V1
- a meningeal branch of V1 to the falx cerebri and tentorium cerbelli
- in the middle cranial fossa
- meningeal branches of V2 and V3
-
spinal nerves C1-C3
- GSA
- meningeal branches to the posterior cranial fossa
- many headaches are dural in origin, releated to venous sinus or meningeal arteries
- pain is referred to cutaneous or mucosal areas innervated by these nerves
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describe the origin of frequent headaches.
innervation of the dura mater
- trigeminal nerve
- GSA
- in the anterior cranial fossa
- branches of the ethmoidal nerve V1
- a meningeal branch of V1 to the falx cerebri and tentorium cerbelli
- in the middle cranial fossa
- meningeal branches of V2 and V3
- spinal nerves C1-C3
- GSA
- meningeal branches to the posterior cranial fossa
-
many headaches are dural in origin, releated to venous sinus or meningeal arteries
- pain is referred to cutaneous or mucosal areas innervated by these nerves
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list the following cranial nerves
- CNI
- CNII
- CNIII,IV,&VI
cranial nerves
- soma of cranial nerves are loated in brainstem or sensory ganglia
- cranial nerves are numbered in rostral-caudal sequence that they pierce the dura mater of the cranial base
- CNI
- cribriform plate
- CNII
- optic canal
- CNIII,IV,&VI
- superior orbital fissure
- CNV
- V1->superior orbital fissure
- V2->foramen ovale
- V3->foramen rotundum
- CNVII
- internal acoustic meatus and stylomastoid foramen
- CNVIII
- internal acoustic meatus
- CNIX,X,XI
- jugular foramen
- XII
- hypoglossal canal
- CNI
- notes
- in a fracture of the cranial base dura can be torn and csf may leak from the nose (CSF rhinorrhea) or ear (CSF otorrhea) and predispose to the development of meningitis
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list the following cranial nerves
- CNV
- CNVII
cranial nerves
- soma of cranial nerves are loated in brainstem or sensory ganglia
- cranial nerves are numbered in rostral-caudal sequence that they pierce the dura mater of the cranial base
- CNI
- cribriform plate
- CNII
- optic canal
- CNIII,IV,&VI
- superior orbital fissure
-
CNV
- V1->superior orbital fissure
- V2->foramen ovale
- V3->foramen rotundum
-
CNVII
- internal acoustic meatus and stylomastoid foramen
- CNVIII
- internal acoustic meatus
- CNIX,X,XI
- jugular foramen
- XII
- hypoglossal canal
- CNI
- notes
- in a fracture of the cranial base dura can be torn and csf may leak from the nose (CSF rhinorrhea) or ear (CSF otorrhea) and predispose to the development of meningitis
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list the following cranial nerves
- CNVIII
- CNIX,X,XI
- XII
cranial nerves
- soma of cranial nerves are loated in brainstem or sensory ganglia
- cranial nerves are numbered in rostral-caudal sequence that they pierce the dura mater of the cranial base
- CNI
- cribriform plate
- CNII
- optic canal
- CNIII,IV,&VI
- superior orbital fissure
- CNV
- V1->superior orbital fissure
- V2->foramen ovale
- V3->foramen rotundum
- CNVII
- internal acoustic meatus and stylomastoid foramen
-
CNVIII
- internal acoustic meatus
-
CNIX,X,XI
- jugular foramen
-
XII
- hypoglossal canal
- CNI
- notes
- in a fracture of the cranial base dura can be torn and csf may leak from the nose (CSF rhinorrhea) or ear (CSF otorrhea) and predispose to the development of meningitis
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how is it possible for CSF to come out of the ear or nose?
cranial nerves
- soma of cranial nerves are loated in brainstem or sensory ganglia
- cranial nerves are numbered in rostral-caudal sequence that they pierce the dura mater of the cranial base
- CNI
- cribriform plate
- CNII
- optic canal
- CNIII,IV,&VI
- superior orbital fissure
- CNV
- V1->superior orbital fissure
- V2->foramen ovale
- V3->foramen rotundum
- CNVII
- internal acoustic meatus and stylomastoid foramen
- CNVIII
- internal acoustic meatus
- CNIX,X,XI
- jugular foramen
- XII
- hypoglossal canal
- CNI
-
notes
- in a fracture of the cranial base dura can be torn and csf may leak from the nose (CSF rhinorrhea) or ear (CSF otorrhea) and predispose to the development of meningitis
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