Cranium, Brain, Nerves Flashcards
What are the main two parts of the cranium?
Neurocranium
Viscerocranium
Neurocranium bones
8
- frontal
- ethmoid
- sphenoid
- occipital
- temporal (2)
- parietal (2)
Viscerocranium
15
- mandible
- ethmoid
- vomer
- maxilla (2)
- inferior nasal concha (2)
- zygomatic (2)
- palatine (2)
- nasal (2)
- lacrimal (2)
Sutures and age of closure
- Metopic- closes at 3-9 months
- Coronal suture- age 24
- Sagittal suture- begins at age 29, complete at 35
- Lambdoid suture- full fusion may never occur, but btw 30-40
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anterior cranial fossa contains
the frontal lobe of the brain
Cribriform foramina in cribriform plate contains
Axons of olfactory epithelium that form Olfactory CN I
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Middle cranial fossa contains ____
temporal lobes of brain
Optic canals contain ______
Optic nerves CN II and ophthalmic arteries
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Superior orbital fissure contains _____
opthalmic veins
ophthalmic nerve ( part of CN V)
Oculomotor nerve CN III
trochlear nerve (part of CN IV)
abducens nerve CN VI and sympathetic fibers
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Foramen rotundum contains _____
maxillary nerve (CN V2)
Foramen ovale contains ______
Mandibular nerve (CN V3)
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Foramen spinosum
Middle meningeal artery/vein
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Foramen lacerum contains _____
nothing passes through, but opening is covered by internal carotic artery
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Carotid Canal contains _____
Internal carotid artery
sympathetic fibers
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Posterior cranial fossa
Cerebellum
pons
medulla oblongata
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Foramen magnum contains ______
spinal cord and meninges
vertebral arteries
dural veins
anterior and posterior spinal arteries
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Jugular foramen contains _____
Glossopharyngeal nerve (CN IX)
vagus nerve (CN X)
Spinal accessory nerve (CN XI)
Internal jugular vein
inferior petrosal and sigmoid sinuses
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Hypoglossal canal contains _____
Hypoglossal nerve (CN XII)
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Internal auditory meatus contains ______
Facial (CN VII)
Vestibulocochlear nerves (CN VIII)
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What are the two parts of the Dura Mater?
- External periosteal layer
- internal meningeal layer
- continues at the foramen magnum with dura to cover the spinal cord
- comes away from the periosteal layer to divide the cracial cavity into compartments
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What are the 4 dural infoldings?
- falx cerebri
- tentorium cerebelli
- falx cerebelli
- and diaphragma sellae
how does the falx cerebri partition the brain?
separates the right and left cerebral hemispheres
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How does the tentorium cerebelli partition the brain?
- Separates the occipital lobes of the cerebral hemispheres from the cerebellum
- divides the cranial cavity into supratentorial and infratentorial compartments
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How does the Falx cerebelli partition the prain?
partially separates the cerebellar hemispheres
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How does the diaphragma sellae partition the brain?
circular extension that forms a partial roof over the hypophyseal fossa
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What vascularizes and innervates the dura mater?
- Middle meningeal artery
- enters the middle cranial fossa through the foramen spinosum
- rupture may lead to epidural hematoma
- Innervated by three branches of CN V
CN I
Olfactory nerve
special sensory olfaction from nasal mucosa
found in cribriform plate of ethmoid bone
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CN II
Optic
special sensory vision from retina
exits cranium through Optic canal/foramen
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CN III
- Occulomotor nerve
- somatic motor of most eye muscles
- parasympathetic innervation of sphincter pupillae and ciliary muscles (constricts pupil and helps with near vision)
- presynaptic fibers synapse at ciliary ganglion and postsynaptic fibers continue to eyeball
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CN IV
Trochlear nerve
motor to superior oblique eye muscle
exits cranium via superior orbital fissure
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What happens with an injury to CN IV?
diplopia when looking down
CN VI
Abducens nerve
motor to lateral rectus eye muscle
exits cranium via superior orbital fissure
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What happens with an injury to CN VI?
inability to abduct the eyeball to affected side
Where do the presynaptic fibers that innervate the eye by the SNS originate from?
T1-T3
What are the three divisions of CN V?
Trigeminal nerve:
V1 = Opthalmic
V2 = maxillary
V3 = mandibular
CN V1
- Opthalmic nerve
- exits via superior orbital fissure
- somatic sensory from cornea, skin of forehead, scalp, eyelids, nose, and nasal cavity
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CN V2
Maxillary
exits via foramen rotunda
somatic sensory of skin over maxilla, mucosal of nose, palate
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CN V3
- Mandibular
- exits via foramen ovale
- sensory of skin over mandible, lower lip, lower teeth, side of head, temporomandibular joint, mucosa of mouth, anterior 2/3 of tongue
- motor to muscles of mastication
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CN VII
- Facial nerve
- exits via stylomastoid foramen via the internal acoustic meatus
- motor of facial muscles
- sensory to small area near external acoustic meatus
- helps transmit taste from anterior 2/3 of tongue and palatte
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Visceral motor pathway of CN VII
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- Pterygopalatine ganglia to innervate lacrimal, nasal, pharyngeal, palatine glants
- Submandibular ganglia to innervate submandibular and sublingual salivary glands
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What is the geniculum?
the sharp bend of the facial nerve (CN VII).
Contains geniculate ganglion, the sensory component of CN VII
What are the 6 terminal branches of CN VII?
- Posterior auricle
- temporal
- zygomatic
- buccal
- mandibular
- cervical
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CN VIII
- Vestibulocochlear nerve
- Vestibular
- exits via the internal acoustic meatus
- special sensory for balance and equilibrium
- Cochlear
- exits via the internal acoustic meatus
- special sensory of hearing
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CN IX
- Glossopharyngeal nerve
- exits via jugular foramen
- motor of the stylopharngeas muscle- assists with swallowing and gag reflex
- sensory of external ear, pharynx, middle ear
- special sensory taste of posterior 1/3 of tongue
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Parasympathetic pathway of CN IX
Inferior salivatory nucleas to otic ganglion to parotid gland
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CN X
- Vagus nerve
- exits via jugular foramen
- motor to constrict muscle of the larynx, pharynx, palate, superior 2/3 of esophagus
- sensory from auricle, external acoustic meatus, and dural mater of posterior cranial fossa
- special sensory of taste from epiglotis and palate
CN XI
- Spinal accessory nerve
- exits via jugular foramen
- motor to the sternocleidmastoid and trapezious muscles
CN XII
- Hypoglossal nerve
- exits via hypoglossal canal
- motor to extrinsic muscles (styloglossus, hypoglossus, genioglossus) and intrinsic (tongue)