Dissection Flashcards
What are the 3 Cranial Meninges in Order from outside in
Dura Mater, Arachnoid Mater, Pia Mater
Structure of Dura
Fibrous Sheet
2 layers- Inner meningeal, outer endosteal
Name the 3 main Dural Folds
Falx Cerebri- separates hemispheres
Tentorium Cerebelli- Separates Cerebellum from Rest of Brain
Falx Cerebelli- Separates the 2 cerebellar hemispheres
Describe the structure of Arachnoid Mater
poorly vascularised, loose connective tissue, loosely enveloping the brain.
Skims over sulci- subarachnoid space below with cisterns filled with CSF
What are granulations?
Calcified arachnoid poking through to venous sinus’ for the reabsorption of CSF
Describe the inner layer of Pia Mater
Formed by astrocyte end-feet covered with basement membrane
Describe the outer layer of Pia Mater
Transverses through subarachnoid space
What are the names of the connections between Pia ad Arachnoid?
Trabeculae
Are blood vessels found in all layers of Cranial Meninges?
Yes
Where’s an extradural Haemorrhage?
Outside Dura (inside skull)
where’s a subdural haemorrhage?
between dura and arachnoid
Where’s a subarachnoid haemmorhage?
Below arachnoid (in SA space)
Where’s an intracerebral Haemmorhage?
in brain tissue
What tends to cause extra- and sub- Dural haemorrhage?
Traumatic head injury
What tends to cause subarachnoid and intracerebral haemmorhage?
Stroke/ vascular incident
What makes up Dural venous sinuses?
Gaps between endosteal and Meningeal dural layers
What drains into dural venous sinuses?
External cerebral veins
Name of sinus along top of falx cerebri
Superior Sagittal Sinus
Name of sinus inferior to falx cerebri
Inferior sagittal sinus
Describe the route of blood from the sagittal sinus’
Inferior SS goes back through straight sinus, the straight sinus meets superior sagittal sinus at the confluence of the sinuses, then flows sideways along transverse sinus, down sigmoid sinus and drains into jugular vein
Which cranial nerves are found in the cavernous sinus?
3,4,5a and 5b
which artery is found in the cavernous sinus
internal carotid
What are the 2 main openings from the 4th ventricle allowing CSF passage out?
Foramen of Magendie and Foramina of Luschka
Is the Foramen of Magendie lateral or medial?
Medial
Are the Foramina of Luschka lateral or medial
Lateral
Where is the interpeduncular cistern found?
Ventral to midbrain cerebral peduncles
What does the interpeduncular cistern contain?
Circle of Willis
What does the cistern of the lateral fissure contain?
Middle Cerebral artery
What does the superior cistern contain?
Great Cerebral Vein (of Galen) and the Pineal Gland
Where is the superior cistern found?
Between Splenium of CC and Cerebellum
What to the Cisterna Ambient encircle?
The midbrain
What are the 3 contributors to the BBB
1- Endothelial Cells
2- Basement Membrane
3- Astrocytic End-feet
What are the 2 possible routes for blood into the brain?
Internal Carotid Arteries or Vertebral Arteriest
The Vertebral arteries fuse to form..
The basilar Artery
What proportion of blood do the internal carotids supply?
80%
What proportion of blood do the vertebral arteries supply?
20%
What brain areas does the internal carotid supply?
anterior and middle cerebrum and the diencephalon
What brain areas does vertebral arteries suuply?
Posteriors Cerebrum (occipital) and posterior cranial fossa (brainstem and cerebellum)
Where do the vertebral arteries enter into skull?
Foramen of Magnum
How are the Vertebro-basilar and internal carotid arteries conected?
Via the posterior cerebral artery
Where does the Anterior Cerebral Arteries supply?
Medial Territories (about a 1cm strip from the longitudinal fissure)
(it loops over corpus callosum supplying it also)
What connects the left and right anterior cerebral arteries?
Anterior communicating artery
Which is the largest branch of the carotid artery?
Middle cerebral artery
What does the middle cerebral artery supply?
Lateral territories of hemispheres
What does the posterior cerebral artery supply?
posterior and inferior medial surfaces of temporal lobes and the occipital lobes
what are the 3 arteries that supply the cerebellum?
1- posterior inferior
2- anterior inferior
3- superior cerebellar
What are internal cerebral veins?
Veins which run within the substance of brain tissue until they reach the surface
How do intracranial venous sinuses communicate with veins outside of the skull?
via emissary veins
Where do the internal carotid arteries enter the skull?
Through the carotid canal- laterally through temporal bone not a straight path
Where do spinal arteries pass out of skull?
Foramen Magnum
Out of which skull foramina does venous blood drain?
Jugular foramina (through internal jugular vein)
how does the Ophthalmic artery enter the skull
through the optic canal
Where do the ethmoidal artery and vein get into the skull?
anterior nasal cavity
Where does the superior ophthalmic vein enter the skull?
Superior orbital fissure
Where does the middle meningeal artery enter the skull?
Foramen Spinosum
Where does the labyrinthine artery enter the skull?
Internal acoustic meatus
What is a berry aneurysm?
Out-pouching sac of intercranial artery- enlarges until it ruptures
Where is a ischaemic stroke?
Intracerebral
Where is a Haemorrhagic stroke?
Subarachnoid
What is Wallenberg Syndrome?
Blockage of vertebral artery or PICA
What are the 3 cranial fossa?
Anterior, Middle, Posterior
What brain structure is contained in the anterior fossa?
Frontal Lobe
What brain structure is contained in the middle fossa?
Temporal Lobe
What brain structure is contained in the posterior fossa?
Cerebellum
Where does the anterior cranial fossa end and the middle begin?
Lesser wing of sphenoid bones
What attaches to the crista galli on the cribiform plate of the ethmoid bone?
Falx cerebri