Exam 4 - Meninges and Spine Flashcards
Three layers of mengines?
Dura
Arachnoid
Pia
How many Dura layers in brain and spine?
Brain=2
Spine=1
Which Dura layer on bone, which on CNS?
Outer layer=bone
Inner layer=CNS
Does Arachnoid layer adhere to Pia
No
What is innermost meningeal layer?
Pia
What areas where two dura layers separate?
Dura Sinuses
Where do Dura Sinuses eventually drain into?
Internal Jugular Vein
Where and is Epidural Space? What pathologies?
Dura-Skull interface. Epidural hemorrhage from Middle and Epidural Abscess
Which artery responsible for Epidural Hemorrhage?
Middle Meningeal Artery
Where is Sub-Doral Space? What contains? What pathology?
Dura-Arachnoid Interface. Contains blood vessels supply brain. Subdural Hemorrhage.
What causes Subdural Hemorrhage?
Rupture of cerebral veins passing from brain to venous sinus
Where is Sub-arachnoid Space? What does it contain? Pathology?
Arachnoid-Pia interface. Contains CSF! Subarachnoid Hemorrhage.
Where is CSF contained?
Subarachnoid Space (Arachnoid-Pia interface)
Where does Subarachnoid Hemorrhage occur? Due to what?
Subarachnoid Space (Arachnoid-Pia interface). D/T “Berry Anuerysms”. “Worst HA ever!”
What does CSF fill and where does t flow into?
Fills ventricles, flows into Subarachnoid Space
Lateral Ventricles to Third Ventricle via?
Foramen of Monroe
Third Ventricle to Fourth Ventricle via?
Cerebral Aqueduct
Fourth Ventricle to Subarachnoid Space via?
Foramen of Mag and Luk
CSF in SAS goes to which two places?
90% to Arachnoid Villi/Granulations
10% to Interstitial Space via perivascular spaces
Role of CSF?
Provides stable environment for CNS. Cushions and insulated brain from internal forces. Removes metabolic waste, gas exchange.
CSF made by what two things?
70% in Choroid Plexus of Ventricles
20-30% by Ependymal Cells
Total circulating CSF volume?
150ml