Exam 5 Flashcards
scalp layers
- skin
- connective tissue
- aponeurosis
- loose connective tissue
- pericranium
scalp muscles attach to:
aponeurosis on either end
- frontalis
- occipitalis
CN V
- trigeminal
1. opthalmic
2. maxillary
3. mandibular
scalp is innervated by:
-trigeminal nerve Dorsal rami: -suboccipital C1 -greater occipital C2 -least occipital C3 Ventral rami: -no named/direct branch -lesser occipital C2/3 -great auricular and transverse cervical C2/3
trigeminal neuralgia
- compression of trigeminal nerve root
- hyperexcitability over select trigger zones (face, lips, tongue)
- sharp electric shock for few seconds to minutes
which scalp layer is vasculature located in:
connective tissue; layer 2
danger area for scalp infections
- layer 4; loose connective tissue
- passes easily into cranial cavity via veins
nerve supply of dura mater
*CN V all branches of trigeminal
-CN XII hypoglossal
-CN X vagus
*C1-C3 dorsal rami
C1-C2 ventral rami
blood supply to dura mater
middle menigeal artery
-arises from maxillary artery which arises from external carotid a.
sub-arachnoid space contains:
- CSF
- cerebral vasculature
falx cerebrum
- separates cerebral hemispheres
- attached anteriorly to cristae galli and fused posteriorly with horizontal dural fold (tentorium cerebelli)
falx cerebelli
seperates cerebellar hemispheres
occipital sinus lies in:
attached margin of falx cerebelli
straight sinus lies:
at the fusion of falx cerebrum and tentorium cerebelli
inferior sagittal sinus lies
in the free edge of the falx cerebrum
superior sagittal sinus lies
in attached margin of falx cerebrum
tentorium cerebelli
-forms horizontal shelf that supports overlying cerebral hemispheres from crushing underlying cerebellar hemispheres
left and right transverse sinuses lie:
in the attached edges of the tentorium cerebelli
diaphragma sellae
- dural fold stretched across the sella turcica
- attached to anterior and posterior clinoid processes
functions of CSF
- buoyance
- protection
- chemical stability
- prevent brain ischemia
CSF is made of
plasma
protein
glucose
lateral ventricles connect to the 3rd ventricle by
foramen of monro
structures that go through the optic canal:
- optic nerve
2. opthalmic artery
structures that go through the superior orbital fissure
- superior ophthalmic vein
- lacrimal nerve
- frontal nerve
4 trochlear nerve
5 abducens nerve - oculomotor nerve
- nasociliary nerve
structures that go through the foramen rotundum
maxillary nerve CN V (2)
structures that go through the foramen ovale
- mandibular nerve (CN V-3)
2. lesser petrosal nerve
structures that go through the carotid canal
- internal carotid artery
2. internal carotoid sympathetic plexus
structures that go through the foramen spinosum
- middle meningeal artery
2. meningeal branch of CN V mandibular nerve branch
structures that go through the internal acoustic meatus
- vestibulocochlear nerve
- facial nerve
- labyrinthine artery and vein
structures that go through the jugular foramen
- internal jugular vein
- glossopharyngeal nerve
- vagus nerve
- accessory nerve
- inferior petrosal sinus
- posterior meningeal artery
structures that go through the foramen magnum
- spinal vein
- anterior spinal artery
- posterior spinal artery
- spinal cord
- accessory nerve
- vertebral artery
structures that go through the mastoid foramen
emissary vein
structures that go through the stylomastoid foramen
- facial nerve
2. stylomastoid artery
epidural hematoma
-middle menigeal artery
-
subdural hematoma
- bridging veins
- between meningeal dura and arachnoid mater
most deadly hematoma
subdural hematoma
60-80% fatal
subarachnoid hematoma
- anterior, middle, and posterior cerebral arteries
- in subarachnoid space rupture
two main sources of blood to the brain
- vertebral artery
- internal carotid artery
- external carotid artery
CSF flow
- secreted by choroid plexus
- lateral ventrical
- interventricular foramen of Monro
- 3rd ventricle
- cerebral aqueduct of sylvius
- 4th ventricle
- central canal of spinal cord through foramina of luschka or foreman of magendie
- through the subarachnoid space
- exits ventricular system by arachnoid granulations
- enters venous circulation via superior sagittal sinus
spinal cord ends at vertebral level
L2
superior petrosal sinus goes to:
junction of transverse and sigmoid sinus
inferior petrosal sinus goes to:
junction of sigmoid sinus and internal jugular vein
frontal lobe function
motor
parietal lobe function
somatosensory