External Brain Flashcards
What are dural venous sinuses?
= Endothelium lined spaces between periosteal & meningeal layers of dura mater
-Large veins from surface of brain empty into these sinuses
-Most blood from brain drains through these sinuses into internal jugular vein
-NO valves in lumens of these vessels
Label.
Name the order/pathway of dural venous sinuses.
Superficial veins
1. Superior sagittal sinus
2. Transverse sinus (L & R)
3. Sigmoid sinus (L & R)
4. Internal jugular veins (L & R)
OR
Deep veins
1. Inferior sagittal sinus
2. Straight sinus
3. Transverse sinus (L & R)
4. Sigmoid sinus (L & R)
5. Internal jugular veins (L & R)
OR
- Occipital sinus
- Transverse sinus (L & R)
- Sigmoid sinus (L & R)
- Internal jugular veins (L & R)
OR
- Cavernous sinus
- Superior petrosal sinus -> 3. Transverse sinus (L & R) -> 4. Sigmoid sinus (L & R) -> 5. Internal jugular veins (L & R)
or - Inferior petrosal sinus -> 3. Sigmoid sinus (L & R) -> 4. Internal jugular veins (L & R)
What 3 sinuses make up the confluence of sinuses.
-Superior sagittal sinus
-Straight sinus
-Occipital sinus
What is the cavernous sinus?
Receives blood from ophthalmic veins
What dural reflection does the superior sagittal sinus run along?
Along superior edge of falx cerebri
Name all of the dural reflections.
-Falx cerebri
-Falx cerebelli
-Tentorium cerebelli
-Diaphragm sellae
What does falx cerebri divide?
The 2 cerebral hemispheres
What does falx cerebelli divide?
The 2 cerebellar hemispheres
What does the tentorium cerebelli divide.
The cerebral occipital lobe & cerebellum
What does the diaphragm sellae cover?
Covers pituitary fossa & underlying pituitary gland
Name the 3 bones of the calvarium/cranial roof.
-Frontal
-Parietal
-Occipital
Name the 6 bones of the cranial base.
-Frontal
-Sphenoid
-Temporal
-Parietal
-Occipital
-Ethmoid
–> These bones articulate with the 1st cervical vertebra (atlas), the facial bones, & the mandible (jaw)
Label the bones of the cranial base.
Name the bones of the facial skeleton.
-Zygomatic - x2 – forms cheek bones, articulates with frontal, sphenoid, temporal & maxilla bones
-Lacrimal - x2 – form part of medial wall of orbit
-Nasal - x2 - on bridge of nose
-Inferior nasal conchae - x2 – in nasal cavity, inc. SA of nasal cavity = inc. inspired air that can come into contact with cavity walls
-Palatine - x2 – at rear of oral cavity, forms part of hard palate
-Maxilla - x2 – makes up part of upper jaw & hard palate
-Vomer – forms post. aspect of nasal septum
-Mandible (jaw) – articulates with base of cranium at temporomandibular joint
Label the bones of the facial skeleton.
What are sutures?
= Fibrous joint only of skull
-Immovable
-Fuse fully around age 20
-Points of potential weakness in the skull = important for trauma
Name the 3 main sutures.
-Coronal suture – fuses frontal bone & 2 parietal bones
-Sagittal suture – fuses 2 parietal bones to each other
-Lambdoid suture – fuses occipital bone to 2 parietal bones
What are fontanelles?
Membranous gaps between bones of skull - due to incompletely fused sutures
–> are in neonates
Name the 2 main fontanelles.
-Frontal fontanelle – at junction of coronal & sagittal sutures
-Occipital fontanelle – at junction of sagittal & lambdoid sutures
Label the sutures & fontanelles.
What is the pterion?
-Where the 4 bones articulate
-Site of structural weakness & in middle meningeal artery course along the internal surface of this region
Name the components of the occipital bone of skull.
-External surface = external occipital protuberance
-Internal surface = imprints from dural venous sinuses
Name the components of the temporal bones of the skull.
-Petrous portion
-Squamous portion
-Mastoid process
-External acoustic meatus
-Styloid process
Name the components of the sphenoid bone of the skull.
-Lesser wing
-Greater wing
-Clivus
-Sella turcica
-Pterygoid plates
Name the components of the ethmoid bone of the skull.
-Cribriform plate
-Superior & middle nasal conchae
Label these bones.
Label.
Label.
Label.
Label.
What does CNI pass through in skull - what transmits it?
Cribriform plate (of ethmoid bone)
What is CNI?
Olfactory nerve
What does CNII pass through in skull - what transmits it?
Optic canal
What is CNII?
Optic nerve
What does CNIII pass through in skull - what transmits it?
Supraorbital fissure
What is CNIII?
Oculomotor nerve
What does CNIV pass through in skull - what transmits it?
Supraorbital fissure
What is CNIV?
Trochlear nerve
What is CNV?
Trigeminal nerve
What are the 3 branches of CNV?
-CN V1 = ophthalmic nerve
-CN V2 = maxillary nerve
-CN V3 = mandibular nerve
What does CN V1 pass through in skull - what transmits it?
Supraorbital fissure