face, cranial cavity and CNS Flashcards
neurocranium
- cranial vault
Function: bony covering of the brain & meninges
Composed of: calvaria (flat bones), cranial base
Eight bones- frontal, ethmoid, sphenoid, occipital, 2 temporal, 2 parietal
viserocranium
- facial skeleton
- made up of facial bones
- 15 irregular bones: mandible, ethmoid, vomer, 2 maxilla, 2 inferior nasal concha, 2 zygomatic, 2 palatine, 2 nasal, 2 lacrimal bones
5 layers of Scalp
S- skin C- connective tissue A- aponerosis (tendinous sheet) L- Loose connective tissue P- Pericranium- (dense layer of connective tissue)
Dura mater
tough, thick, external fibrous layer of the cranial meninges
Cerebral falx
infolding dura separating right & left cerebral hemispheres
- shape: sickle shaped
- location: midline
- orientation: verticle
- attachments: anterior- crista galli; posterior- internal occipital protuberance
Cerebellar tentorium
separates occipital lobes of cerebrum
- -function: supports occipital lobes of cerebrum
- shape: sickle shaped
- location: superior to cerebellum
- orientation: horizontal
Cerebellar falx
separates cellebellar hemispheres
- small, midline
- extends from tentorium cerebella to foramen magnum
sensory nerves going to dura
- all divisions of CN V (trigeminal) & C1-C3
anterior meningeal branches come from
internal carotid
middle meningeal arteries come from
maxillary artery
posterior meningeal arteries come from
vertebral artery & occipital artery
arachnoid mater
- thin, intermediate layer;
- cobweb like;
pia mater
- delicate, internal visceral layer
- cannot be dissected from nervous system
subarachnoid space
- filled with CSF which acts like a shock absorber
SUBARACHNOID space BTWN pia & arachnoid mater
cerebrum
- right and left hemispheres are divided by the cerebral falx
- four lobes per hemisphere: frontal, parietal, temporal & occipital
frontal lobe
- from frontal pole to central sulcus
- lies mostly within anterior cranial fossa
- inferior part has olfactory nerve attached at olfactory plate
parietal lobe
- central, lateral parietooccipital sulci delimit it
temporal lobe
- from temporal pole
- lies mostly in middle cranial fascia
- separated from other lobes by lateral sulcus
occipital lobe
- from occipital lobe to parietooccipital sulcus medially
- lies on tentorium cerebelli
diencephalon
composed of epithalamus, thalamus & hypothalamus
cerebellum
- below tentorium cerebella
- located in posterior cranial fossa
- has 2 lateral cerebellar hemisphere
Brainstem
broken up into 3 parts: midbrain, pons, medulla oblongata
midbrain
- part of brainstem
- lies at junction of posterior & middle cranial fossa
- deep central depression is interpeduncular fossa
- CN III & IV ( occulomotor & trochlear)
pons
- part of brainstem
- has transverse fibers
- lies in anterior part of posterior cranial fascia
- CN V (trigeminal)
medulla oblongata
- part of brainstem
- starts at foramen magnum
- externally similar to spinal cord - internally has major reorganization of grey and white matter
- rests on the basilar part of occipital bone
- CN IX (glossopharyngeal), X (vagus), XI (cranial accessory) & XII (hypoglossal)
nerves coming off of the pons-medulla junction
- CN VI, VII, VIII (abducens, facial, vestibulocochlear)
Ventricular system of the brain
allows for us to bring CSF from choroid plexus (where it is made) down to the central canal of the spinal cord so it can be circulated around
choroid plexus
where CSF is made
Two lateral ventricles of the ventricular system of brain
- located in cerebral hemisphere
- extends into temporal and occipital lobes
- 2 interventricular foramina (of Monroe) connect them to the third ventricle
pathway of cerebral spinal fluid to spinal cord (VENTRICULAR SYSTEM OF BRAIN)
choroid plexus –>
two lateral ventricles –>
foramen of monroe (IV foramina) –>
3rd ventricle (located within the diancephalon) –>
cerebral aqueduct –>
4th ventricle –>
3 pathways (2 foramina of luschka [laterally] & foramen of magendie [central] –>
Openings to the subarachnoid space (spinal cord)
foramen of monroe
connect the 2 lateral ventricles to the third ventricle (within the ventricular system of the brain)
third ventricle (of the ventricular system of brain)
- in diencephalons
- narrow, slitlike
- connected to the fourth ventricle via cerebral aqueduct
cerebral aquaduct
- connects the third ventricle to the fourth ventricle
- passes through midbrain
- long, small diameter of central passage
fourth ventricle (of the ventricular system of brain)
- diamond shaped floor
- below cerebellum
- leads into central cavity of medulla
- roof is thin, has 3 openings into subarachnoid space
(1 foramen magendie [central] & 2 foramina of Luschka [lateral])
Foramen of Magendie
One of three openings into the subarachnoid space (of spinal cord) from the fourth ventricle of the ventricular system of brain
–> runs centrally
Foramen of Luschka
Two of the three openings into the subarachnoid space (of spinal cord) from the fourth ventricle of the ventricular system of the brain
–> runs laterally
Cerebrospinal fluid
- total volume: about 130 mL
- circulates in subarachnoid space of brain & spinal cord
- enters subarachnoid space from fourth ventricle
- replaced every 24 hrs
returns to the venous system through arachnoid granulations - supplies the spinal cord with nutrients
arachnoid granulations
returns the CSF to the venous system
Internal Carotid Arteries
- provides majority of arterial supply to brain
- terminal branches of common carotid arteries at disk of C3 - C4
- enter cranial cavity through carotid canals
splits into: middle cerebral artery & an anterior cerebral artery
anterior cerebral artery
- smaller terminal branch
- travels anteriorly
- anterior communicating artery - connects the two anterior cerebral arteries – allows for them to communicate with each other
middle cerebral artery
- larger terminal branch
- runs deep in lateral sulcus
- gives branches to deep structures and cortex of cerebral hemispheres
- most common type of infarct occurs here (MCA stroke)
anterior communicating artery
connects the 2 anterior cerebral arteries which run lateral to each other
Vertebral arteries
- provides atrial supply to posterior aspect of brain— cerebellum, occipital lobes, etc.
- branches of subclavian arteries
- pass through the foramen magnum
- there are 2 vertebral arteries – give off 3 branches before coming together
posterior spinal artery & anterior spinal artery
- branch off of vertebral artery
- runs the length of the cord and provides atrial supply to the cord itself
Basilar artery
- forms when the 2 vertebral arteries join
- occurs at the caudal border of the pons
- provides atrial supply to cerebellum & pons
Branches of the vertebral artery
- give off branches: posterior spinal artery, anterior spinal artery (these both run the length of the cord & provide arterial supply to the cord itself)
& posterior inferior cerebellar artery (provides atrial supply to cerebellum)
Branches of basilar artery
- pontine branches (provide all of the atrial supply to the pons)
- anterior inferior cerebellar artery
- superior cerebellar artery
- posterior cerebral artery (2)
posterior cerebral artery
branches of basilar artery
- supplies lower surface, temporal lobe & occipital lobe
- where the basillar branches will terminate
- Posterior communicating arteries (2) come off of it to the internal carotid artery
Circle of Willis
- anastomosis between 2 vertebral & 2 internal carotid arteries at the base of the brain
- location: at base of diencephalons and midbrain
- encircles optic chiasm
Parts of the Circle of Willis
- posterior cerebral artery
- posterior communicating artery
- internal carotid artery
- anterior cerebral artery
- anterior communicating artery
muscles of facial expression
- attach to skin
- no deep fascia
- thin, flat
- named for their actions or attachments
- all have same embryonic origin- hyoid arch
- all innervated by same nerve - CN VII
muscles of fascial expression
- origin: some from bone, some from muscles & fascia
- insertion: skin
- function: smile, frown, blink, close eyelids, close lips
- innervation CN VII (facial nerve)
sphincter facial expression muscles
- orbicularis oculi
- orbicularis oris
facial muscles associated with mouth
- zygomaticus major & minor
- levator labii superioris
- levator angularis oris
- depressor labii inferioris
- depressor anguli oris
- risorius
- buccinator
facial muscle associated with nose
compressor naris
facial muscle associated with ear
anterior, superior & posterior auricular
facial muscle associated with neck
platysma
facial muscles associated with scalp
frontalis & occipitalis
occipitofrontalis (occipital part)
origin- superior nuchal line & mastoid process
insertion- galea aponeurotica
function- draws scalp up & back, raising the eyebrows
innervation- Facial nerve CN VII
occipitofrontalis (frontal part)
origin- superficial fascia, no bony attachments
insertion- galea aponeurotica & skin of eyebrows & root of nose
function- draws scalp up & back, raising the eyebrows
Innervation- CN VII facial nerve
orbicularis oculi (orbital)
origin- frontal bone
insertion - near muscles
function- rising of lower eyelid
Innervation- CN VII facial nerve
orbicularis oculi (palpebral)
origin- medial palperal ligament
insertion- lateral palpebral raphe
function- closes eyelid in blinking & sleep
innervation- CN VII facial nerve
orbicularis oculi (lacrimal)
origin- lacrimal fascia & bone
insertion- superior & inferior tarsi of eyelids
function- draws eyelids and lacrimal canals medially to receive tears
innervation- CN VII facial nerve
orbicularis oris
origin- no facial attachments: composite muscle with contributions from other mouth muscles
insertion- modiolus & labial connective tissue
function- closes lips; protrudes lips; holds lips tight against teeth; shapes lips for sound & speech
innervation- CN VII facial nerve
Buccinator
origin- maxilla & mandible; pterygomandibular raphe
insertion- modiolus, submucosa of cheeks and lips
function- compresses cheek against teeth; expels air when cheeks are distended; acts in mastication to control passage of food
innervation- CN VII facial nerve
Platysma
origin- subcutaneous tissue of infraclavicular & supraclavicular regions
insertion- base of mandible, skin of cheek and lower lip
function- depresses mandible; teases skin of inferior face & neck
innervation- CN VII facial nerve