Head Flashcards
What structures are transmitted through the jugular foramen?
p. 736 3 compartments separated by transverse septa of dura ANTERIOR COMPARTMENT - glossophagryngeal nerve - inferior petrosal sinus MIDDLE COMPARTMENT - vagus nerge - accessory nerve POSTERIOR COMPARTMENT - termination of sigmoid sinus
What is the relationship between pia mater and underlying brain? What about cerebral arteries?
Like periosteum to bone, nowhere does any structure intervene between pia mater and underlying nervous tissue, even in deepest fissures and sulci.
Fuses with epineurium of cranial nerves.
Arteries lie in loose sheaths of pia.
What structures traverse the subarachnoid space?
- all cranial nerves
- all spinal nerves
- arteries and veins of brain and spinal cord
Structures connecting surface of brain with foramina necessarily pass through subarachnoid space (p718)
What are Arachnoid Villi?
Areas of arachnoid herniating through holes in the dura where CSF “oozes” back into blood
Most numerous in superior sagittal sinus and its “blood lakes”
Collect into arachnoid granulations
See p769 fig 7.16
Where is the jugular foramen?
Formed between deep jugular notch of petrous temporal bone and shallow jugular notch of occipital bone
Smaller carotid foramen anteriorly with tympanic canaliculus in between
p 832 fig 8.5
What are the subarachnoid cisterns?
Large spaces between brain and base of skull
- cerebromedullary cistern (cisterna magnum) between cerebellum and posterior surface of medulla
- pontine cistern between clivus and front of pons/medulla
- interpeduncular cistern: between dorsum sellae and cerebral peduncles roofed by floor of third ventricle
- chiasmatic cistern: above optic chiasm beneath rostrum of corpus calossum
https://images.wikia.com/ranzcrpart1/images/a/a5/Anatomy-of-meninges-ventricles-cerebrospinal-fluid-29-728.jpg
Where is the internal acoustic meatus and what does it contain?
Directed laterally in posterior surface of obliquely set petrous bone
contains
- vestibulocochlear nerve (CN VIII)
- facial nerve (CN VII),
- labyrinthine artery
- vestibular ganglion
What bones form the orbit?
RIM: Frontal, maxilla and zygomatic
Frontal Maxila Zygomatic Sphenoid Ethmoid Lacrimal Palatine
What are the contents of the optic canal?
Optic nerve
Ophthalmic artery
What structures are transmitted via the superior orbital fissure?
Lacrimal nerve (V1) Frontal nerve (V1) Trochlear nerve (CNIV) Superior branches of CNIII Nasociliary branch of ophthalmic nerve (V1) Inferior division of CN III Abducens nerve (CNVI) Superior ophthalmic vein
Lazy French Tarts Sit Nakedly in Anticipation
What structures are transmitted via the inferior orbital fissure?
Zygomatic nerve of CNV2 Infraorbital nerve of CNV2 Inferior ophthalmic vein Infraorbital artery Sympathetics
https://radiopaedia.org/articles/inferior-orbital-fissure-contents-mnemonic?lang=us
What are the borders of the nasopharynx?
The oropharynx?
Base of skull to lower border of soft palate fig 6.21 p 603
Lower border of soft palate to upper border of epiglottis.
Where are the pharyngeal tonsils? What is their other name?
ADENOIDS
On the posterior wall of the nasopharynx
What is the role of cricopharyngeus?
Closure of cricopharyngeus prevents air from being sucked into upper oesophagus when intrathoracic pressure falls.
Where is the opening of the auditory tube in the pharynx?
Above the soft palate in the lateral wall of the nasopharynx. Protected by tubal cartilage and contains tlymphatic tissue (tubal tonsil)
Levator palati underlying
Where are the palatine tonsils located?
What are some nearby important structures?
Palatopharyngeal fold behind, palatoglossal fold in front
Floor is lower part of superior constictor (+ some palatopharyngeus fibres)
Glossopharyngeal nerve crosses lower part of bed runnning oblique down and forwards passing under the lower border of constrictor.
Facial artery separated by superior constrictor from medial surface
Mucosa separates tonsil from uvula
ICA: 2.5cm from internal carotid posterolateraly separated by fat and connective tissue.
Where does a peritonsillar abscess occur?
Outside of the capsule of the tonsil, usually on the lateral surface
What structures are derived from the 2nd pharyngeal arch?
Cranial nerve VII (facial nerve)
Muscles of facial expression
What are the muscles of the eyelids and what supplies them?
- orbicularis oris (palprebral)
- levator papebra superioris/occipitofrontalis (considered scalp and orbital muscles)
NS: temporal/zygomatic CNVII
What are the muscles of the nostrils and what supplies them?
- compressor naris
- dilator naris (arising from maxilla)
- procerus
- levator labii superioris alaeque nasi
- depressor septi
NS: zygomatic/buccal branches CNVII
Describe the function and nerve supply of orbicularis oris
- narrowing of mouth
NS: buccal/marginal mandibular CNVII
damage causes drooping
What is the origin, function and nerve supply of buccinator?
Origin: jaws opposite 1st molar teeth, pterygomandibular raphe (interdigitating with superior constrictor) converging on the modiolus
Functions to return bolus of food from cheek pouch to molar
NS: buccal CNVII
p. 572 fig 6.11
List the branches of the facial nerve and their main functions.
Temporal: wrinkle forehead Zygomatic: blinking Buccal: emptying cheek pouch Marginal mandibular: elevating lip/smile Cervical: fan out neck
p. 575