Head: Cranial Vault Flashcards
What is a bregma
junction of coronal and sagittal sutures
Where is the coronal suture located
frontal and parietal bones
Where is the sagittal suture located
between right and left parietal bones
What is the falx cerebri
fold of dura mater in the longitudinal fissure between the two cerebral hemispheres
Where does the falx cerebri attach
Anterior: frontal crest and crista galli
Posterior: continuous with tenotrium cerebelli
What is the superior sagittal sinus
large vein in longitudinal fissure between dura mater
What does the superior sagittal sinus carry
csf and blood
What is the function of foveolae granulares
CSF reabsorption
What is the sella turcica
saddle like surface feature within the body of the sphenoid bone
What is the pit of the sella turcica colled
hypophyseal fossa
What is housed in the hypophyseal fossa
pituitary gland
What are the parts of the sella turcica
tuberculum sellae
hypophyseal fossa
dorsal sellae
What forms the body of the sphenoid bone
sella turcica
Where is the sphenoid sinus located
under the hypophyseal fossa
What does the petrous portion of the temporal bone differentiate
posterior and middle cranial fossa
What is the function of the sphenoid sinus
keeps the nasal passages from drying out
What is the sphenoid sinus lined with
mucus secreting cells
What bones compose the anterior cranial fossa
frontal bone
sphenoid bones (lesser wings and body)
ethmoid
What are the components of the ethmoid bone
christa galli and cribiform plate
What is the foramen cecum
region between ethmoid and frontal bones that connects with the prenasal space
Where does the cribiform plate condense
foramen cecum
What structures may be contained within the foramen cecum
emissary veins
What is the crista galli
median blade in the cribiform plate, attachment point for the dura mater
What is contained within the optic canals
optic nerve
opthalmic artery
What bones form the middle cranial fossa
sphenoid wings
temporal
Where is the chiasmatic sulcus
between optic canals for optic chiasm
What is the optic chiasm
x-shaped structure formed at the point below the brain where the two optic nerves cross each other
What structures will travel through the superior orbital fissure
CN III
CN IV
CN VI
opthalmic nerve and vein
What structure will travel through the foramen rotundum
CN V2 (maxillary nerve)
What structures will travel through the foramen ovale
Accessory middle meningeal artery
Mandibular nerve
What structure will travel through the foramen spinosum
middle meningeal artery
What bone is the trigeminal impression seen on
temporal bone
What bone will have grooves and hiatus for greater and lesser petrosal nerves
temporal bone
Where do lesser and greater petrosal nerves originate from
Greater: CN 7
Lesser: CN 9
Where is the tegmen tympani found
temporal bone
What does the tegmen tympani form
roof of middle ear
What bones form the posterior cranial fossa
temporal and occipital
What forms the slope of the posterior cranial fossa
dorsum sallae and clivus
What structures will be seen on the petrous part of the temporal bone
groove for inferior petrosal sinus and inferior acoustic meatus
What structures pass through the internal acoustic meatus
CN 7 and 8
What structures pass through the jugular foramen
CN 9, 10, 11
Internal jugular vein
What structures will pass through the jugular tubercle and hypoglossal canal
CN 12 and the meningeal branch of ascending pharyngeal artery
What structures will pass through the condylar canal
emissary vein
What structures will pass through the foramen magnum
brain stem
CN 11
vertebral arteries
What is the basillar artery
formed from the two vertebral arteries joining
Where does the basillar artery run
clivus
What are the cranial meninge layers
Dura
Arachnoid
Pia mater
Where is the dura mater
2 layers: Periosteal layer and meningeal layer
Where is the arachnoid mater
covers the brain; does not follow contours
Where is the pia mater
adhered to the brain; follows contours
What is in the subarachnoid space
CSF
What vessels will cause a subarachnoid hemorrhage
veins and arteries within the subarachnoid space are bleeding
Where is the falx cerebri found
between the two hemispheres of the brain
Where is the falx cerebelli found
under tentorium cerebelli, between cerebellar hemispheres
Where does the middle meningeal artery enter the skull
foramen spinosum
Where does the middle meningeal artery originate
maxillary artery
Where does the ascending pharyngeal artery originate
internal carotid
What are the branches of the pharyngeal artery
jugular foramen and hypoglossal canal
What is the anterior cranial fossa innervated by
V1
What is the middle cranial fossa innervated by
V2-V3
What is the posterior cranial fossa innervated by
Cranial nerves
What is the function of the arachnoid villi (granulations)
reabsorption of CSF
What is the pterion
region where the frontal, parietal, temporal, and sphenoid bones join together
What may result from a fracture to the pterion
extradural hematoma
What causes an extradural hematoma
bleeding from middle meningeal artery
What will be damaged in a subdural hematoma
cerebral vein between arachnoid and dura
Where are the venous sinuses found
between periosteal and meningeal layers of the dura mater
Where do venous sinuses receive blood from
diploic and emissary veins
Where do venous sinuses drain
via cerebral veins and empty into internal jugular
What is the significance of the valves in the emissary veins
No valves, infection can enter cranial vault from outer surface of the skull
What is the largest venous sinus
superior sagittal sinus
What sinus will receive the great cerebral vein
straight sinus
Where does the sphenoparietal sinus drain
cavernous sinus
Where do the superior and inferior petrosal sinuses drain
cavernous sinus–> transverse sinus to the jugular vein
What is the sigmoid sinus
continuation of the transverse sinus that will go through the jugular foramen
What are the functions of dural venous sinuses
venous drainage for the cranial bones and brain
Where does the cavernous sinus occur
between periosteal and meningeal layers of the dura mater
What cranial nerves will have components that course through the cavernous sinus
3, 4, V1, 6, V2
What are the structures found within the cavernous sinus
CN III CN IV CN V1 CN V2 CN VI Internal carotid artery
How can an infection spread in the danger triangle of the face
facial vein to inferior opthalmic vein to cavernous sinus OR superior opthalmic v to cavernous sinus OR pterygoid venous plexus
What is cavernous sinus thrombosis
thrombophlebitis (inflamed vein with clots) travels to cavernous sinus
What are S/S of cavernous sinus thrombosis
exophthalmos conjunctival infection Ptosis dilated pupil voluntary movement of orbit lost tingling and burning of forehead, nose, and upper face
What is a dural headache
loss of CSF following lumbar puncture can cause brain to sag, which pulls on the vessels attached to the dura causing pain