HNS 1 Flashcards
What structure is being pointed at here?
bregma
What is the biggest venous sinus?
Superior saggital sinus
Advantage of the anterior fontanelles?
Bones haven’t fused yet, gives skull a little flexibility in case the birth canal is too tight
Which suture does the sphenoid bone articulate with the squamous part of the temporal bone?
Sphenosquamous suture
Which 2 main artery systems form the Circle of Willis?
Internal carotid arteries
Vertebral arteries
Which bones articulate with the squamous part of the temporal bone?
Greater wing of sphenoid
Parietal bone at the squamous suture
Which bone does the temporal bone articulate posteriorly with?
Occipital bone
Which foramen does the facial nerve and vestibucochlear nerve + where is it on the diagram?
Internal acoustic meatus
What are the 8 branches of the external carotid artery?
Superior thyroid artery
Ascending pharyngeal artery
Lingual artery
Facial artery
Occipital artery
Posterior auricular artery
Maxillary artery
Superficial temporal artery
Describe characteristics of the pia mater
Innermost, thin + delicate layer
How does this artery enter the cranial fossa?
Foramen spinosum
Which foramen is associated with mandibular nerve + where is it on the diagram?
Foramen ovale
Which layer is closely adherent to the brain?
The pia mater
Which arteries supply the anterior cranial fossa + where is on the diagram?
Anterior meningeal arteries
Which structures of the brain are found within the posterior cranial fossa?
Cerebellum and brainstem
Which bones form the floor of the posterior cranial fossa?
Occipital bone
Temporal bone
How can you identify an extradural haematoma on a CT scan?
More focal
Does not extend beyond suture
Bi-convex (lens shaped)
What is the falx cerebri?
Falx cerebri is a crescent shaped downward projections of meningeal dura mater from the dura lining the calva that passes between the two cerebral hemispheres towards the corpus callosum.
Helps stabilise the brain within the cranial cavity
What structure is being pointed to?
Pterion
Name the different coloured structures
Green = frontal bone
Blue = sphenoid bone
Dark pink = nasal bone
Light pink = maxilla
Orange = zygomatic bone
Purple = mandible
Red = vomer
What is the highlighted bone?
Zygomatic process
Which foramen does the accessory nerve pass through?
Jugular foramen
Which part of the temporal bone has a flat plate appearance and forms the superior regions of the temporal bone?
Squamous part
What is a subdural bleed?
Deep to the dura
Role of the 2 posterior communicating arteries?
Connects internal carotid artery with posterior cerebral artery
What structures pass through the foramen ovale?
Mandibular nerve
Accessory meningeal artery
Lesser petrosal nerve (branch of the glossopharyngeal nerve)
Emissary vein connecting through cavernous sinus
Which bones do the body of the sphenoid bone articulate with?
Ethmoid, vomer and palatine bone
Label the parts of the maxilla:
- Zygomatic process
- Orbital surface
- Infra-orbital foramen
- Frontal process
- Alveolar process
- Anterior nasal space
What is the junction between the saggital and coronal suture?
Bregma
Upon CSF drainage which layer is collapsed onto surface of the brain?
Arachnoid layer
Identify structures on the diagram:
- optic canal
- superior orbital fissure
- foramen rotundum
- foramen spinosum
- foramen lacerum
- foramen ovale
- carotid canal
Which 2 branches arise from the middle meningeal artery + where do they go?
Anterior and posterior branch of meningeal artery
Anterior branch crosses sphenoid’s great wing reaching groove of parietal bone
Posterior branch curves back toward temporal bone before reaching back portions of parietal bone
Name of the 2 cranial foramina found on greater wing of sphenoid bone?
Foramen ovale
Foramen spinosum
What bone forms the forehead?
Frontal bone
What does the frontal bone form anteriorly?
Forehead, and the superior part of the rim of each orbit
Superior to the rim of the orbit on each side are the raised superciliary arches
Which foramen is circled in red + what nerve is associated with it?
What is its position to the superior orbital fissure?
Optic canal and optic nerve
Medial to the superior orbital fissure
Describe the 2 layers of the dura mater
Periosteal is very closely adherent to inner surface of the bone
Meningeal is close to the arachnoid
What is the tentorium cerebelli?
Horizontal projections of meningeal dura mater that covers and separates cerebellum in posterior cranial fossa from posterior parts of cerebral hemisphere
Provides structural support for brain in event head is shaken or hit
What meningeal layer lies beneath the dura?
The arachnoid mater
What structure is highlighted in the picture and what nerve passes through it?
Foramen lacerum + greater petrosal nerve (facial nerve)
What are the 5 layers that form the scalp + label them on the diagram
Skin
Connective layer
Aponeurotic layer
Loose connective tissue
Pericranium
Which nerve bundles is associated with the cribiform plate?
Olfactory nerve bundles
Which artery forms upon the union of the 2 vertebral arteries?
Basilar artery
Which carotid artery supplies the face?
External carotid artery
Role of anterior communicating artery
Connects the left and right anterior cerebral arteries
Which 4 cranial nerve pass through the superior orbital fissure + which structure is it?
Oculomotor nerve (CN3)
Trochlear nerve (CN4)
Abducens nerve (CN6)
Opthalmic nerve (first branch of the trigeminal nerve (CN5)
What structure is highlighted and what bones articulate with it?
Lamboid suture
Laterally, parietal bones and posteriorly, occipital bone
What is the glabella?
Depression within the raised supercilliary arches
(bony point present on the frontal bone between two superciliary arches)
What structure is being pointed to and what bone is it located on?
Mental foramen and mandible bone
Function of the CSF
Helps to protect the brain against movement
Nutrient role in terms of supplying nutrients to the brain