Lecture 3: The Brain Flashcards
Describe the dura mater
Strong, dense, fibrous membrane continuous with dura mater of the spinal cord
Has 2 layers: endosteal and meningeal layers
Endosteal= periosteum covering inner surface of calvaria. Does not extend through foramen magnum
Dural septae
The dura mater also gives way to another support and stabilisation consisting of the four cranial dural septa.
-Falx cerebri is the largest of the 4. It divides the brain into left and right hemispheres
-tentorium cerebelli- separates the occipital lobe and temporal lobe
-Falx cerebelli- divides cerebellum into r and l hemispheres
-diaphragma sellae
Falx, tent, falx
What is dural innervation?
Only meningeal layer that is innervated by sensory fibres
Richly innervated by meningeal sensory branches from trigeminal nerve, vagus nerve and upper cervical nerves.
They are stretch sensitive => headache
How is the dura mater innervated?
Branches of the trigeminal nerve
Describe the vasculature of the dura
Arteries of the dura supply more blood to the calvaria (ie bones of skull, ie parietal, temporal etc) than to the dura.
Middle meningeal artery (branch of maxillary)
Middle meningeal veins drain into pterygoid venous plexus
Dural blood supply
Internal carotid artery Maxillary artery Ascending pharyngeal artery Occipital artery Vertebral artery Middle meningeal arty Venous drainage => meningeal veins lateral to arteries
Dural venous sinuses
Where are they located?
Between periosteum and meningeal layers of dura. No valves.
-contains blood from superficial brain veins
Name some of the main dural venous sinuses
Slide 13
Study it bitch
What is the thing that connects both hemispheres together?
Corpus callosum
Describe the pia mater
Pa mat is extremely thin but highly vascularised. It sits very closely to gyri of brain and descends into sulci
What the fark is a leptomlenix?
= arachnoid mater + pia mater
Indicated by arachnoid trabeculae passing between arachnoid and pia layers.
Arachnoid is avascular and NOT attached to dura, it is held against dura by CSF pressure.
Label each ventricle of the brain
Slide ?
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Ventricles
What is a choroid plexus and what does it do?
What does CSF do?
Where is CSF produced?
Ventricles lined with ependymal cells forming the choroid plexuses that produces and secrete cerebrospinal fluid.
CSF removes waste products associated with neuronal activity and gives brain buoyancy to protect it from damage.
CSF is produced it him lateral, third and fourth ventricles
Arterial blood supply of brain
High energy use, no substrate (glucose) stored and can’t metabolise with ought oxygen. Need constant supply of oxygenated blood containing glucose.
Slide 26 be able to label it
What vessels exist Cerebral arterial circle
Anterior communication artery Anterior cerebral arteries Internal carotid arteries Posterior communicating arteries Posterior cerebral arteries Slide 27
Arteries of cerebrum
What are the principle arteries?
Anterior cerebral artery (branch of internal carotid artery)
Middle cerebral artery (branch of internal carotid) = largest branch, supplies most of the lateral surface of the cerebra hemispheres.