Lecture 7: Ventricular and Dural Sinuses Flashcards
What are the 4 types of hemorrhage in the in the neurocranium that can comromise brain functions?
Intraparenchymal
Subarachnoid
Epidural
Subdural
Meninges
Which part of the meninges is spider web-like?
Arachnoid
Which mater is the most outer layer of the brain?
Pia Mater
The Epidural space is between the _____ and _______
bone
periosteal
The Subdural space is between the _______ ______ and _______
meningeal dura
arachnoid
The Subarachnoid space is between the _________ and _______ mater which is filled by what?
arachnoid
pia
CSF
Meninges and Related Spaces
Folding of the Meningeal Dura:
Sagittal:
1.
2.
Falx Cerebri
Falx Cerebelli
Folding of the Meningeal Dura:
Transverse
1.
2.
Tentorium Cerebelli
Diaphragma Sellae and Sella Turcica
The Falx Cerebri is located in the _______ ______ and seperates what two structures?
longitudinal
cerebral cortex
The Falx Cerebelli is located in the groove ________ to the _________
posterior
cerebellum
The Tentorium Cerebelli is located in the _________ _______ and covers the ________
transverse fissure
cerebellum
The Diaphragma sellae seals the ______ _______
sella turcica
The Diaphragma sellae and sella turcica seperates the ______ ________ from the _______
pituitary gland
hypothalamus
The Inferior Sagittal Sinus, Great Cerebral Vein, Straight Sinus = ______ of ______
Confluence
Sinuses
Folding of the Meningeal Dura
Dural Venous Drainage Sinus System
Dural Venous Drainage Sinus System
Spreading infections to the brain:
Dangerous triangle is when _____ blood flows into the _______ _______
venous
cavernous sinus
The sigmoid sinus gets out from the _____ _______
jugular foramen
The straight sinus is located in the ______ _________
tentorium cerebelli
Somatosensory Innervation of the Dura Mater:
Posterior Cranial Fossa Dura ____/_____
C2
C3
The area where a craniotomy is performed is called…?
the area of sparse innervation
If a patient suffers from a R PCA stroke, which signs/symptoms will the patient most likely present with?
PCA; inf temporal lobe and occipital lobe
- left visual fields
- memory
Development of the Ventricles:
With the 4th ventricle: the ______ ________ plate with open and expand
posterior alar
With the development of the ventricles:
There will be invasion of ______ _____
Expansion of ______ _______
2 _______ and one ______ ventricle
blood veseels
choroid plexus
lateral; 3rd
Functions of the ventricles:
______ secretion and the ______ ______ barrier has no direct contact to brain tissue
CSF
blood brain
Functions of the Ventricles
- 2.
3.
Not much for _______
buoyance
insulation
waste diffusion
nutrition
Normal total amount of circulation of CSF is ______ mL
150
The circulation of CSF is produced by the ______ ______
choroid plexus
CSF flows from the lateral ventricles through ________ _________ also called the _______ of ___________ and into the _______ ventricle
interventricular foramina
Foramen of Monroe
3rd
CSF flow:
From the 3rd ventricle, CSF flows through the _________ ____________ and into the _____ ventricle also called the _______ of ________
cerebral aqueduct
4th
Foramen; Magendie
CSF Flow:
From the 4th ventricle CSF flows into the __________ _________ surrounding the CNS
Subarachnoid space
Last stages of CSF flow:
CSF eventually is passed through the _________ _________ and returned to the venous circulation in the _______ _______ sinus
arachnoid
granulations
superior
sagittal
Whch horn is the largest of the lateral ventricles? and mostly located where?
anterior
frontal and limbic lobes
The intraventricular foramen is also called?
Foramen of Monroe
The lateral aperture of the ventricles is also called the _________ of ________
Formaen of Luschka
The median aperture of the ventricles is also called the _________ of _________
Magendie
Label this
_________ cistern contains the cerebral peduncle (descending tracts)
Interpenduncular
The Interpenduncular cistern is ______ to the middle brain
anterior
Quadrigeminal cistern contains what?
2 superior and 2 inferior colliculi
Specialized Subarachnoid Spaces: Cistern
An enlarged cistern indicates atrophy in what area?
brainstem/cerebellum
Circulation of CSF (systole)
_________ to ________
From ________ to ________ subarachnoid space
Ventricles; subarachnoid space
rostral; caudal
Circulation of CSF (diastole)
__________ ____________ to the ____________
__________ to __________ subarachnoid space
subarachnoid space
Ventricles
caudal; rostral
Systole or Dystole citculation of CSF?
Systole
Systole or Dystole citculation of CSF?
What are the major dural venous sinuses located in the meningeal foldings?
Falx cerebri: SSS, ISS
Falx Cerebelli: occipital sinus
Tentorium Cerebelli: SS, TS
Hyrdocephalus is what?
when CSF gets blocked
Abnormal CSF pressure is is ___-_____ mmHg
Normal: __- ____ mmHg
7; 15
5, 20
With hydrocephalus ______ function is compromised and causes increased _________ pressure
global
intercranial
How do you fix hydrocephalus?
Ventriculoperitoneal shunt (abdominal)
If the R side of the foramen of monroe is affected, the R ______ _______ will expand
lateral ventricle
Normal Pressure Hydrocephalus (NPH) is what?
when the amount of CSF pressure is read as normal, but the ventricles show enlargement
Which typical signs/symptoms will a patient with NHP present?
3 W’s (wacky, wet, wobbly)
Compromised Cognition
Incontience
Ataxia
With NPH:
it is typically ____-________
there are tons of _______ ______
and the NPH _______: 3 W’s
age related
causes
triad
With NPH, there is increased space of the _______ but decreased _______ _______ thickness
ventricles
cerebral cortex
Which medical image is this and what condition is present?
T1 MRI
NPH
Drainage of CSF to the Dural Venous Sinuses
With ________ _______ and ________: endothethial cells swallow CSF and get out from the other side
Active transportation; secretion
_________ __________ through fenestration along the endothelia
Passive Diffusion
With passive diffusion, CSF can get out based on _______ pressure
diastole
The _________ lining of sinus is the most inside layer of cells
endothelial
Is dura mater thicker or thinner than the arachnoid?
thicker
The arachnoid and arachnoid trabeculae attach on the ______ mater due to CSF
pia
Drainage of CSF to the Dural Venous Sinuses
With an epidural hemorrhage, it touches our ________; ________ of the dura
sutures
periosteal
With an epidural hemorrhage, the __________ ____________ causes disruption and results in a _______ hematoma
meningeal artery
convex
The ________ is the weakest around the neurocranium and is involved with which hemorrhage?
pterion
epidural
With an epidural hemorrage, more happens under the _______ part
calvaria
What is happening here?
Epidural hemorrhage
Subdural hemorrhage
_________ hemorrhage
__________ ___________ disruption: and is _________
Intradural
bridging vein
concave
Shaking baby syndrome is associated with a _________ hemorrhage
subdural
What is happening here?
Subdural hemorrhage
How does the CSF drain out of the ventricular system during the systole?
Out of the ventricles
from rotsral to caudal in the subarachnoid space