Meninges Flashcards
a fracture to the pterion can be life threatening because?
it overlies the frontal branches of middle meningeal vessels —> hematoma
how does an infection of the face travel to the cavernous sinus and pterygoid venous plexus?
- the facial vein drains to superior opthalmic vein which drains into the cavernous sinus
- the inferior opthalmic vein and deep facial veins all drain into the pterygoid venous plexus
why can blood drain from the facial vein to the cavernous sinus?
the facial vein doesn’t have valves
what is thromboplebitis of the facial vein?
inflammation of the facial vein with secondary thrombus formation —> thromboplebitis of the cavernous sinus
a blow to the cranial base can cause?
fracture –> tear of the dura and leakage of CSF
space occupying lesions or tumors can cause what in the supratentorial compartment?
increased intracranial pressure and temporal lobe herniation through the tentorial notch
what can tentorial herniation cause?
laceration of temporal lobe by tentorium cerebelli and stretching of CN III
lesions to CN III (occulomotor) can cause?
paralysis of the extrinsic eye
pituitary tumors can cause?
bulging of diaphragmatic sellae —> disturbances in endocrine function
superior extension of pituitary tumor can cause?
visual symptoms from pressure on optic chiasm
occlusions of the cerebral veins and dural venous sinuses can be caused by?
thrombi, thrombophlebitis, or tumors (meningiomas)
which dural venous sinuses are most frequently thrombosed?
transverse, cavernous, & superior sagittal
cavernous sinus thrombosis occurs from?
infections of the face in orbit, nasal sinuses, and superior part of face
thrombophlebitis of cavernous sinus can affect which nerve?
abducens nerve and nerves in lateral wall of sinus
septic thrombosis of cavernous sinus can cause?
acute meningitis
the basilar and occipital sinuses communicate with? through which structure?
- internal vertebral plexuses
- foramen magnum
how can pus and tumor cells from basilar and occipital sinuses spread to the vertebrae and brain?
veins are valveless, so coughing can force venous blood into internal vertebral venous system to the dural venous sinuses
an arteriovenous fistula in the internal carotid can be caused by?
blow to base of cranium
what happens as a result of arteriorvenous fistula in the internal carotid?
arterial blood into cavernous sinus, which enlarges and forces blood retrogradely into the opthalmic vein —> exophthalmos (protruding eye) and chemosis (engorgement of conjunctiva)
what is pulsating exophthalmos?
protruding eye that pulses with the radial pulse
which nerves can be affected with the cavernous sinus is injured?
CN III, CN IV, CN V1, CN V2, and CN VI (in or close to lateral wall of sinus)
what is actually hurting during a headache?
dura, especially where it’s close to dural venous sinuses and meningeal arteries