MENINGES + CSF (PART 2 CSF And VENTRICLES) Flashcards
Cerebrospinal Fluid is located in
- 2.
- In the ventricular system of the brain/central canal of spinal cord
- subarachnoid space around brain and
Cerebrospinal Fluid is formed in:
1.
2.
- Choroid plexuses of ventricles ( more from lateral ventricle)
- Capillaries on the surface of the brain and spinal cord
The quantity of CSF is _________ ml
130ml
Nb: 30ml in the Ventricular System + 100ml in subarachnoid space ( 75ml in spinal + 25ml in cranial)
Cerebrospinal Fluid is formed at a rate of _________
200ml/hour or 500ml/day
The CSF circulate :
- ______________
- ______________
- ______________
- From the Lateral ventricles to the 3rd Ventricle via the Interventricular Foramen
- From the 3rd Ventricle to the 4th Ventricle via the Cerebral Aqueduct
- From the 4th Ventricle to the Sub arachnoid Space via the two (paired) lateral Aperture and Medial Aperture
The CSF circulate :
- From the Lateral ventricles to the 3rd Ventricle via_______
- From the 3rd Ventricle to the 4th Ventricle via ________
- From the 4th Ventricle to the Sub arachnoid Space via __________
- Interventricular Foramen
- the Cerebral Aqueduct
- the two (paired) lateral Aperture and Medial Aperture
The CSF is Absorbed through:
4.
- arachnoid villi and granulations (from the arachnoid mater) and drained into the Cranial Dura venous Channel (Superior Sagital Sinus)
- veins related to spinal nerves
- perineural lymphatics around the CNI, CNII, CNVIII
- cribriform plate to the nose and then cervical lymphatics
The CSF is Absorbed through:
- arachnoid villi and granulations (from the arachnoid mater) and drained into the Cranial Dura venous Channel (_____________)
- veins related to _____
- perineural lymphatics around the ___________
- _______ plate to the nose and then _______ lymphatics
- Superior Sagital Sinus
- spinal nerves
- CNI, CNII, CNVIII
- cribriform, cervical
Functions of the CSF:
4.
- Protection – buffer & Shock absorber.
- Nutrition
- Pathway for metabolite from the CNS
- Helps to reduce the weight of the brain from 1500g to 50g
Functions of the CSF:
- ________ – buffer & Shock absorber.
- Nu___ion
- Pathway for ______ from the CNS
- Helps to reduce the weight of the brain from _____g to ____g
- Protection
- Nutrition
- metabolite
- 1500g to 50g
CLINICAL ANATOMY OF THE CSF:
4.
CLINICAL ANATOMY OF THE CSF:
- Therapeutic: Drainage of CSF at regular intervals is important in the treatment of Meningitis (Inflamation of Arachnoid and Pia matter) and also cure for intractable headaches of unknown aetiology
- CSF can be used in Diagnostic Analysis of Diseases
- CSF can be obtained via LUMBAR, CISTERNAL and VENTRICULAR PUNCTURE
(Lumbar puncture is the easiest and it can be obtained most commonly at 3rd and 4th Lumber Spine)
- Obstruction to the flow of CSF can lead to HYDROCEPHALUS (in children) and Raised INRACRANIAL PRESSURE (IN ADULTS)
CLINICAL ANATOMY OF THE CSF:
HYDROCEPHALUS MEANS
It means Dilation of the Ventricular System
it can be:
1. Communication Hydrocephalus (When the obstruction is outside the ventricular system)
- Non communicating Hydrocephalus ( when the obstruction is within the ventricular system)
CLINICAL ANATOMY OF THE CSF:
CLINICAL ANATOMY OF THE CSF:
- _________ : Drainage of CSF at regular intervals is important in the treatment of Meningitis (Inflamation of Arachnoid and Pia matter) and also cure for intractable headaches of unknown aetiology
- CSF can be used in __________ of Diseases
- CSF can be obtained via _______, ______ and ________
(Lumbar puncture is the easiest and it can be obtained most commonly at 3rd and 4th Lumber Spine)
- Obstruction to the flow of CSF can lead to _______ (in children) and Raised _______ (IN ADULTS)
- Therapeutic
- Diagnostic Analysis
- LUMBAR, CISTERNAL and VENTRICULAR PUNCTURE
- HYDROCEPHALUS and INRACRANIAL PRESSURE
Ventricular System of the Brain include the:
- 4.
- Lateral ventricle
- Aqueduct of Midbrain
- Third ventricle
- Fourth ventricle
The fourth ventricle is situated between the ___1_____ in front and ___2___ behind
- pons and medulla
2. cerebellum
The fourth ventricle Boundaries:
- Supero-lateral = ___________
- Infero-lateral = ________
- Superior cerebellar penduncle
2. Inferior cerebellar peduncle, gracile and cuneate tubercles
The fourth ventricle is a _____ shaped space
Tent-shaped space
The fourth ventricle has a
- r___
- fl___or (rhomboid fossa)
- _____ boundaries
- roof
- floor (rhomboid fossa)
- lateral boundaries
The roof of the fourth ventricle is ______ projecting into the cerebellum
Tent shaped
The roof of the fourth ventricle is formed by:
- Superior ______ peduncle
- Superior ______ velum
- Inferior _______ velum
- ______ of the 4th ventricle containing the choroid plexus
- Superior cerebellar peduncle
- Superior medullary velum
- Inferior medullary velum
- Telachoroidea of the 4th ventricle containing the choroid plexus
The roof of the fourth ventricle is formed by:
- 4.
- Superior cerebellar peduncle
- Superior medullary velum
- Inferior medullary velum
- Telachoroidea of the 4th ventricle containing the choroid plexus
Choroid plexus of the 4th ventricle is supplied from the ______1____ and
the venous drainage is the ______2____
- posterior inferior cerebellar artery
2. Occipital Sinus
The Floor of the 4th ventricle is ______ shaped
Rhomboidal shaped
The Floor of the 4th ventricle is formed by :
- __________
- __________
- The posterior surface of the pons
2. The posterior surface of the open part of the medulla
The Floor of the 4th ventricle is formed by :
- The posterior surface of the _____
- The posterior surface of the open part of the _____
- pons
2. medulla
3rd ventricles communicate with the 4th ventricle through the _______
cerebral aqueduct
Cisterna magna (subarachnoid space) communicate with the 4th ventricle through the __________
foramen magendie
Pontine Cistern (subarachnoid space) communicate with the 4th ventricle through _________
foramen Luschka
Inferiorly the 4th ventricle continues with the central canal of the______
spinal cord
The 3rd ventricle is a ____1___ space, lying in the sagittal plane below the fornix and the _____2___
- slit-like
2. corpus callosum.
The 3rd ventricle has an:
- 5.
- Anterior Wall
- Posterior Wall
- Laterial wall
- Roof
- Floor
The Anterior wall of the 3rd ventricle is formed by:
- 2.
3.
Mnemonic: LAA
- Lamina Terminalis
- Anterior Commissure
- Anterior Columns of Fornix
The Posterior wall of the 3rd ventricle is formed by:
- 2.
3.
Mnemonic: PPC
- Pineal gland
- Posterior commissure
- Cerebral aqueduct
The Roof of the 3rd ventricle is formed by ___________
ependymal lining (under surface of tela choroidea of 3rd ventricle)
The Lateral wall of the 3rd ventricle is formed by:
- 2.
3.
Mnemonic: Thalamus
Thalamus – its medial surface
Hypothalamus
Hypothalamic sulcus
The floor of the 3rd ventricle is formed by ___________
hypothalamic structures
The Lateral Ventricle are ______ cavities
2 irregular cavities
Nb it is the first and second ventricles
The Lateral Ventricle are Situated in the _____
cerebral hemisphere
The Lateral Ventricle has the following parts:
1.
2.
3.
- Central part or Body
- Horns: anterior, posterior and inferior horns
- Choroid plexus (located only in body and inferior horn)
Nb:
1. The Anterior Horn is found in the Frontal Lobe
- The Body is found in the Parietal Lobe
- The Posterior Horn is found in the Occipital Lobe
- The Inferior Horn is found in the Temporal Lobe
The Lateral Ventricle has the following parts:
- Central part or _____
- Horns: ____, ____, ____ horns
- ______ (located only in body and inferior horn)
- Body
- anterior, posterior and inferior
- Choroid plexus
Nb:
1. The Anterior Horn is found in the Frontal Lobe
- The Body is found in the Parietal Lobe
- The Posterior Horn is found in the Occipital Lobe
- The Inferior Horn is found in the Temporal Lobe
Boundaries of the BODY of the Lateral Ventricle:
- Roof: _________
- Floor: _____
Medial wall: _______
- under surface of the corpus callosum
- Body of caudate, stria terminalis, thalamostriate vein, lateral portion of the upper surface of the thalamus (From lateral to medial)
- Septum pellucidum, body of fornix
Boundaries of the ANTERIOR HORN of the Lateral Ventricle:
- Anterior = ________
- Roof = _______
- Floor = _______
- Medial = ______
- posterior surface genu and rostrum of corpus callosum
- anterior part of the trunk of the corpus callosum
- head of caudate + upper surface of the rostrum of the corpus callosum
- Septum pellucidum + column of fornix
Boundaries of the POSTERIOR HORN of the Lateral Ventricle:
- Floor and medial wall : ____________
- Roof and lateral wall: _______
- bulb of the posterior horn raised by forceps major; anterior part of calcarine sulcus
- tapetum of corpus callosum +optic radiation showing in the lateral wall
Boundaries of the INFERIOR HORN of the Lateral Ventricle:
- Roof and lateral wall: _________
- Floor: _________
- Tapetum, tail of caudate lobe, stria terminalis amygdaloid body
- Collateral eminence- raised by collateral sulcus
Hippocampus (medially)