Meninges + ventricles + liquor Flashcards
Differentiate btw meninges.
- pachymeninx = dura mater
- leptomeninx = arachnoidea, pia mater
1 - 5
2 terms for #2, #3, #5
Function of #5.
1) pia mater
2) dura mater - lamina ext. (periosteal layer)
3) dura mater - lamina int. (meningeal layer)
4) arachnoidea
5) granulationes arachnoideales (PACCHIONI) → secretion of liquor into blood
6 - 10
What does #7 contain?
6) falx cerebri
7) spatium subarachnoideum → contains liquor
8) spatium epidurale
9) spatium subdurale
10) foveae granularis
11 - 14
11) sulcus
12) gyrus
13) sinus durae matris
14) trabeculae arachnoideae
Which structures are formed by dura mater lamina int.?
- cavum trigeminale (MECKEL)
- diaphragma sellae covers fossa hypophysialis
- falx cerebri, cerebelli btw their resp. hemispheres
- tentorium cerebelli covers cerebellum
Where can falx cerebri be found?
Sites of attachment?
Content?
btw hemispheres of cerebrum in fissura longitudinalis cerebri
attaches to:
- ant.: crista galli
- post.: protuberantia occipitalis int.
__contents:
- sinus sag. sup. + inf.
- sinus rectus
Where is the tentorium cerebelli located?
Site of attachment?
covers cerebellum + post. cranial fossa
attaches to procc. clinoidei post., ant.
What are the functions of falx cerebri and tentorium cerebelli?
Why are they clinically relevant?
mechanical protection
→ prevent major displacement of brain, e.g. in case of cranial trauma
⇒ cerebellum can be pushed into foramen magnum, causes pressure on medulla oblongata (resp., circulatory centers) → life-threatening
= tonsillar herniation
Which structures pass through incisura tentorii? (4)
Why is it clinically relevant?
- brain stem
- aa. cerebri post.
- CN III + IV
⇒ swellings in case of cranial trauma (brain bleedings), brain tumors can push midbrain/temporal lobe into incisura tentorii → e.g. constriction of n. oculomotorius
= tentorial herniation
Which pathological condition can be caused by Pacchioni granules?
meningeoma
→ almost always benign, can reach size of a fist
What is special about the pia mater?
forms perivascular sheath around blood vessels when diving deep into brain, forms spatium perivasculosum
in case of large blood vessels: VIRCHOW-ROBIN space (VRS) can be seen on the MRI when dilated
Which meninges are inflammed in case of a meningitis?
leptomeninx =
arachnoidea, pia mater
Describe the blood supply, drainage of the meninges.
pia mater supplied by cerebral aa., arachnoidea no blood supply
dura mater: (EMP)
- a. _e_thmoidalis ant. → r. meningeus ant.
- a. _m_axillaris → a. meningea med.
- a. _p_haryngea asc. → a. meningea post.
- further rr. from a. vertebralis
drainage analog to supply
Which vessels cause epidural, subdural, subarachnoidal bleedings?
Possible consequences?
- esp. a. meningea med. → epidural → detachment of dura mater from calvaria (top left)
- bridging veins of sinus durae matris → subdural → compression/displacement of brain parts (e.g. tentorial herniation) (top right)
- a. of circle of Willis → subarachnoideal aneurism → head aches, meningitis, etc. (bottom)
Which nn. innervate the meninges?
mainly n. V
- n. ethmoidalis post. → ant. cranial fossa
- n. V/1 → tentorium cerebelli
- n. V/3 → med. cranial fossa
- nn. IX + X → post. cranial fossa
- C1 - 3 → clivus area
How much liquor does each person have? Where?
What for?
How fast is it produced?
Contents?
- volume: 110 - 160 ml (30 in ventricles, 80 in cran. subarach.space, 50 in spinal subarach. space)
- function: cushion, regulation of breath centers (via CO2 conc.), buoancy, transport
- production rate: - 500 ml/d
- content: low cell content (T-lymphocytes, monocytes), low protein content, electrolytes = plasma
What is the choroid lamina epithelialis?
layer of modified ependymal cells persisting after thinning of the original wall of the brain vesicles
What is tela choroidea?
choroid lamina epithelialis + pia mater
forms together w/ vascular network inside plexus choroideus
Where can plexus choroideus be found?
each ventricle has its own plexus choroideus
BUT: exc. cornu frontale/occipitale
<em>(plexus choroideus of lat. ventr. reaches into cornu occ.)</em>