N4 CNS Meninges, Ventricles, Blood Supply Flashcards

1
Q

The meninges of the brain are ____

A

Connective tissue layers

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2
Q

What are the three meningeal spaces and what are their features?

A

Epidural: above dura matter
Subdural: between dura and arachnoid
Subarachnoid: inside arachnoid layer, filled with CSF and blood vessels

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3
Q

Two meningeal spaces are considered potential spaces while the other is a real space, which are which?

A

Epidural and subdural are potential while subarachnoid is an actual space

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4
Q

What are the three layers of meninges?

A

Dura matter (thickest)
Arachnoid (web like)
Pia matter (thin)
These are listed from outside to inside

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5
Q

The spinal cord is also surrounded by meningeal layers, these are ….

A

Dura matter
Arachnoid matter
Pia matter
These are the same as the brain

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6
Q

The spinal cord has two special connections that help maintain its position, what are they and what are their connections?

A
  1. Filum terminale internum: anchors spinal cord to dural sac, inside meningeal layer
  2. Filum terminale externum: anchors dural sac to vertebral column, outside meningeal layer
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7
Q

The spinal cord also contains a meningeal space that is filled with CSF, what is the space called?

A

Subarachnoid

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8
Q

What are dural reflections?

A

Areas where dura matter separates part of the brain

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9
Q

What are the three main dural reflections?

A

Falx cerebri: separates the cerebral hemispheres into left and right
Tentorium cerebelli: separates the occipital lobe and the cerebellum
Falx cereblli: separates the cerebellum into left and right hemispheres

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10
Q

What are the unpaired dural venous sinuses?

A

Superior sagittal sinus, inferior sagittal sinus, vein of Galen, straight sinus and confluence of sinuses

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11
Q

What are the paired dural venous sinuses?

A

Transverse sinus, sigmoid sinus, cavernous sinus

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12
Q

What is the purpose of the dural venous sinuses?

A

Drain blood from the brain back to the heart

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13
Q

The internal jugular vein is where the majority of the blood drains back to the ___

A

Heart

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14
Q

What path does blood follow through the dural venous sinuses?

A

Superior sagittal sinus > Inferior sagittal sinus > confluence of sinuses > transverse sinus > sigmoid sinus > internal jugular vein

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15
Q

How does CSF flow through the ventricular system?

A

2 Lateral ventricles > interventricular foramen > third ventricle > cerebral aqueduct (of Sylvius) > fourth ventricle > foramina of Magendle and Luschka > brain or spinal cord

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16
Q

Where is CSF produced?

A

Choroid plexuses that line all four ventricles

17
Q

What is the general flow of CSF through the CNS?

A

Ventricles > subarachnoid space > dural venous sinuses

18
Q

What sinus is mainly responsible for returning CSF back into the blood supply?

A

Superior sagittal sinus

19
Q

What is hydrocephalus?

A

Build-up of fluid in the ventricles in the brain

20
Q

What are the two types of hydrocephalus?

A
  1. Obstructive (non-communicating)
  2. Communicating
21
Q

What occurs during obstructive or non-communicating hydrocephalus?

A

CSF flow is obstructed within the ventricular system
Example: tumor causing aqueductal stenosis (narrowing of the cerebral aqueduct)

22
Q

What occurs during communicating hydrocephalus?

A

CSF flow is not obstructed within the ventricular system
Example: overproduction of CSF or poor reabsorption of CSF

23
Q

What type of issues could hydrocephalus lead to?

A

Cortical damage due to pressure on brain tissue

24
Q

Blood supply is provided to the cerebrum through ___ of ____ that is mainly supplied by the ____ ___ arteries and the ____ artery

A

Circle of Willis
Internal carotid arteries
Basilar artery

25
Q

What are the additional arteries of the Circle of Willis besides the internal carotid arteries and the basilar artery>

A

Posterior cerebral, posterior communication, middle cerebral, anterior cerebral and anterior communicating arteries

26
Q

The middle cerebral artery supplies which part of the cerebrum?

A

Lateral cerebral hemispheres

27
Q

The anterior cerebral artery supplies which part of the cerebrum?

A

Medial frontal and parietal lobes

28
Q

The posterior cerebral artery supplies which part of the cerebrum?

A

Medial temporal and occipital lobes

29
Q

The lenticulostriate arteries are deep vascular territories that branch off ____ and supply ____

A

Branch off the middle cerebral artery
Supplies globus pallidus, putamen, caudate nucleus (basal nuclei) and internal capsule

30
Q

The thalamoperforating and thalamogenicualte arteries are deep vascular territories that branch off the ___ and supply ____

A

Posterior cerebral artery
Supply the thalamus

31
Q

Blood supply is provided to the midbrain via the ___ artery

A

Posterior cerebral artery

32
Q

Blood supply is provided to the pons via the ___ arteries

A

Basilar artery, superior cerebellar artery, anterior inferior cerebellar artery

33
Q

Blood supply is provided to the medulla via the ___ arteries

A

Vertebral artery, anterior spinal artery, PICA (posterior inferior cerebellar artery), posterior spinal artery

34
Q

Blood supply is provided to the cerebellum via the ___ arteries

A

Superior cerebellar artery, AICA (anterior inferior communicating artery), PICA (posterior inferior communicating artery)
All the artery names contain the word cerebellum

35
Q

Blood supply is provided to the spinal cord via the ___ arteries

A

Anterior spinal artery, posterior spinal artery
All arteries have the word spinal in them

36
Q

What is an epidural hematoma?

A

Pooling of blood in the epidural space that creates space between the dura and the skull
Leads to headache, confusion, lethargy

37
Q

What is a subdural hematoma?

A

Blood pools in the innermost part of the dura
Leads to either absent symptoms or headache, confusion and lethargy (like an epidural hematoma)