Neck: Skull, cranial meninges, dural venous sinuses Flashcards
what are the layers of cranial meninges?
- pia mater (finest layer, closest to brain)
2. arachnoid mater
pia mater
finest layer
- faithful mother
- Areoloar CT that is directly applied to surface of brain, follows countours of brain and separates brain brain from subarachnoid space
arachnoid mater
dense CT layer, that is trabeculated on deep surface forming subarachnoid space (which contains CSF)
- covers brain but does not dip into sulci (except for longitudinal fissure)
- spans space between contours of brain to form cisterns (areas of accumulated CSF)
Choroid plexus
forms CSF
- modified capillary tuft located in ventricles of brain and circulates through ventrical channels to fourth ventricle where it openly communicates with SAS. CSF is reabsorbed superiorly into the superior sagittal sinus via the arachnoid granulations
Dura mater: 2 layers?
“strong mother”
- found on skull
- dense fibrous CT layer enclosing brain (cont. w/ spinal dura at foramen magnum)
1. periosteal layer? periosteum of cranial vautl thats adherent to meningeal dura
2. meningeal layer? duplications of dura which are prolonged b/w major portions of brain, form dural reflections for support
What are the dural reflections?
formed from meningeal layer of dura mater.
- Fax cerebri
- tentorium cerebelli
- falx cerebelli
- diaphragma sellae
Falx cerebri
midline sickle shaped extension of dura between cerebral hemispheres (follow contour of sagittal suture posteriiorly to become continuous with tentorium cerebellae)\
- superior sagittal sinus lies in its superior margin
- inferior sagittal sinus lies in its inferior margin
tentorium cerebelli
forms a tend over the posterior cranial fossa; separates cerbellum from posterior portion of cerebral hemispheres
- grooves through transverse sinus
- encloses superior petrosal sinus
- tentorial notch: free anterior concave margin of tentorium that wraps around midbrain
strait sinus
site of fusion of falx cerebelli to tentorium and falx cerebri
falx cerebelli
extension of dura between cerebellar hemispheres
- contains occipital sinus
diaphragma sellae
specialized portion of dura which forms a roof over the hypophyseal fossa
dural venous sinuses
- endothelial lined spaces between opposed layers of dura mater.
- collect blood and CSF from the brain, meninges, diploe and vertebral column and directly from face, orbit nasal and occ areas via emissary vv. (vv. which communicate between the dural sinuses and the veins)
- this system has no valves
- flow of all sinuses goes ultimately to internal jugular v.
- superior sagittal sinus
- superior border of falx cerebri
- ends at confluens of sinuses
- receives venous drainage (emissary vv, cerebral vv.. meningeal vv, diploic vv.) and CSF via arachnoid granulations which protrude into the sinus at venous lacunae.
- inferior sagittal sinus
located on inferior margin of falx cerebri
- receives cerebral and meninges vv.
- ends at straight sinus
- straight sinus
located at jn. of falx cerebri and tenotorium cerebelli
- receives inferior sagittal sinus and great cerebral v.
- opens posteriorly at the confluence of sinuses
- transverse sinus
- bilateral continuations of the superior sagittal and straight sinuses
- occupies the perimeter of the tentorium
- continuous with sigmoid sinus
- sigmoid sinus
- located on internal surface of temporal bone posterior to petrous ridge
- goes to jugular bulb and jugular foramen
- receives superior and inferior petrosal sinus