Neuro test 1 PWP Cisterns & CSF Flashcards
how many major cisterns does the brain have
5
where are cisterns located
subarachnoid space
cisterns hold
CSF
cerebellomedullary cistern is also known as
cistern magna
Largest cranial cistern is the
cistern magna
cerebellomedullary cistern is ______ to the brainstem
dorsal
which ventricle drain into the cisterna magna?
4th ventricle
how many openings does the 4th ventricle pas through to get into the cistern magnum
3
the 3 openings of the cerebellomedullary cistern is
2- lateral luschka
1- median madendie/median aperture
how many foramen magendie does an adult have?
1
CSF flow
- lateral ventricle >
Foramen monro> - third ventricle
- aqueduct of sylvius > 4th ventricle
- CSF flows out of 2 lateal luschka foramen into the median aperature
- CSF fills the subarchnoid space and bathes external surface of brain and spinal cord
- At arachnoid villa the CSF is reabsorbed into the venous blood of dural venous sinuses
pontine cistern is _____ to the pons
location
ventral
pontine cistern accommodates these structures
basilar artery, CN 6 (LR), CN VII (facial), CN VIII (vestibulocochlear)
interpeduncular cistern accomodates for
CN III
MAmmillary bodies
Circle of willis
location of interpedunclar cistern
over the interpeduncular fossa
mamillary bodies are responsible for
relaying stations in the olfactory pathway and are involved in the emotional response to odors
interpeduncular cistern connect ___ ___ with the pontine cistern
pontine cistern
which CN lies in front of the interpeduncular cistern?
3
CN 3 functions
miosis, contraction of the ciliary muscles to relax and round the lens (parasympathetic),
prevention of ptosis, visual tracking and gaze (4 mm.),
4 mm. innervated by CN 3
superior rectus, medial rectus, inferior rectus, inferior oblique
chiasmatic cistern accommodates the
optic chiasm
superior cistern AKA
quadrigeminal cistern or great cerebral vein of galen
quadrigeminal cistern is located above which brain structure
above the cerebellum
cistern of great cerebral vein of galen accommodates for
great cerebral vein of Galen
posterior cerebral arteries
superior cerebellar arteries
pineal gland
Pineal gland secretes
melatonin, FSH, LH,
FSH and LH is released by what portion of the pituitary gland?
anterior
How does CSF protect the CNS?
cushion for the brain to float and not have full weight on the internal aspect of the skull
other functions of CSF
nutrition & removes neural waste products & regulates intracranial pressure
which gland is located in the superior cistern?
pineal gland
Ependymal cells (cuboidal) produce what?
CSF
There is how many mL of CSF in the system at one time?
125
25 mL of CSF is found in the
ventricles
100 mL is found in the
subarachnoid space
which structures function to return CSF to the venous circulation for drainage/absorption?
arachnoid granulations
onewayvalves
arachnoid granulations push through
MENINGEAL dura mater > mainly Toward the superior sagittal sinus
ependymal cells help circulate what?
CSF
folic acid is important for what?
preventing neural tube defects
lumen of the neural tube gives rise to
ventricles
primary ventricles shape
cylinder
secondary ventricles are formed as the _____ ____ changes during ______.
neural tube & development
largest of the ventricles are the _____ ventricles and are ___ shaped
lateral
C
Lateral ventricles produce what % of CSF
80-90
lateral ventricles are located in ___ major brain lobes
4
5 parts of the lateral ventricles
anterior horn body trigone posterior head inferior head
anterior horn of LV located in
frontal lobe
anterior horn of LV is rostral to 2 ______ of ______
foramen of monro
septum pellucidum is the
medial wall of the anterior horn of LV
lateral wall of the anterior horn of the lateral ventricle is the
head of the caudate nucleus
caudate nucleus is part of the
basal ganglia
corpus callosum is composed of
subcomponents of the basal ganglia: caudate nucleus and lentiform nuclei
goal directed behaviors is achieved by which subcomponent of the basal ganglia
caudate nucleus
what structure seperates the lateral ventricles on each side of the cerebrum
septum pellucidum
largest part of the LV begins at the
foramen monro
largest LV portion is the
body
body Of LV is located between 2 structures
anterior horn & trigone of the LV
roof of the body of LV is
corpus callosum
medial wall of the LV’s body
thalamus and covered by septum pellucidum
lateral wall of LV’s body is the
body of the caudate
trigone/atrium of lateral ventricle contains the
GLomus
what is the glomus
largest portions of the choroid plexus
what two arteries anastomose in the trigone?
what do the arteries branch off of?
anterior and posterior choroidal arteries anastomose here
they are both branches of the ICA and vertebrobasilar artery
the trigone also contains a site of anastamosis between which other 2 systems?
supra and infra tentorial
dead end space of the ventricular system
posterior horn of lateral ventricles
floor & medial wall of the inferior temporal horn of LV
hippocampus
the roof of the temporal horn of LV is the
tail of the caudate
lesion of the hippocampus will result in
anterograde amnesia
can only remember things of the past
these two structures work together to link
emotional context to memories
alzhiemers targets this area
which structure connects 2 lateral ventricles to the 3rd ventricle
interventricular foramen (foramen monro)
what transverses the 3rd vetnricle?
interthalamic adhesions
3rd ventricle lies between
both thalmi in the diencephalon
the 4 recesses of the 3rd ventricle
optic/chiasmatic
infundibular
pineal
suprapineal
infundibular houses the
posterior lobe of the pituitary gland
the pineal recess houses the
pineal gland
the suprarenal recess contains a
diverticulum of the roof of the 3rd ventricle
what is the narrowest part of the ventricular system?
cerebral aqueduct aka aqueduct of sylvius
where is the common site of blockage in the ventricular system
aqueduct of sylvius
which passageway connects the 3rd & 4th ventricles?
cerebral aqueduct
4th ventricle location to pons and medulla is
dorsal
4th ventricle location to the medulla
is ventral
floor of the 4th ventricle is known as the
rhomboid fossa
the bottom portion of the 4th ventricle enters the
central canal of the spinal cord
the lateral recesses/arms of the rhomboid of the 4th ventricle end at the
foramina of luschka
the middle line of the 4th ventricle is the
median aperture
Obex is the
caudal tip of the 4th ventricle
what is the superior opening of the 4th ventricle
cerebral aqueduct
blockage of the CSF pathway will affect which structures
behind the occlusion
what is the main CSF return pathway
superior sagittal sinus
the main drain point of CSF is the
internal jugular vein
hydrocephalus can be caused by
overproduction of CSF OR blockage of CSF
blockage of what structures will cause hydrocephalus
cerebral aqueduct and the apertures of the 4th ventricle
CSF is continuously produced T/f?
T
how would hydrocephalus be treated?
shunt
if tumor was in foramen of monro what would be affected?
LV > enlarged
Choroid plexus is located ONLY in which portions of the LATERAL ventricle
body, atrium, and inferior horn only
BODY of lateral ventricle
choroid plexus is formed by
anterior choroidal branches of the ICA
the atrium/trigone choroid plexus is formed by the
glomus = anterior and posterior choroidal arteries
In the inferior horn the choroid plexus is formed by the
posterior choroidal branchs of the Posterior cerebral artery
choroid plexus of the 3rd ventricle is located in the
roof
what artery directly generates choroid plexus in the roof of the 3rd venricle
posterior choroidal branches of the PCA
choroid plexus of the 4th ventricle is located in
caudal part of the roof
what artery directly generates choroid plexus in the caudal part of the roof of the 4th ventricle
posterior inferior cerebellar artery of the vertebral artery