Pre-Class Reading Assignment for TBL 2 Flashcards
What structure is in the anterior cranial fossa?
Frontal pole of the brain
What bones make up the anterior cranial fossa?
- Lesser wing of the sphenoid bone
- Ethmoid
- Frontal
What nerve goes through the cribriform plate of the ethmoid?
CN I, olfactory nerve
Role of the orbit plates in the skull?
- Forms floor of the anterior cranial fossa
- Forms roof of the orbit
What structure is in the middle cranial fossa?
- Temporal lobe
- Pituitary gland
What makes up the middle cranial fossa?
- Body and greater wing of the sphenoid
- Temporal bone, petrous portion
Chiasmatic groove
- Leads to the optic foramen
Optic foramen
- CN II, optic nerve
- Ophthalmic artery
What houses the pituitary gland?
Sella turcica
What forms the ssuperior orbital fissure?
Gap between lesser and greater wing of the sphenoid
Superior orbital fissure?
- CN III, oculomotor nerve
- CN IV, trochlear nerve
- CN V1, ophthalmic division of trigeminal
- CN VI, abducens nerve
- Ophthalmic veins
Where do the branches of the trigeminal branch come from?
Trigeminal ganglion
CN V1 foramen
Superior orbital fissure
CN V2 foramen
Foramen rotundum
CN V3 foramen
Foramen ovale
Accessory meningeal artery foramen
Foramen ovale
Deep petrosal nerve foramen
Foramen ovale
What goes through the foramen spinosum?
Middle meningeal artery
What does the middle meningeal artery supply?
Dural coverings of the brain
Where does the middle meningeal artery go?
Lateral aspect of the cranial vault, along the tin squamous portion of the temporal bone
Where does the internal carotid artery pass through?
Carotid canal, turns anteriorly, then goes through the carotid groove
What does the internal carotid artery supply?
- Anterior and middle regions of the brain
- Orbit
What passes through the cavernous venous sinus?
- Internal carotid artery
- Trigeminal ganglion
- Ophthalmic divison, CN V1
- Maxillary division, CN V3
- Trochlear nerve
- Oculomotor nerve
_ Abducens nerve
Clinical considerations for the dural venous sinuses
- Maxillary regions of the face and oral cavity and spread to the brain through here
What divides the middle cranial fossa and posterior cranial fossa?
Superior petrosal ridge
What is housed in the posterior cranial fossa?
- Cerebellum
- Brainstem
What bones make up the posterior cranial fossa?
- Temporal bone
- Occipital bones
Where is the foramen magnum located?
Posterior cranial fossa
Where is the internal acoustic meatus located?
Petrous temporal bone
What goes through the internal acoustic meatus?
- CN VII
- CN VIII
Where does the internal jugular vein exit the skull?
Jugular foramen
What nerves exit through the jugular foramen?
- CN IX
- CN X
- CN XI
Where does CN XII exit the skull?
Hypoglossal foramen
What goes through the foramen magnum?
- Spinal cord
- Vertebral arteries
- Spinal contribution of the accessory nerve CN XI
Confluens of sinuses
Blood from the meninges drain here on the occiput
What does the confluens of sinuses flow into?
Left or right transverse venous sinuses
Where does the sigmoid sinus drain into?
Internal jugular vein
Periosteum
Outer layer of the dura matter that is continuous with the periosteum
Dural reflections
- Invagination of the inner layer of dura mater
- Compartmentalize the cranial cavity
Falx cerebri location
- Midsagittal
- In between left and right cerebral hemispheres
Tentorium cerebelli location
- Horizontal
- On top of cerebellum
Subarachnoid space
Filled with CSF
What produces CSF?
Choroid plexus
CSF flow
- Choroid plexus
- Subarachnoid space
- Arachnoid granulations
- Dural venous sinuses
What reabsorbs CSF into venous circulation
Arachnoid granulations
Superior sagittal sinus location
- Midline
- Just under the sagittal suture
What does the superior sagittal sinus drain into
Confluens of sinuses
Inferior sagittal sinus location
Below falx cerebri
Where does the inferior sagittal sinus indirectly drain into? How
- Confluens of sinuses
- Goes through the straight sinus first
Occipital sinus location
Midline of occipital bone
What does the occipital sinus drain into?
Confluens of sinuses
Where does blood go after the confluens of sinuses?
- Left or right transverse venous sinuses
- Sigmoid sinus
- Internal jugular vein
What artery does the internal carotid artery come from?
Common carotid artery
What does the internal carotid supply?
- Anterior and middle parts of the cerebrum
- Orbit
Where does the vertebral arteries come from?
Subclavian artery
How do vertebral arteries reach the brain?
- Go through the transverse foramina of cervical vertebrae
- Foramen magnum
What do two vertebral arteries branch into in the brain?
Basilar arteries
What do basilar arteries supply?
- Posterior cerebrum
- Cerebellum
- Brainstem
The circle of Willis provides…
Collateral circulation
External ear function
Collection and conduction of sound waves
Middle ear functions
- Translation and conversion of sound waves into mechanical energy
- Vibrations of membranes and bones
Inner ear functions
Transduction of mechanical energy to nervous impulse n the cochlea for auditory processing
Vestibular apparatus/semicircular canal function
Sense of balance
External opening of the ear
External auditory meatus
Tympanic membrane separates which structures?
External ear and middle ear
Helix
Bigger and more superior fold in ear/auricle
Antihelix
Shorter and inner fold
Tragus
Round bump in front of the external acoustic meatus
Antitragus
Smaller pump and across from tragus
Intertragic notch
Groove between tragus and antitragus
How are sound waves transmitted through the ossicles?
- Malleus
- Incus
- Stapes
What ossicle directly touches the tympanic membrane?
Malleus
How are vibrations conducted from the middle to inner ear?
Oval window
What ossicle touches the oval window?
Stapes
What separates the middle and inner ear
Oval window
What muscles are located in the inner ear? Function?
- Stapedius muscle
- Tensor tympani muscle
- Dampen vibrations
Auditory tube/Eustachian location
Nasopharynx to middle ear
Auditory tube/Eustachian function
- Equalize the pressure on each side of the tympanic membrane
- Drain mucus from the middle ear
What are the main structures in the inner ear?
Cochlea and semicircular canals
Where does the vestibulocochlear nerve come from? What foramen does it go through?
- Pons
- Internal acoustic meatus
What structures do the vestibulocochlear nerve mediates?
Cochlea and semicircular canals
Sclera
White of the eye
Cornea
Transparent, on top of sclera
What is the colored muscle of the eye?
Iris
What is the central circular space of the eye called?
Pupil
Where do incoming light rays enter the eye? What transduces them into nervous impulses?
- Pupil
- Photoreceptor cells, including rods and cones
Conjunctiva
Mucous membrane
Lacrimal caruncle
Tear accumulation occurs here
Canthi/palpebrae
Eyelids
What goes through the supraorbital foramen?
Supraorbital neurovascular bundle, V1
Where does V1 go to?
Forehead and scalp
Where are tears generated?
Lacrimal gland
Tear fluid flow
- Lacrimal gland
- Spead over conjunctiva and cornea
- Lacrimal caruncle
- Lacrimal puncta
- Lacrimal canaliculi
- Lacrimal sac
- Nasolacrimal duct
Parasympathetic regulation of the lacrimal gland secretions is mediated by the…
Facial nerve
Superior oblique muscle innervation
Trochlear nerve, CN IV
Superior rectus muscle innervation
Oculomotor nerve, CN III
Lateral rectus muscle innervation
Abducens nerve, CN VI
Medial rectus innervation
Oculomotor nerve, CN III
Inferior rectus muscle innervation
Oculomotor nerve, CN III
Inferior oblique muscle innervation
Oculomotor nerve, CN III
Special sensory nerves
- CN I
- CN II
- CN VIII
Motor only nerves
- CN III
- CN IV
- CN VI
- CN XI
- CN XII
Mixed nerves
- CN V
- CN VII
- CN IX
- CN X
Does the oculomotor provide parasympathetic or sympathetic motor input? Why?
Parasympathetic to mediate pupil constriction and lens accommodation
What nerve provides motor innervation of muscles of mastication?
CN V3
What nerve provides motor innervation to the muscles of facial expression
?
Facial nerve
What three nerves mediate taste and provide parasympathetic input to visceral structures?
CN VII
CN IX
CN X
What provides parasympathetic input to the submandibular and sublingual salivary glands?
Facial nerve
What nerve is enclosed in the carotid sheath?
Vagus nerve
Where does the spinal accessory nerve go through?
Posterior cervical triangle
What does the accessory nerve innervate?
- Trapezius
- SCM
Where does the hypoglossal nerve go through?
Anterior cervical triangle
What innervation does the hypoglossal nerve do?
Motor innervation of the muscles of the tongue