S3Anatomy Flashcards
What are the functions of the skull?
The skull protects the brain and organs of special sense and forms a skeleton for the upper part of the alimentary and respiratory tracts
What makes up the neurocranium?
Ethmoid Sphenoid Frontal Occipital Temporal Parietal
What makes up the viscerocranium?
Vomer Inferior Nasal Concha Zygomatic Maxilla Lacrimal Palatine Mandible Nasal
What are the 3 sutures of the skull?
Frontal
Sagittal
Lamdoidal
What are intersections between sutures called?
Fontanelles
What are the four fontanelles in neonatal skulls?
Anterior
Posterior
Anterolateral (sphenoidal)
Posterolateral
What is the anterior fontanelle called when it is closed?
Bregma
What is the posterior fontanelle called when it is closed?
Lambda
What is the anterolateral fontanelle called when it is closed?
Pterion
What is the posterolateral fontanelle called when it is closed?
Asterion
What is the metopic suture and when does it fuse?
Midline of the frontal bone
fuses around 7 years
What type of joint is the temporomandibular joint?
Synovial, modified hinge joint
What are the superior articulating surfaces of the temporomandibular joint?
Mandibular fossa
Articular tubercle of the temporal bone
What structure forms the inferior articulating surface of the temporomandibular joint?
Head of mandible
what type of cartilage covers the articulating surface of the temporomandibular joint?
Fibrocartilage
What happens when the jaw fully opens?
The head of the mandible slides forward from the mandibular fossa onto the articular tubercle. This movement is termed translation and it occurs in the superior articular cavity. In the inferior articular cavity the head of the mandible rotates around a transverse axis.
What helps prevent posterior dislocation of the mandible?
Lateral temporomandibular ligament
What are the 3 ligaments associated with the temporomandibular joint?
Lateral temporomandibular ligament
Stylomandibular ligament
Sphenomandibular ligament
What are the boundaries of the temporal fossa?
Superior - inferior temporal line
Anterior - frontal process of zygomatic bone
Medial - parietal & temporal bone
Lateral – zygomatic arch
Inferior - infratemporal crest of sphenoid
Posterior – inferior temporal line
What are the boundaries of the infratemporal fossa?
Superior - greater wing of sphenoid
Anterior – maxillary tuberosity
Medial – lateral pterygoid plate
Lateral – ramus & coronoid process of mandible
What are the boundaries of the pterygopalatine fossa?
Superior - inferior surface of body of sphenoid
Anterior - maxillary tuberosity
Medial - vertical plate of palatine bone
Lateral – pterygomaxillary fissure,
Inferior - pterygopalatine canal
Posterior – pterygoid process of sphenoid
What region of the brain is the anterior cranial fossa associated with?
Frontal Lobes
What regions of the brain is the middle cranial fossa associated with?
Pituitary gland and temporal lobes
What regions of the brain is the posterior cranial fossa associated with?
Cerebellum, pons and medulla
What is the arachnoid mater?
Thin, avascular membrane composed of fibroblasts, collagen fibres and some elastic fibres.
It is pushed up against the inner surface of the dura mater by the pressure of the cerebrospinal fluid
lines the dural sac and the dural root sheaths
What is the diaphragmatic sellae?
A sheet of dura mater which attaches to the clinoid process of the sphenoid bone. It covers the pituitary gland and contains an opening through which the infundibulum and hypophysial veins pass
What is the falx cerebelli?
A dural reflection that attaches to the internal occipital crest, it partially separates the cerebellar hemispheres.
What is extradural space?
A pathological space that forms when blood leaks from torn meningeal vessels and pushes the periosteum away from the cranium.
What is the falx cerebri?
An infolding of meningeal dura mater located in the longitudinal fissure. Attaches to the median plane of the calvarium from the frontal crest of frontal bone and crista galli of ethmoid bone anteriorly to the internal occipital protuberance posteriorly.
What is the pia mater?
A very thin, highly vascularized membrane that adheres to the surface of the brain and follows all its contours
directly covers the spinal cord, the roots of the spinal nerves and the spinal blood vessels
What is the subarachnoid space?
Lies between the arachnoid mater and pia mater, it contains cerebrospinal fluid, arteries and veins.
What is the tentorium cerebelli?
Dural reflection which separates the occipital lobes from the cerebellum. It attaches to the clinoid processes of sphenoid bone, petrous temporal bone, internal surface of occipital bone and part of the parietal bone.
What is the the dura mater?
Tough fibrous membrane .
Consists of an outer periosteal layer and an inner meningeal layer.
forms the spinal dural sac
Where does the middle meningeal artery enter the skull?
Enters the middle cranial fossa of the skull via the foramen spinosum
What does the middle meningeal artery bifurcate into?
Frontal and parietal branches
The middle meningeal artery arises in the infratemporal fossa, which vessel does it arise from?
Maxillary artery
Where does the middle meningeal artery lie?
Between meningeal and periosteal dura mater
What is the thinnest part of the skull?
Pterion
What forms the pterion?
Frontal, parietal, sphenoid and temporal bones
The middle meningeal veins accompany the arteries. Where do they drain into?
Pterygoid plexus
What innervates the dura mater?
Branches of the vagus, trigeminal and first three cervical nerves
What causes the sensation of headaches?
Stimulation of the nerves by stretch results in the sensation of headache. Stimulation of nerve endings above the level of the tentorium cerebelli results in headache on the same side of the head. Stimulation of receptors below the tentorium cerebelli leads to pain on the back of the neck and scalp
What is the denticulate ligament?
Fibrous sheet of pia mater which suspends the spinal cord in the dural sac. It extends laterally from the spinal cord and attaches to the inner surface of the dural sac.
What are the dural root sheaths?
Lateral extensions of the spinal dura mater which surround the nerve roots.
What is the lumbar cistern?
An enlargement of the subarachnoid space, caudal to the conus medullaris, extending between L2 to S2 vertebra. It contains CSF and the cauda equina
Where does the spinal cord terminate?
L1
Where does the spinal dura and arachnoid mater terminate?
S2
What plane intersects the spinous process of L4?
Supracristal plane - the highest points of the iliac crest
Describe spina bifida occulta
Failure of vertebral arch fusion alone, a dimple or tuft of hair may overlie the abnormality, clinical abnormalities rare.
Describe Meningomyelocele
Failure of vertebral arch fusion, with herniation of the meninges and elements of the spinal cord. May result in paralysis of the limbs and faecal and urinary incontinence.
Describe Meningocele
Failure of vertebral arch fusion, with herniation of the meninges. May be corrected with surgery with minimal consequences.
What does the ventricular system consist of?
our ventricles (lateral x 2, 3rd and 4th) that are interconnected by channels and are continuous with the central canal of the spinal cord and the subarachnoid space
What are the ventricles lined by?
Ependymal cells
What are the groups of specialised ependymal cells that secrete CSF?
Choroid plexus
What is the route of the CSF?
Lateral ventricles Interventricular foramen Third ventricle Cerebral aqueduct Fourth ventricle Median/ Lateral apertures Subarachnoid space
What returns CSF to the venous system?
Arachnoid villi
What are arachnoid villi?
sections of arachnoid mater which project into the dural venous sinuses
What forms subarachnoid cisterns?
Around the base of the brain, the distance between the arachnoid mater and pia mater is increased in some areas forming subarachnoid cisterns
What do subarachnoid cisterns contain?
Greater amounts of CSF, arachnoid trabeculae and some cranial nerve roots
What is the cerebellomedullary cistern? What is it also known as?
Cisterna Magna
The largest cistern, located between the cerebellum and medulla
receives CSF from the median and lateral apertures
Where is the chiasmatic cistern?
What does it contain?
Lies inferior and anterior to the optic chiasma
Contains the decussation of the optic nerves fibres
Where is the pontocerebellar (pontine) cistern?
Anterior to the pons
Where is the quadrigeminal cistern?
What is it also referred as?
What does it contain?
Cistern of the great vein
Located between posterior part of the corpus callosum and the cerebellum
Contains parts of the great cerebral vein and pineal gland
Where is the interpeduncular (basal) cistern?
Between the cerebral peduncles of the midbrain
Where is the cisterna ambiens?
Lateral aspect of the brain, and is continuous with the quadrigeminal cistern
What are dural venous sinuses?
At the site of attachment of the dural reflections the meningeal and periosteal layers of the dura mater become separated to form epithelial lined spaces
Where do the dural venous sinuses eventually empty?
IJV
Through which foramen does the internal carotid artery enter the skull?
Carotid canal
From which artery does the vertebral artery arise?
Subclavian
What does the internal carotid bifurcate into?
anterior and middle cerebral arteries
What ascends through the foramen transversarum?
Vertebral arteries
The great cerebral vein (of Galen) unites with the inferior sagittal sinus to form which sinus?
Straight sinus
Which sinus does the superior cerebral vein drain into?
Superior sagittal sinus
The inferior and superficial middle cerebral veins drain into which sinuses?
Straight
Transverse
[?]
The superior and inferior cerebellar veins drain into which sinuses?
Transverse
[?]
What makes up the vertebral column?
7 cervical 12 thoracic 5 lumbar 5 sacral 4 coccygeal
Where does the sacrum transfer the body weight to the pelvis?
The sacroiliac joint
What does the lamina connect?
The spinous process and the transverse process
What forms the intervertebral foramen?
the superior notch on The pedicle of one vertebra and the inferior notch on the pedicle of an adjacent vertebra
How is the thoracic section of the vertebral column curved?
Concave anteriorly
What develops first: the lumbar or cervical curvature of the spine?
Cervical
What is a kyphosis?
An exaggerated sagittal curvature in the thoracic region
What is a lordosis?
An exaggerated sagittal curvature in the lumbar region
What might an increased weight of the uterus during pregnancy result in? (regarding spine)
Scoliosis
What movements are possible in the vertebral column?
Flexion, extension, lateral flexion, rotation and circumduction
Which vertebra has triangular vertebral foramen?
Lumbar
Which vertebra has a foramen transversarium on the transverse processes?
Cervical
Which was do the superior articular facets face on cervical vertebra?
Posteriorly and superiorly
Describe the pedicles on lumbar vertebra
Strong
Directed backwards
Which was do the superior articular facets face on thoracic vertebra?
Posteriorly and laterally
Describe the spinous process on cervical vertebra
Small
Bifid
Describe the body on lumbar vertebra
Large
Kidney shaped
Describe the spinous process on thoracic vertebra
Long
Downward pointing
Which was do the superior articular facets face on lumbar vertebra?
Medially
Describe the spinous process on lumbar vertebra
Short
Flat
Quadrangular
Describe the body on thoracic vertebra
Medium sized
Heart shaped
Describe the vertebral foramen on cervical vertebra
Large
Triangular
Where are costal facets present?
Thoracic vertebra
On the body and transverse process