Session 2 Flashcards

1
Q

What 3 cranial fossa is the cranium split into

A

Anterior - frontal lobe
Middle - temporal lobe
Posterior - cerebellum

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2
Q

What does the frontal bone form

A

The roof of the orbit and the forehead

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3
Q

What bone makes up the edge of the anterior cranial fossa

A

lesser wing of the sphenoid bone

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4
Q

What is the anterior cranial fossa formed by

A
  • The orbital plates of the frontal bone
  • The cribriform plate of the ethmoid bone (crista galli)
  • The lesser wing of sphenoid bone
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5
Q

What is the middle cranial fossa formed by

A
  • The body and greater wing of the sphenoid bone
  • Squamous and petrous parts of the temporal bone
  • part of the parietal bone
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6
Q

Where does the pituitary gland sit

A

In the hypophyseal fossa, the most inferior part of the sella turcica of the sphenoid bone

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7
Q

Which foramina does the middle cranial fossa contain

A
  • superior orbital fissure
  • optic canal
  • foramen rotundum
  • foramen ovale
  • foramen lacerum
  • foramen spinosum
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8
Q

what lies within the posterior cranial fossa

A
  • pons
  • medulla
  • cerebellum
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9
Q

What is Meckel’s cave

A

The area where the three ganglia that make up the trigeminal nerve sit

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10
Q

What is the path of the internal carotid cavity

A

Into the carotid canal, travels in the petrous portion of the temporal bone and passes upwards into the cranium through the foramen lacerum

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11
Q

Which artery exits through the foramen spinosum

A

Middle meningeal artery - supplies the skull and the dura

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12
Q

What attaches to the inferior ridge of the petrous part of the temporal bone

A

tentorium cerebelli

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13
Q

What goes through the foramen magnum

A
  • medulla (to become spinal cord)
  • two vertebral arteries (branches of the subclavian artery)
  • spinal accessory nerve
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14
Q

Which vein passes through the jugular foramina

A

The sigmoid sinus to become the internal jugular vein

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15
Q

Where does the facial nerve exit the skull to supply the muscles of facial expression

A

stilo mastoid foramina

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16
Q

How does the cavernous sinus drain blood out through the jugular foramina

A

Down the inferior petrosal sinus

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17
Q

Which sinus runs along the petrous part of the temporal bone

A

Superior petrosal sinus

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18
Q

What is a diplo vessel in the base of the skull

A

anastemosis between the venous drainage from the internal veins and the veins on the outside of the skull (between internal and external jugular territories)

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19
Q

How does an infection sometimes spread extracranially to intracranially

A

Through the diplo blood vessels

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20
Q

Which artery passes through the:

  • optic canal
  • superior orbital fissure
  • internal acoustic meatus
A
  • opthalmic artery
  • superior opthalmic vein
  • labrynthine artery
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21
Q

What is jugular foramen syndrome

A
  • compression of multiple lower cranial nerves (IX, X, XI)

- causes dysphonia, loss of gag reflex, unilateral wasting of sternocleidomastoid and trapezius muscle

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22
Q

What do diseases within the internal acoustic meatus cause

A

pulsitile tinitus (hear own heart beat, due to pulsating artery pressing against cochlear component of vestibular cochlea nerve)

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23
Q

What is foramen magnum syndrome

A
  • compression of the spinal cord, lower brain stem or cerebellum
  • symptoms: pain in head, neck, limbs trunk made worse by straining, cerebellar symptoms e.g. vertigo
  • signs: decerebrate posture, cardiorespiritory failure, pyramidal signs and death
24
Q

what is arnold- chiari malformation

A
  • Congenital malformation involving displacement of the cerebellar tonsils down through the foramen magnum.
  • Sometimes blocks CSF flow causing hydrocephalus.
  • Symptoms can include headaches, fatigue, muscle weakness in the head and face, difficulty swallowing, dizziness, nausea, impaired coordination.
  • Patients may also develop syringomyelia (cyst in the spinal cord).
25
What is the spinal column made of
- 7 cervicle vertebrae - 12 thoracic - 5 lumbar
26
What is the sacram
The five lower fused vertebra which have become fused to form a single bone attaches to the pelvis to allow transmission of weight to the lower limb and locomotor forces of the lower limb up into the spinal column
27
What is the coccyx formed by
the fusion of 4 or more rudimentary vertebrae
28
How does the vertebral column transmit the body weight on to the lower limbs
Through the sacroilliac joints
29
What is contained within the vertebral canal
The spinal cord, it's coverings and the spinal nerves
30
Which part of the vertebrae can you feel when you palpate down the midline of the back
The spinous process
31
What is a distinction of the thoracic vertebrae
- The articulation of the ribs - articular processes (rib facets) (The ribs articulate at the vertebral body and the anterior aspect of the transverse process) - Spinous process points downwards
32
How can you tell if it is a cervical vertebrae
- Much smaller - Smaller transverse process - Extra piece of bone called the transverse foramina (where the vertebral artery passes through to supply the posterior circulation of the brain) - bifid spinous process from C1-C6
33
How can you distinguish the second cervical vertebrae
- projection superiorly to provide an axis for the neck to rotate - at the posterior aspect of the body there is a peg-like structure (adontoid peg) - represents the vertebral body of the first cervical vertebrae which is fused with the body of the second - commonly called the axis
34
How can you distinguish the first cervical vertebrae
- commonly called the atlas | - space where the vertebral body would lie
35
What are the vertebral bodies connected by
Intervertebral discs
36
Where is rotation: - maximum - limited
- At the thoracic region | - At the lumbar spine
37
Where is flexion and extension limited
At the thoracic region due to the presence of the rib cage
38
What lies between the articular processes
Synovial joints
39
What is the intervertebral disc formed from
Two types of cartilage - hyaline cartilage - fibrocartilage
40
What is the fibrocartilage formed by
- Nucleus pulposus | - Annulus fibrosus
41
What is the vertebrae prominent
- The 7th cervical vertebrae - The upper most spinous process that is palpable - Has a long and non bifid spine
42
What is the highest point of the iliac crest
In line with the vertebral between L3-L4 spines
43
What is the nucleus pulposus
A well hydrated cel with proteoglycan, collagen and cartilage cells
44
What is the annulus fibrosis
10-12 concentric layers of collagen whose oblique arrangement alters in successive layers
45
What is the ligament that runs down the front of the vertebral bodies
anterior spinal ligament
46
What is the ligament that runs down the back of the vertebral bodies
Posterior spinal ligament
47
What attaches the lamina
ligamentum flavum
48
What connects the spinous processes
Interspinous ligament
49
What connects the tip of the spinous processes
Supraspinous ligament
50
What is meant by a slipped disc
- Compression force through the front of the vertebral bodies - tension force in the annulus fibrosis of the posterior vertebral body - posterior aspect may tear and the liquid centre will bulge posteriorly through the annulus fibrosis - compresses the spinal nerve which exits through the intervertebral foramina - if a more central part of the NF ruptures, central disc prolapse, nerve root of the next segment down becomes compressed (exiting and traversing roots)
51
What is the conus medullaris
- The end of the spinal cord | - Finishes in a tube of pia mater
52
Filum terminalis
- Tube of pia mater that comes from the end of the spinal cord to the coccyx
53
What lies between the vertebrae and the dura mater of the spinal cord
the epidural space
54
Cauda equina
Collection of sensory and motor neurons entering and exiting the spinal cord that forma horse-tail like structure
55
How many pairs of spinal nerves (and segments) does the spinal cord have
31 pairs - 8 cervical - 12 thoracic - 5 lumbar - 5 sacral - 1 coccygeal
56
Where do the spinal nerves leave the vertebral canal
Through the intervertebral foramen