Skull Flashcards
Layers of Scalp (superficial-deep)
Skin Connective tissue - dense Aponeurosis - galea aponeurotica Loose connective tissue Pericranium - periosteum
Galea Aponeurotica
Aponeurosis connecting frontalis and occiptalis muscle
Pericranium
Connective tissue structure sitting right outside skull
2 Clinical Considerations of Scap
Dense connective tissue layer - lots of blood vessels and can’t fall back self, so head wounds are gaping holes with lots of blood
Loose connective tissue layer - “danger area of scalp,” can spread infections across entire scalp area and occasionally into brain
5 Arteries to Scalp (+ source/path)
Occipital - ext. carotid, back of skull
Posterior auricular - ext. carotid, behind ear
Superficial temporal - ext. carotid, in front of ear
Supraorbital - int. carotid, side of nose/eye socket
Supratrochlear - int. carotid, just medial to supraorbital a.
Anastomosis b/w External and Internal Carotid A.s
Supraorbital + supratrochlear (internal carotid) and superficial temporal (ext. carotid)
6 Innervators of Scalp (and source/roots) (post-ant)
Greater occipital n. - cervical n., C2/3 Lesser occipital n. - cervical n., C2/3 Auriculotemporal n. - trigeminal n., V Zygomaticotemporal n. - trigeminal n., V Supraorbital n. - trigeminal, V Supratrochlear n., - trigeminal, V
Fontanels
Soft spots in newborns to allow cranial growth
Flat Bone Structure (3)
Outer table, diploe marrow space, inner table
Skull Bone Structure
22 bones make up skull
Flat bone
Formed by mesenchymal, NOT endochondral bone growth
Foramina
Allow passage of nerves/vessels in and out of skull
3 Depressions in Base of Skull
Anterior, middle, and posterior fossa
Crista galli
Ridge along midline of anterior fossa where dura mater attaches
Cribiform plate of ethmoid bones
Holey region around crista galli in anterior fossa where CN I sends its nerve fibers through
Sella turcica
“Saddle” structure in medial part of middle fossa where pituitary gland sits
Superior orbital fissure
Just anterior/lateral to sella turica, carries nerves and vessels into/out of orbit
Orbital Canal
Space b/w sella turcica and superior orbital fissure that carries optic n. (II) in/out of orbit
3 Foramen of Middle Fossa (anteromedial-posterolateral)
Foramen rotundum, ovale, and spinosum
Carotid canal
Posteromedial to 3 foramen of middle fossa, where internal carotid a. runs
Trigeminal Impression
On lateral wall of sella turcica in middle fossa, site of trigeminal ganglion
Trigeminal Ganglion (3)
Dorsal root ganglion, pseudounipolar sensory cell bodies
Tegmen Tympani
At border of middle/posterior fossa, Sits on top of petros ridge to form roof of tympanic cavity
Foramen magnum
Huge foramen in posterior fossa where spinal cord/vertebral a.s run through
Internal acoustic meatus
Space where CN 7 and 8 run through, kind of on posterior fossa side of tegmen tympani