Spinal cord Flashcards
cervical enlargements
C4-T1
sacramental enlargements
L1-S3
3 layers of meninges
- Dura
- Arachnoid
- Pia
sub arachnid space is between what
arachnoid matter and pia matter
sub arachnoid matter is filled with what
CSF
enlarged subarachnoid space, ends at S2 vertebral level
Lumbar Cistern
Deep to vertebral canal but superficial to dura mater
Epidural space
Dura mater ends at what level
S2
• Lateral extensions of pia mater that pass through the arachnoid layer and attach to the internal surface of the dura mater
Function to anchor the spinal cord
Denticulate ligaments
spinal cord ends at what level
L2
• Needle is inserted into (what) interlaminar space to avoid the conus medullaris.
L3-L4 or L4-L5
what landmark is L4
Iliac crest
o Consists of pia mater and remnants of the caudal spinal cord
♣ Filum terminale
o Passes through the sacral hiatus to attach to the coccyx (serves to anchor the spinal cord inferiorly)
Filum terminale
4 lobes of the brain
- Frontal lobe
- Parietal lobe
- Occipital lobe
- Temporal lobe
3 sections to the brainstem
midbrain
pons,
medulla oblongata
Calvaria is what part of the skull
Roof
Basicranium
is what part of the skull
Floor
Viscerocranium is what part of the skull
facial skeleton
sutures between between the two parietal bones
Sagittal suture
sutures between between the frontal and parietal bones
Coronal suture
At birth, the sutures are not fused and the bones of the neurocranium are separate by membranous areas called
fontanelles
♣ Pterion
Junction of frontal, parietal, sphenoid, and temporal bones
Fractures at pterion can rupture the anterior branch of the
middle meningeal artery can cause an epidural hematoma
Anterior cranial fossa 3 bones
- Frontal,
- sphenoid
- ethmoid bones
Middle cranial fossa 2 bones
Temporal and sphenoid bones
what goes through Optic canal
- optic nerve (CN II)
2. ophthalmic artery
what goes through Superior orbital fissure
- oculomotor nerve (CN III),
- trochlear nerve (CN IV),
- ophthalmic nerve (CN V1),
- abducent nerve (CN VI),
- ophthalmic veins
what goes through Foramen rotundum
maxillary nerve (CN V2)
what goes through Foramen ovale
mandibular nerve (CN V3)
what goes through Foramen spinosum
middle meningeal nerve, artery and vein
what goes through Foramen lacerum (closed in life by cartilage)
Internal carotid artery passes horizontally across this region after passing through the carotid canal in the temporal bone
what goes through Internal acoustic meatus
- facial nerve (CN VII)
2. vestibulocochlear nerve (CN VIII)
what goes through Jugular foramen
- glossopharyngeal nerve (CN IX),
- vagus nerve (CN X),
- spinal accessory nerve (CN XI),
- internal jugular vein
what goes though Hypoglossal canal
- hypoglossal nerve (CN XII)
what goes though Foramen magnum
medulla and meninges,
spinal root of CN XI,
vertebral arteries
provides blood supply to the dura mater
Middle meningeal artery
In contrast to the spinal dura mater, the cranial dura mater is composed of (how many layers)
Two
In contrast to the spinal dura mater, the cranial dura mater is composed of what two layers
- External periosteal layer (lines internal surface of neurocranium)
- Internal meningeal layer
Cranial dura mater
Innervated primarily by branches of
- Trigeminal (CN V)
2. Vagus (CN X)
Dura-Arachnoid Junction
is the location of what condition
Subdural Hematoma
• Extensions of the arachnoid mater, called (what), are involved in the transfer of CSF to the venous system
arachnoid granulations
o Formed by the fusion of adjacent layers of meningeal dura
o Dive between parts of the brain
Between the cerebral hemispheres in sagittal plane • Anterior attachments: frontal crest and crista galli • Posterior attachment: occipital bone
o Falx cerebri
• Between occipital lobes of the cerebrum and the cerebellum in the transverse plane
o Tentorium cerebelli
• Between cerebellar hemispheres in sagittal plane
• Falx cerebelli
- Attached to the clinoid processes
* Forms roof over pituitary gland, but allows passage of infundibulum (pituitary stalk) and veins
• Diaphragm sellae
Between periosteal and meningeal layers of dura
Dural venous sinuses
Dural venous sinuses drains into what veins
internal jugular veins
Within superior border of falx cerebri
Superior sagittal sinus
what goes though cavernous sinus
o Internal carotid artery
o Abducent nerve (CN VI)
Only structure in body where an artery passes through a vein
cavernous sinus
Within lateral walls of sinus (4)
Oculomotor nerve (CN III) Trochlear nerve (CN IV) Ophthalmic nerve (CN V1) Maxillary nerve (CN V2)
Vertebral arteries come off what artery
subclavian arteries
Vertebral arteries Enter the cranium via the
foramen magnum
Vertebral arteries form the
basilar
Basilar artery gives off what two arteries
- Posterior Communicating
Arteries - Posterior Cerebral
Arteries
Internal carotid arteries Give rise (3)
- ophthalmic artery,
- anterior cerebral artery (with anterior communicating artery)
- middle cerebral artery
Internal Carotid Artery enters the skull how
Enters: carotid canal
Ophthalmic artery
is a branch of what artery
ICA
The vertebral arteries enter though what space
foramen magnum
Internal Jugualr vein enters though what space
Jugualr foramen
Cranial Dura Mater Innervated by what two nerves
- Trigeninal
2. vagus
o When performing a subarachnoid block, the anesthetic agent is injected into the (X) , and affects the dorsal and ventral roots of the cauda equina
Lumbar cistern