Unit 3 Flashcards
bones of the cranial cavity
frontal parietal (2) temporal (2) occipital sphenoid ethmoid
what is a cranial suture?
fibrous immovable joints between cranial bones
sagittal suture
connects the two parietal bones
coronal suture
connects the frontal bone to the two parietal bones
lambdoid suture
connects the occipital bone to the two parietal bones
squamous suture
connects the temporal bone and parietal bone
what is a fontanelle?
soft cartilaginous gaps between the incompletely formed cranial bones of the fetus and infant. (soft spot)
what are the fontanelles?
anterior
posterior
mastoid (2)
sphenoid (2)
bones of the face
nasal (2) lacrimal (2) maxilla (2) palatine (2) zygomatic (2) inferior nasal concha (2) mandible vomer
what are the boundaries of the orbit?
frontal bone (roof) maxillary bone (floor and part of medial wall) zygomatic bone (lateral wall) lacrimal & ethmoid bones (medial wall) sphenoid bone (posterior wall)
what are the features of the orbit?
superior orbital fissure optic foramen supraorbital notch (foramen) inferior orbital fissure nasolacrimal canal
what structures pass through the superior orbital fissure?
CN III, IV, V1, VI and opthalmic a.
what structure pass through the optic foramen?
CN II
what are the features of the nasal cavity?
nasal septum
inferior nasal concha
middle nasal concha
superior nasal concha
what forms the nasal septum?
vomer bone and the perpendicular plate of the ethmoid bone
which two nasal concha are apart of the ethmoid bone?
superior and middle
what are the features of the mandible and maxilla?
alveolar processes
mandible
maxilla
frontal bone
what are the features of the mandible?
condyloid process coronoid process ramus, body, and angle genoid tubercle mandibular fossa
the condyloid process articulates with what? forming what?
temporal bone, forming temporomandibular joint (TMJ)
what makes up the anterior cranial fossa?
frontal, sphenoid, and ethmoid bones
what sits in the anterior cranial fossa?
frontal lobes
what makes up the middle cranial fossa?
sphenoid and temporal bones
what sits in the middle cranial fossa?
temporal lobes
what makes up the posterior cranial fossa?
temporal and occipital bones
what sits in the posterior cranial fossa?
cerebellum and brainstem
what is a paranasal sinus?
spaces within the bones of the skull
what are the 4 paranasal sinuses?
frontal
sphenoid
maxillary
ethmoid air cells
CN I
olfactory n.
CN II
optic n.
CN III
occulomotor n.
CN IV
trochlear n.
CN V
trigeminal n.
CN V1
opthalmic n.
CN V2
maxillary n.
CN V3
mandibular n.
CN VI
abducens n.
CN VII
facial n.
CN VIII
vestibulocochlear n.
CN IX
glossopharyngeal n.
CN X
vagus n.
CN XI
accessory n.
CN XII
hypoglossal n.
what passes through the cribiform plate?
CN I
what passes through the optic foramen?
CN II and ophthalmic a.
what passes through the superior orbital fissure?
CN III, IV, VI, and V1
what passes through the foramen rotundum?
CN V2
what passes through the foramen ovale?
CN V3
what passes through the foramen spinosum?
middle meningeal a.
what passes through the foramen lacerum?
nothing actually goes through!
internal carotid a. enters the cranial valut here
what passes through the jugular foramen?
interjuglar v, CN IX, X, and XI
what passes through the internal acoustic meatus?
CN VII and VIII
what passes through the stylomastoid foramen?
CN VII
what passes through the hypoglossal canal?
CN XII
what passes through the foramen magnum?
vertebral arteries and spinal cord
what passes through the carotid canal?
internal carotid a.
what bone is cribiform plate a part of?
ethmoid bone
what bone is the optic foramen a part of?
sphenoid bone
what bone is the superior orbital fissure a part of?
between the greater and lesser wings of the sphenoid bone
what bone is the foramen rotundum a part of?
maxillary bone
what bone is the foramen ovale a part of?
sphenoid bone
what bone is the foramen spinosum a part of?
sphenoid bone
what bone is the foramen lacerum a part of?
greater wing of the sphenoid bone
what bone is the jugular foramen a part of?
occipital bone
what bone is the internal acoustic meatus a part of?
temporal bone
what bone is the stylomastoid foramen a part of?
temporal bone
what bone is the hypoglossal canal a part of?
occipital bone
what bone is the foramen magnum a part of?
occipital bone
what bone is the carotid canal a part of?
sphenoid bone
what are the functions of the brain?
stimulates movement
maintains homeostasis
origin of conceptual thoughts
what end of the neural tube forms the brain?
cranial (head)
what end of the neural tube forms the spinal cord?
caudal (tail)
what does the forebrain develop into?
cerebral hemispheres
thalamus
hypothalmus
what are the openings of the forebrain?
lateral ventricles
3rd ventricles
what does the midbrain develop into?
midbrain
what is the opening of the midbrain?
cerebral aquaduct
what does the hindbrain develop into?
cerebellum
pons
medulla oblongata
what is the opening of the hindbrain?
4th ventricle
what forms the “brainstem”?
midbrain and hindbrain
what does the spinal cord develop into?
spinal cord
what is the opening of the spinal cord?
central canal
gyrus
elevated folds of the brain (hills)
sulcus
a shallow groove between folds (valleys)
fissure
a deep groove between folds
what are the 4 lobes of the brain?
frontal
parietal
temporal
occipital
what does the central sulcus separate?
frontal and parietal lobes
precentral gyrus
part of the frontal lobe
main function=fine motor control
postcentral gyrus
part of the parietal lobe
main function=primary sensory reception area
what does the lateral fissure separate?
temporal and frontal lobes
what does the parito-occipital sulcus separate?
parietal and occipital lobes
corps callosum
contains commissural fibers
connects the two hemispheres of the brain
septum pellucidum
thin tissue separating the two lateral ventricles
function of the thalamus
major relay center for all sensation EXCEPT olfaction
function of the hypothalamus
major regulator of the body’s internal environment (homeostasis) through the autonomic, limbic, and endocrine systems
optic chiasma
contains crossing fibers from each eye
pituitary glad
closely interconnected with the hypothalamus
secretes hormones to maintain homeostasis
mammillary bodies
nucleus, important in memory formation and emotion
cerebral peduncle
collection of descending motor processes from cerebrum
located in the midbrain
pons
mainly consists of sensory and motor processes
medulla oblongata
autonomic reflex center
regulates heart rate and respiration rates
arbor vitae
“tree like” appearance of white matter within the cerebellum
(seen medially)
superior colliculus
midbrain collection of nuclei associated with VISUAL reflexes
inferior colliculus
midbrain collection of nuclei associated with AUDITORY reflexes
pineal gland
larger producer of melatonin
involved in the sleep/wake cycle
paracentral lobule
U-shaped continuation where pre and postcentral gyro meet
infundibulum
stalk left from the pituitary gland
olive
collection of nuclei that communicate with the cerebellum
pyramids of the medulla
large bundles of descending motor fibers
what does the longitudinal fissure separate?
cerebral hemispheres
what does the transverse fissure separate?
cerebrum from the cerebellum
gracilis tubercle
nuclei important in the relay sensory information from the lower body
cuneate tubercle
nuclei important in the relay sensory information from the upper body
what is the choroid plexus?
a structure that continually produces cerebrospinal fluid (CSF). this is a specialized fluid from filtered blood, found in ALL ventricles
functions of the CSF
serves as a shock absorber
helps in the transport nutrients and removal of waste
helps maintain the proper ion balance in neural tissue
what are the ventricles of the brain?
lateral (2)
third
fourth
central canal
what connects the lateral ventricles to the third ventricle?
interventricular foramen
what connects the third and fourth ventricles?
cererbral aquaduct
what are the meninges?
three layers of membranes (tissue) covering the brain and spinal cord
- pia mater
- arachnoid mater
- dura mater
pia mater
innermost layer (deepest) dips into EACH sulcus and fissure cannot be distinguished grossly
arachnoid mater
middle layer
only dips into the transverse and longitudinal fissures
dura mater
outer layer single layer around spinal cord double layer around the brain - periosteal (superifical) - meningeal (deep)
periosteal layer of the dura mater adheres to..
the skull
meningeal layer of dura mater adheres to..
the arachnoid mater
subarachnoid space
space between the arachnoid and pia mater
location of: CSF and blood vessels of the brain
subdural space
space between the dura and arachnoid mater
POTENTIAL SPACE ONLY!!
extradural space
space between skull and dura mater
POTENTIAL SPACE ONLY!!
what is a dural venous sinus?
areas where the two layers of the dura mater separate creating a space (sinus) in between
contain venous blood and CSF
falx cerebri
separates the left and right cerebral hemispheres
attaches to the crista galli anteriorly and runs through the longitudinal fissure
tentorium cerebelli
separates the cerebrum and cerebellum
attaches to the petrous ridge of the temporal bone
arachnoid granulations
extensions of the arachnoid membrane that pierce through the dura to open into major dural venous sinuses
returns “used” CSF from the subarachnoid space back into circulation
internal carotid aa.
- branch off the common carotid a.
- enters the skull through the carotid canal and “bounces off” foramen lacerum
- supplies a majority of the cerebrum
vertebral aa.
- branch off the subclavian a.
- travels through the transverse foramina in the cervical vertebrae and enters the skull through the foramen magnum
- supplies posterior cerebrum, brainstem, and cerebellum
major branches of the internal carotid aa.
anterior cerebral aa.
anterior communicating a.
middle cerebral a.
posterior communicating aa.
major branches of the vertebral aa.
posterior cerebral aa. superior cerebral aa. basilar aa. labyrinthine aa. anterior inferior cerebellar aa. posterior inferior cerebellar aa. anterior spinal a.
circle of willis
anastomosis that is very important in order to supply collateral circulation to the brain
blood vessels of the circle of willis
anterior cerebral aa. anterior communicating a. internal carotid a. posterior communicating aa. posterior cerebral a.
anterior cerebral a.
- found within the longitudinal fissure
- supplies most of the medial aspect of the brain
middle cerebral a.
- found emerging through the lateral fissure
- supplies most of the lateral aspects of the brain
posterior cerebral a.
supplies the medial and lateral aspects of the OCCIPITAL LOBE
contralateral
opposite side
ipsilateral
same side
what does the left side of the brain control?
most of the motor function of the RIGHT side and receives sensory info from the RIGHT side of the body
what does the right side of the brain control?
most of the motor function of the LEFT side and receives sensory info from the LEFT side of the body
commissural fibers
fibers allowing commutation between the two hemispheres
ex: corpus callosum
association fibers
fibers allowing communication within a hemisphere
ex: general cerebral white matter
projection fibers
fibers allowing communication from the cerebral cortex to the other parts of the CNS
ex: spinal tracts
what are brodmann numbers?
developed by german anatomist KORBINIAN BRODMANN as a way to organize the brain into functional areas based on the cytoarchitecture (structure and organization) of the neurons
location and function of brodmann’s 3,1,2?
location: postcentral gyrus, posterior paracentral lobule
function: primary general sensory area
location and function of brodmann’s 4?
location: precentral gyrus, anterior paracentral lobule
function: promary motor area “fine motor control”
location and function of brodmann’s 17,18?
location: occipital lobe surrounding calcarine fissure
function: primary and secondary visual reception area
location and function of brodmann’s 41,42?
location: temporal lobes
function: primary and secondary auditory reception areas
location and function of brodmann’s 44,45?
location: frontal lobe, dominant hemisphere ONLY!
function: motor speech area “broca’s area”
location and function of brodmann’s 9,10,11?
location: frontal lobe, prefrontal cortex
function: personality and character traits
basal nuclei
collection of nerve cell bodies deep in cerebrum that inhibit muscle contraction and help maintain motor control.
*damage can lead to muscles rigidity and/or resting tremors (ex: Parkinson’s Disease)
what is the purpose of the spinal cord?
communication between the brain and the peripheral nervous system
fascicule or tract
white matter organized into bundles of nerve cell processes
spinal cord in utero
same length as the vertebral column
spinal cord at birth
extends to the L3 vertebrae level
spinal cord as an adult
stops growing but the vertebral column continues to grow; so the spinal cord extends to the L1-L2 region
where do the meningeal layers of the spinal cord terminate?
inferiorly at S2 vertebra
laterally just distal to the roots (before spinal n.)
what meningeal layer continues from the skull to surround the cord?
meningeal layer of dura mater
the spinal cord terminates at L1-L2 as the…
conus medullaris
the pia mater extends from L2-S2 as the…
filum terminale
what surround the film terminale?
dura mater and arachnoid
connective tissue continues from S2-coccyx as the…
coccygeal ligament
what is the caudal equina?
a bundle of nerve roots that extend through the subarachnoid space and approach their corresponding intervertebral foramen
conus medullaris
end of the spinal cord
what is a spinal cord tract?
the white matter of the spinal cord consisting of largely organized tracts
what are sensory tracts referred to?
afferent OR ascending
what do sensory tracts do?
bring sensory info from the periphery to the brain or brainstem
how many neurons are in the sensory paths?
3
primary neuron of the sensory tracts
cell body is ALWAYS in the dorsal root ganglia
secondary neuron of the sensory tracts
axon of from this neuron ALWAYS cross over to the contralateral side
location varies in the systems
tertiary neuron of the sensory tract
ALWAYS in the thalamus
dorsal column tract
- named bc the axons supply the dorsal portion of the spinal cord
- crosses over at the contralateral side of the medulla oblongata
- carries GENERAL SENSORY info to the brain
- touch, vibration, pressure, weight, two point discrimination
neurons of the dorsal column tract
1° - neuron in the dorsal root ganglion
*synapses in the medulla oblongata at the gracile OR cuneate tubercle
2° - neuron in the gracile OR cuneate tubercle
*axons from these neurons cross over at the CONTRALATERAL side of the medulla oblongata
*synapses with the nuclei in the thalamus
3° - neuron in the thalamus
*axons carries info to the postcentral gyrus (brodmann’s 3,1,2) on the IPSILATERAL side
fasciculus gracilis
medial section of the dorsal spinal cord where axons from the LL and lower truck reside
fasciculus cuneatus
lateral section of the dorsal spinal cord where axons from the UL and upper trunk reside
lateral spinothalamic tract
- located in the lateral portion of the spinal cord white matter
- crosses over within 1-2 spinal segments to the CONTRALATERAL side of the spinal cord
- carries pain and temperature ONLY from the body to the postcentral gyrus
neurons of the lateral spinothalamic tract
1° - neuron in the dorsal root ganglion
*synapses in the dorsal horn of the spinal cord IMMEDIATELY upon entering the cord
2° - neuron in the dorsal horn of the gray matter adjacent to the corresponding dorsal root ganglion
*axons cross over within 1-2 spinal segments to the CONTRALATERAL side of the spinal cord
3° - neuron in the thalamus
*axons carry info to the postcentral gyrus (brodmann’s 3,1,2) on the IPSILATERAL side
what are the motor tracts referred to?
efferent OR descending
what do the motor tracts do?
take motor info from the brain to the periphery
how many neurons are in the motor path?
2
primary neuron of the motor tract
cell body is ALWAYS in the cortex or a nucleus in the brain or brainstem
secondary neuron of the motor tract
cell body is ALWAYS in the spinal cord gray matter
lateral corticospinal tract
- originates at the precentral gyrus (brodmann’s 4)
- crosses over at the CONTRALATERAL side of the pyramids of the medulla (between the brain stem and spinal cord)
- carries motor function to muscles
1° neuron in the precentral gyrus
- referred to as upper motor neuron (UMN)
- axons travel within the pyramids of the medulla on the IPSILATERAL side then cross over to the CONTRALATERAL side just superior to the beginning of the spinal cord (pyramidal decussation)
2° neuron in the ventral horn of gray matter
- referred to as lower motor neuron (LMN)
- axons from this neuron run through the ventral roots, spinal nerves, and dorsal & ventral rami to the peripheral muscles
damage effecting UMN
damage to the cerebral cortex, brain stem, or the lateral spinal cord leading to spastic paralysis; in which the spinal reflexes are still intact but conscious control is lost
damage effecting LMN
damage to the ventral horn or the peripheral nerve leading to flaccid paralysis; in which all function is lost and muscular atrophy can occur
outer layer of the eye
5/6 consists of white sclera - this where muscles attach
1/6 consists of the transparent cornea
middle layer of the eye
choroid, the vascular layer, continues with the ciliary body and iris anteriorly
inner layer of the eye
retina or neural layer
aqueous humor
water filled space anterior to the lens
vitreous body
gelatinous filling maintaining the round shape , posterior to the lens
cornea
- clear continuation of the sclera anteriorly
- refracts incoming light
pupil
- opening in the middle of the iris which light enters the eye
- changes in size allows more or less light to enter
iris
pigmented smooth muscle that controls the size of the pupil
lens
- light that enters the eye through cornea and pupil then passes through the lens
- focuses the light rays to hit the retina
ciliary body
attaches to the lens and changes shape of the lens in order to focus the light rays accurately on the retina
accommodation
the process of changing the shape of the lens in order to focus on near objects
lacrimal gland
- located in the superior lateral aspect of the orbit
- produces tears, blinking helps move the fluid medially
nasolacrimal duct
- travels from the orbit to the nasal cavity
- drains tears into the nasal cavity causing a stuffy nose when overflowing
muscles of the eye
levator palpebra superioris superior rectus superior oblique lateral rectus medial rectus inferior rectus inferior oblique
superior oblique inn.
CN IV
lateral rectus inn.
CN VI
remaining muscles of the eye inn.
CN III
taste sensory inn. for anterior 2/3 of tongue
CN VII
general sensory inn. for anterior 2/3 of tongue
CN V3
general and taste sensory for posterior 1/3 of tongue
CN IX
styloglossus m.
- comes from the styloid process
- pulls tongue posteriorly
hypoglossus m.
- comes from the hyoid bone
- pulls tongue down and posterior
genioglossus m.
- comes from the glenoid tubercle
- pulls tongue out of the mouth
intrinsic mm.
make up the body of the tongue
all tongue muscles are inn. by?
CN XII
auricle
funnel shaped aspect of the ear, helps direct sound waves into the auditory canal
external acoustic meatus (auditory canal)
passage from the auricle to the tympanic membrane
tympanic membrane
“ear drum” membrane separating the external and middle ear
bony ossicles
transmit the sound waves from the external ear to the inner ear
- malleus (hammer)
- incus (anvil)
- stapes (stirrup)
pharyngotympanic (auditory) tube
- connects the middle ear to the pharynx
- helps in equalizing pressure across the tympanic membrane
inner ear is a…
fluid-filled chamber for equilibrium and hearing
semicircular canals
controls equilibrium
cochlea
controls hearing
oval window
- in contact with the stapes
- stapes transmits sounds waves into the cochlea through this membrane
round window
end of the cochlea, allows for excess pressure
what type of nerve is olfactory n. (CN I)?
SENSORY ONLY for sense of smell
what type of nerve is optic n. (CN II)?
SENSORY ONLY for sense of vision
damage to the optic n. leads to…
TOTAL blindness in the ipsilateral eye
damage to the optic chiasma will lead to…
“tunnel vision” - loss of the temporal visual fields in BOTH eyes
damage to the optic tract, thalamus, optic radiations, OR brodmann’s 17/18 will lead to…
loss of the contralateral field of vision from both eyes
ex: damage to left optic tract leads to no vision in the left nasal and right temporal visual fields for the left and right eye respectively
what type of nerve is oculomotor n. (CN III)?
MOTOR ONLY for all extra ocular muscles except superior oblique and lateral rectus mm.
what type of nerve is trochelar n. (CN VI)?
MOTOR ONLY for the superior oblique m.
what type of nerve is trigeminal n. (CN V)?
mixed n. as a whole
ophthalmic n. (CN V1)
- enters through the superior orbital fissure
- SENSORY to the upper face and eye region
maxillary n. (CN V2)
- enters through foramen rotundum
- SENSORY to the face around the nose and all upper teeth
mandibular n. (CN V3)
- transmitted through foramen oval
- MOTOR to muscles of mastication and SENSORY to the lower face, tongue, and all lower teeth
what type of nerve is abducent n. (CN VI)?
MOTOR ONLY to the lateral rectus m.
what type of nerve is facial n. (CN VII)?
mixed
- SENSORY to the anterior 2/3 of the tongue for the special sense, taste
- MOTOR to muscles of facial expression
what type of nerve is vestibulocochlear n. (CN VIII)?
SENSORY ONLY for the special senses of hearing (cochlea) and equilibrium (semicircular canals)
what type of nerve is glossopharyngeal n. (CN IX)?
mixed
- SENSORY to the posterior 1/3 of the tongue for both general and taste, also to the pharynx
- MOTOR to one muscle in the pharynx
what type of nerve is vagus n. (CN X)?
mixed
- SENSORY & MOTOR to the viscera of the neck, thorax, and abdomen
what type of nerve accessory n. (CN XI)?
MOTOR ONLY to trapezius m. and sternocleidomastoid m.
what type of nerve hypoglossal n. (CN XII)?
MOTOR ONLY to motor muscles of the tongue
muscles of facial expression
- occipitalis
- frontalis
- platysma
- orbicularis oculi
- orbicularis oris
- buccinator
all of the muscles of facial expression are inn. by?
CN VII (facial n.)
muscles of mastication
- masseter
- temporalis
- medial pterygoid
- lateral pterygoid
all of the muscles of mastication are in inn. by?
CN V3 ( mandibular n.)
action of orbicularis oculi
closes the eye
action of orbicularis oris
puckers the lips
action of buccinator
pushes cheeks against teeth and helps keep food between teeth
origin of masseter
zygomatic arch
insertion of masseter
angle of the mandible, lateral side
action of masseter
closes mandible
origin of temporalis
temporal fossa
action of temporalis
closes and retracts mandible
insertion of temporalis
coronoid process
origin of medial pterygoid
medial side of the lateral pterygoid plate
insertion of medial pterygoid
angle of the mandible, medial side
action of medial pterygoid
closes mandible
origin of lateral pterygoid plate
lateral side of lateral pterygoid plate
insertion of lateral pterygoid
condylar process of the mandible
action of lateral pterygoid
OPENS mandible
origin of sternocleidomastoid
sternum and clavicle
insertion of sternocleidomastoid
mastoid process
action of sternocleidomastoid
turns head to the opposite side
inn. of trapezius and sternocleidomastoid
CN XI (accessory n.)
suprahyoid muscles
- mylohyoid
- anterior and posterior bellies of the DIGASTRIC m.
- stylohyoid
- geniohyoid
action of the suprahyoid muscles
elevate the hyoid bone
infrahyoid muscles
- sternohyoid
- omohyoid
- sternothyroid
- thyrohyoid
action of the infrahyoid muscles
depress the hyoid bone
inn. of hyoid muscles
mix of: CNV, VII, XII, and ventral rami C1-3
where does the internal carotid a. supply?
anterior, medial, and lateral brain
where does the external carotid a. supply?
external head and neck
where does the vertebral a. supply?
posterior cerebrum, branstem, and cerebellum
carotid body
chemoreceptor measuring the concentration of oxygen in the blood
carotid sinus
baroreceptor measuring blood pressure
external jugular v.
formed by a combination of the veins of the external face, head, and neck.
- located superficially to the sternocleidomastoid
internal jugular v.
returns venous blood from inside the skull
- located deep to sternocleidomastoid
vagus n. is located between what vessels?
common carotid a. and internal jugular v.
boundary of the carotid triangle
lateral - sternocleidomastoid
content of the carotid triangle
lateral - internal jugular v.
middle - vagus n.
medial - common carotid
cleft palate
- results when the two maxillary bones do not fuse together properly
- usually occurs between 10-12th weeks of embryological development
cataracts
lens becomes “cloudy” causing light to scatter around the retina
- leading cause of blindness
glaucoma
an ocular disorder caused by increased intraocular pressure, usually due to the inability of aqueous humor drainage
cerebrovascular accidents (CVA)
AKA strokes
- caused by an interruption of blood flow to the brain; usually due to clot or injured artery
anterior cerebral artery supplies and corresponds to?
supplies: MEDIAL aspect of the cerebrum; paracentral lobule
corresponds to: brodmann’s 4 and 3,1,2 ; also 9,10,11
stroke to the anterior cerebral a. will produce deficit to? resulting in?
lower limb on the CONTRALATERAL side of the body, resulting in lack of conscious motor control and loss of sensory function
middle cerebral a. supplies and corresponds to?
supplies: LATERAL aspect of the cerebrum; precentral and postcentral gyri
corresponds to: brodmann’s 4 and 3,1,2 ; also 9,10,11 and 44,45 and 41,42
stroke to the middle cerebral a. will produce deficit to? resulting in?
upper limb and head/neck of the CONTRALATERAL side, resulting in lack of conscious motor control, and loss of sensory function. could also affect speech, hearing, and personality
posterior cerebral a. supplies and corresponds to?
supplies: POSTERIOR aspect; occipital lobe
corresponds to: brodmann’s 17,18
stroke to the posterior cerebral a. will produce deficit to? resulting in?
same visual deficits as damage to the optic tracts, optic radiations, and thalamus - so damage to the CONTRALATERAL field of vision in each eye
subarachnoid space
- between arachnoid and pia mater
- location of the CSF and flood vessels around the brain
subdural space
- between dura and arachnoid mater
- potential space only
extradural space
- between skull and dura mater
- potential space only
middle meningeal a.
- branch of?
- enters skull where?
- lies between?
- supplies?
- maxillary a.
- foramen spinosum
- skull and dura mater
- dura mater
what is an extradural hematoma?
rupture of the middle meningeal a. leads to accumulation of blood in the extradural space
what is a subdural hematoma?
rupture of the cerebral veins leading to accumulation in the subdural space
what is a subarachnoid hematoma?
rupture of the cerebral vessels leading to accumulation in the subarachnoid space
hydrocephalus
condition where CSF builds up in the ventricles due to blockage in the outflow from ventricles to subarachnoid space. can lead to damage unless shunt is used to drain excess fluid
what is a spinal tap?
CSF withdrawn from the subarachnoid space and examined for bacteria and viruses
- needle is inserted between L3-4 levels to avoid spinal cord damage
spastic paralysis
spinal reflexes arc is still intact which maintains tonus of muscle but conscious control is lost
damage to what causes spastic paralysis?
cerebral cortex, brain stem, or the lateral spinal cord that would effect the UMN
flaccid paralysis
no nerve impulse reaches the muscles, leading to atrophy. no spinal reflex or conscious control
damage to what causes flaccid paralysis?
ventral horn, or peripheral n. that would effect the LMN
RIGHT spinal cord damage at L2 - patient would present with?
- loss of general sensory to the IPSOLATERAL side of the lower limb
- loss of pain and temperature to the CONTRALATERAL side of the lower limb
- spastic paralysis on the IPSOLATERAL side of the lower limb
LEFT spinal cord damage at C5 - patient would present with?
- loss of general sensory to the IPSOLATERAL side of upper and lower limbs
- loss of pain and temperature to the CONTRALATERAL side of upper and lower limbs
- spastic paralysis on the IPSOLATERAL side of the upper and lower limbs
RIGHT side of the medulla oblongata damage - patient would present with?
- loss of general sensory on the CONTRALATERAL side of the body below medulla
- loss of pain and temperature on the CONTRALATERAL side of the body below medulla
- spastic paralysis of the CONTRALATERAL side of the body below medulla
what cranial nerves have parasympathetic fibers that supply head and neck only?
CN III, VII, IX
what cranial nerve has parasympathetic fibers that supply only the thorax?
CN X