Unit 6: External Brain Flashcards
How are the bones of the skull formed and joined?
Formed by intramembranous ossification
Joined by sutures (a fibrous joint)
What is the cranium?
The superior aspect of the skull.
Protects the meninges, brain and cerebral vasculature
Split into the cranial roof and the cranial base
What makes up the cranial roof?
The frontal, occipital and two parietal bones.
Also known as the valvarium
What is the cranial base?
The frontal, sphenoid, ethmoid, occpital, parietal and temporal bones.
Articulate with C1, facial bones and mandible.
What are of the skull is particularly dangerous for cranial fractures?
The pterion
A H-shaped junction between the temporal, parietal, frontal and sphenoid bones.
Overlies the middle meningeal aretery, a fracture could damage the artery causing an axtradural haematoma
What is the facial skeleton?
12 bones that support the soft tissue of the face.
Lacrimal (2)
Nasal (2)
Inferior nasal conche (2)
Palatine (2)
Maxilla
Vomer
mandible
Also known as the viscerocranium
What is the joint between the mandible and the cranium called?
Temporomandibular joint
What is the strength of cranial sutures like?
Sutures are immovable, become more fused with age, fusing completely around the age of 20.
Despite there srtength they are still sites of potential weakness within the skull.
What are the different cranial suture?
Coronal suture - fuses frontal bone with parietal bones
Sagittal suture - fuses parietal bones together
Lambdoid suture - fuses occipital bones to parietal bones.
What are fontanelle in the skull?
Found in neonates
Areas of weakness where the suture have not yet fused together
Membranous gaps
Frontal fontanelle
Occipital fontanelle
Hows does the brains oxygen demand compare to other structures?
Very high oxygen demand
Very sensitive to oxygen deprivation, ischemic cell death within minutes.
What are the two main arteries responsible for supplying the brain?
The vertebral arteries - posterior circulation
The internal carotid arteries - anterior circulation
What vessels supply the pons, medullar and brains stem?
Branches of the vertebral arteries - pontine arteries from the basilar artery.
Explain the origin of the internal carotid arteries.
Common carotid arteries travel within the carotid sheath.
At C4 level the common carotid artery bifurcates into the internal and external carotid artery.
Enters the brain via the carotid canal of the temporal bone
Pass anteriorly to the cavernous sinus, distally give off branches then continue as the middle cerebral artery.
What are the different branches of the internal carotid arteries?
Ophthalmic artery
Posterior communicating artery
Anterior choroidal artery
Anterior cerebral artery.
(OPAA)
What does the ophthalmic artery supply?
The structures of the orbit (eye socket)
What does the posterior communicating artery supply?
Is an anastomotic connecting vessel in the circle of willis
What does the anterior choroidal artery supply?
Structures in the brain important for motor control and vision
What does the anterior cerebral artery supply?
Parts of the cerebrum
Describe the origin of the vertebral arteries?
Division of the subclavian arteries, travel up the posterior aspect of the neck through the formen transversarium.
Enter the cranail cavity through the foramen magnum.
Give off branches then continue as the basilar artery, which also branches then terminates by bifurcating into the posterior cerebral arteries.
What are the branches of the vertebral arteries before they become the basillar artery?
Meningeal branch - supplies the falx cerebelli
Anterior and posterior spinal arteries - supply the full length of the spinal cord
Posterior inferior cerebellar artery - supplies the posterior lobe of the cerebellum.
What does the basilar artery supply?
Travel up the ventral brain stem, branches supply the cerebellum and the pons.
What is the circle of willis?
Why is it important?
where is it found?
Anastamoses of the terminal branches of the vertebral and internal carotid arteries.
Safeguard to stroke by allowing multiple routes of blood supply to the brain
Found just anterior to the brain stem and inferior to the cerebrum
What are the differenct vessels that make up the circle of willis?
Main paired vessels
- anterior cerebral arteries
- internal carotid arteries
-posterior cerebral arteries
Paired support vessels
- anterior communicating artery
-posterior communicating artery