Week 4 Flashcards

1
Q

What does the anterior cerebral artery supply

A

lower limb

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2
Q

What artery is the main continuation of the internal carotid artery

A

middle cerebral artery

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3
Q

where does the middle cerebral artery run

A

into deep part of lateral fissure, branches out into the middle of the cerebral hemisphere

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4
Q

what artery supplies the visual cortex

A

posterior cerebral artery area

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5
Q

what supplies the motor speech area

A

middle cerebral artery

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6
Q

what lines the cranial cavity

A

dura mater

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7
Q

what is dura mater

A

tough, most outer layer of the meninges

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8
Q

what is found between the inner and outer tables of the skull

A

bone marrow

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9
Q

how is the cranial cavity divided

A

anterior cranial fossa, middle cranial fossa, posterior fossa

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10
Q

where does the olfactory nerve come out

A

cribriform plate of ethmoid bone

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11
Q

what is the path of the olfactory nerve

A

lots of little nerves which come through the cribriform plate of the ethmoid bone.

join the olfactory bulb and tract

info about smell to the frontal lobe of brain

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12
Q

why is the anterior clinoid process useful

A

landmark for finding the optic nerve

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13
Q

what are the borders of the middle cranial fossa

A

lesser wing of the sphenoid bone to the superior border of the petrous temporal bone

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14
Q

what covers the pituitary gland

A

pituitary stack

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15
Q

where is the internal carotid artery in the cranial cavity

A

very close to the optic chiasm

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16
Q

what is an aneurysm

A

swelling of an artery

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17
Q

why might an aneurysm cause visual disturbances

A

swelling of the artery pressing on the optic chiasm

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18
Q

where is the superior orbital fissure

A

under the sphenoid bone

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19
Q

what is the path of the occulomotor nerve

A
  • goes through the dura
  • runs between the dura and bone
  • comes out at the superior orbital fissure
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20
Q

what does the trochlear nerve supply

A

superior oblique muslce

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21
Q

what is the path of the trochlear nerve

A
  • smallest of the cranial nerves
  • through dura
  • runs between dura and bone
  • comes out at superior orbital fissure
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22
Q

where does the trigeminal nerve come out

A

back end of the middle cranial fosa

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23
Q

what is the path of the trigeminal nerve

A
  • comes from pons
  • goes into tunnel in dura
  • trigeminal ganglion in meckel’s cave
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24
Q

what are the 3 branches of the trigeminal nerve

A
  1. opthalimic
  2. maxillary
  3. mandibular
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25
Q

what is the path of the ophthalmic nerve

A
  • branches from ganglion
  • goes through superior orbital fissure
  • supplies skin of forehead and scalp
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26
Q

what is the path of the maxillary nerve

A
  • branches from ganglion
  • goes through foramen rotundum
  • reaches pterygopalatine fossa
  • supplies middle face, palate, siuses, nasopharynx, nose and alveolar to upper teeth
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27
Q

what is the path of the mandibular nerve

A
  • branches from ganglion
  • goes through the foramen ovale
  • supplies the temple, jaw, chin, anteiror 2/3 tongue, floor of mouth, lower teeth and lower gingiva, lower lip
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28
Q

what is trigeminal neuralgia

A

extremely sharp pain in one of the areas of the trigeminal nerve (often maxillary)

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29
Q

what can trigger trigeminal neuralgia

A

dental treatment

30
Q

how is trigeminal neuralgia treated

A

carbamazepine (neuro-suppressor drug) or use needle through the foramen ovale to remove cells causing the trouble

31
Q

what is the path of abducens nerve

A
  • penetrates dura, has very long course
  • runs under the dura
  • over the edge of the petrous temporal bone
  • forwards to get to the superior orbital fissure where it leaves cranial cavity
32
Q

what is the path of the facial and vestibulochlear nerve

A
  • nerves run side by side (8th is lateral)
  • go into the internal acoustic meatus
  • 8th goes into ear
  • 7th runs close to ear and comes out at the base of the skull
33
Q

what is the path of the glossopharyngeal, vagus and cranial root of the accessory nerve

A
  • go through jugular foramen

- 9 and 10 supply pharynx and larynx

34
Q

what is the path of the spinal root of the accessory nerve

A
  • go through jugular foramen
  • comes up from spinal cord
  • supplies sternocleidomastoid and trapezius
35
Q

what is the spinal root of the accessory nerve derived from

A

the first 5 cervical (C1-C5) segments

36
Q

apart from nerves what also exits the cavity through the jugular foramen

A

venous blood

37
Q

what is the path of the vertebral arteries

A
  • comes through dura
  • into spinal cord
  • through the foramen magnum
  • alongside the medulla
  • join together to form the bailsar artery at pons
38
Q

what is the path of the hypoglossal nerve

A
  • small bony opening just in front of the foramen magnum

- long course towards the tongue

39
Q

where is the dura mater

A

immediately inside the vault

slightly attached to the vault

40
Q

what is the large fold of dura mater called in he midline

A

falx cerebri

41
Q

what runs inside the falx cerebri

A

superior sagital sinus

42
Q

what are the 3 layers of meninges called

A
  • dura mater
  • arachnoid mater
  • pia mater
43
Q

what and where is pia mater

A
  • deepest layer of meninges
  • on surface of brain
  • very thin and soft
  • follows brain everywhere and covers CNS
44
Q

what and where is the arachnoid mater

A
  • lies immediately to the dura
  • soft, flimsy layer
  • cob-web like strands run across the sub-arachnoid space to the pia mater
45
Q

what is in the sub-arachnoid space

A

CSF

46
Q

what is the path of CSF

A
  • made in ventricles
  • escapes into sub-arachnoid space at the 4th ventricle (hind brain)
  • goes down the spinal cord through the foramen magnum
47
Q

what is the purpose of CSF

A

helps to resist movement of the brain

48
Q

what are the projections of arachnoid mater called

A

arachnoid villi

49
Q

what do the arachnoid villi do

A

absorb CSF into the blood stream

50
Q

what happens at the superior sagital sinus

A

where the falx meets the tentorium

51
Q

what shape is the superior sagital sinus

A

triangular

52
Q

what is the path of the blood following the superior sagital sinus

A
  • superior sagital sinus
  • blood swings to right through right transverse sinus (makes a groove in the skull)
  • sigmoid sinus at front of posterior cranial fossa
  • through jugular foramen
53
Q

what is the path of the blood following the straight sinus

A
  • straight sinus
  • blood swings to the left through the left transverse sinus
  • sigmoid sinus
  • through jugular foramen
54
Q

what is the connection between the superior sagital sinus and straight sinus called

A

confluence of sinuses

55
Q

path of venous blood from the orbit

A
  • orbit
  • opthalmic veins
  • cavernous sinus
  • pietrosal sinuses
  • sigmoid sinus
  • internal jugular vein
56
Q

describe cavernous sinus thrombosis

A

caused by infection in upper teeth or face
results in swollen eye and fever due to blood clot

UPPER TEETH

  • bacteria enters venous blood at pterygoid venous plexus
  • sphenoidal emissary vein
  • cavernous sinus

FACE

  • bacteria enters venous blood through orbit
  • at caverous sinus blood moves very slowly as lots of gaps
  • bacteria multiply here
57
Q

what does cavernous sinus thrombosis present as

A

swollen eye and fever

58
Q

how quickly does blood move the cavernous sinus and why

A

very slowly, lots of gaps

59
Q

what are the 3 types of haemorrhage called

A
  1. Extradural haemorrhage
  2. Subdural haemorrhage
  3. Subarachnoid haemorrhage
60
Q

what causes an extradural haemorrhage

A

bursting of middle meningeal artery

61
Q

where does blood gather in an extradural haemorrhage

A

between the dura and the bone

62
Q

how quickly does a pt’s conscious level deteriorate in an extradural haemorrhage

A

gradually over a few hours

63
Q

who tends to get extradural haemorrhages

A

anyone of any age

64
Q

what causes a subdural haemorrhage

A

cerebral veins tearing where the are attached to firm dura

65
Q

where does blood gather in a subdural haemorrhage

A

between dura and arachnoid

66
Q

how quickly does a pt’s conscious level deteriorate in a subdural haemorrhage

A

very gradually over days weeks (venous blood is slower)

67
Q

who tends to get subdural haemorrhages

A

elderly

68
Q

what causes a subarachnoid haemorrhage

A

bursting of cerebral arteries (berry aneurysm around the circle of Whillis that can burst)

69
Q

where does blood gather in a subarachnoid haemorrhage

A

on the underside of the brain

70
Q

how quickly do patients level deteriorate in a subarachnoid haemorrhage

A

very rapidly

71
Q

who tends to get a subarachnoid haemorrhage

A

people in mid-life