Chapter 6: Head and Neck (continued) Flashcards

1
Q

What are the major tributaries that drain into the dural venous sinuses?

A

cerebral and cerebelli veins
Emissary
diploic veins
Arachnoid granulations
Meningeal veins

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2
Q

Where do the cerebral and cereblli veins drain? Where are they located?

A

pass across the subdural space and drain into the sinuses

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3
Q

Describe the emissary veins. Where they course and what their function is?

A

veins are valveless channels that course through bones of skull and allow dural sinuses to communicate with extracranial veins

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4
Q

Diploic veins drain into what area of the body?

A

drain the spongy (diploe) core of flat bones

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5
Q

What is the purpose of arachnoid granulations?

A

where CSF returns to the venous circulation

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6
Q

Dural venous sinus picture

A
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7
Q

Superior sagittal sinus locatin?

A

midsagittal plane superior aspect of falx cerebri

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8
Q

Inferior sagittal sinus location?

A

midsagittal plane near inferior margin of falx cerebri

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9
Q

Straight sinus is formed by union of what what structures?

A

formed by union of inferior sagittal sinus and great cerebral vein

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10
Q

Where is the occipital sinus located?

A

small sinus found in the posterior border of tentorium cerebelli

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11
Q

Confluence of sinuses is formed by what union?

A

union of superior sagittal, straight, and occipital sinuses posteriorly at the occipital bone

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12
Q

Where are the transverse sinuses located?

A

paired sinuses in the tentorium cerebelli and attached to the occipital bone

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13
Q

Where are the sigmoid sinuses located ?

A

paired and form a S-shaped channel in the floor of the posterior cranial fossa

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14
Q

Where are the cavernous sinuses located?

A

On either side of the body of the sphenoid bone

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15
Q

Each cavernous sinus receives blood primarily from which veins?

A

orbit (ophthalmic veins)

and via emissary veins from the deep face (pterygoid venous plexus)

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16
Q

Why are the cavernous sinuses the most clinically significant dural sinuses?

A

because of their relationship to a number of cranial nerves CN III and CN IV and the ophthalmic and maxillary divisions of the trigeminal nerve are located in lateral wall of the sinus.

CN VI and internal carotid artery are located centrally in the sinus

17
Q

Coronal Section Through Pituitary Gland and Cavernous Sinus

A
18
Q

Cavernous Sinus Thrombosis.

A

Infection can spread from the superficial and deep face into the cavernous sinus, producing a thromobosis that may result in swelling of sinus and damage the cranial nerves that are related to the cavernous sinus

19
Q

What does an epidural hematoma result from?

A

trauma to the lateral aspect of the skull which lacerates the middle meningeal artery

20
Q

Epidural hemorrhage forms what shape?

A

forms a lens-shaped (biconvex) hematoma at the lateral hemisphere

21
Q

Symptoms of epidural hematoma?

A

associated with a momentary loss of consiousness followed by a lucid (asymptomatic) period of up to 48 hours

elevated ICP

22
Q

What does a subdural hematoma result from?

A

a head trauma that tears superficial (bridging) cerebral veins at the point where they enter the superior sagittal sinus

23
Q

What shape does a subdural hematoma form?

A

crescent-shaped hematoma at the lateral hemisphere

24
Q

Symptoms of subdural hematoma?

A

signs of elevated ICP or headache and nausea

25
Q

A subarachnoid hemorrhage results from what?

A

rupture of a berry aneurysm at the circle of Willis

26
Q

What is the most common site of a rupture of the berry aneurysm?

A

anterior part of the circle of Willis at the branch point of the anterior cerebral and anterior communicating arteries.

27
Q

What is the only muscle innervated by CN IV?

A

The trochlear nerve innervates the superior oblique muscle

28
Q

What is the only muscle innervated by CNVI?

A

The abducens nerve innervates the lateral rectus

29
Q

What are the extraocular muscles innervated by CN III?

A

4 or the 6

superior, inferior, and medial rectus, and the inferior oblique plus the levator palpebrae superioris

30
Q

The smooth muscle of the levator palpebrae is innervated by what nerves? What is the name of this smooth muscle?

A

superior tarsal muscle

sympathetic fibers

31
Q

Muscles of the eye.

A