Lecture 1 P2 Ventricles, Meninges, and Venous Sinuses Flashcards

(34 cards)

1
Q

What is the Cranial Fossae?
What does Fossa mean?

A

Base of the Skull
Fossa = Ditch or Trench

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2
Q

How many Cranial Fossae are there?
What do they hold?

A
  • 3
  • Anterior, Middle, Posterior
  • Anterior –> Frontal Lobe
  • Middle –> Temporal Lobe
  • Posterior –> Cerebellum
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3
Q

What is the Foramen Magnum?

A

A large hole allowing the Brain stem to pass through

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4
Q

What do the Meninges do and what are the layers?

A
  • Protect the brain
  • Dura Matter, Arachnoid, and Pia Matter
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5
Q

What are the two portions of the Dura Mater?

A
  • Periosteal Layer (outer layer)
  • Meningeal Layer (inner layer)
  • Both layers are fused together
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6
Q

In the Arachnoid Area, what causes the subarachnoid space? What is the purpose of this space?

A
  • Trabeculae of Arachnoid form the subarachnoid space which is filled with CSF
  • CSF cushions the brain and provides flotation force
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7
Q

What does the Pia Mater consist of?

A
  • Single layer of cells covering the surface of the brain and spinal cord
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8
Q

What is the Falx Cerebri?

A
  • Made up of the Meningeal layer of the Dura Mater that peels away from the Periosteal Layer and folds back on itself
  • Sits in the Superior Longitudinal Fissure
  • Separates the two hemispheres of the brain
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9
Q

What is the Tentorium Cerebelli?

A
  • Tentorium means Roof
  • Similar Meningeal layer folded on itself
  • Sits over top the cerebellum, separating it from the undersides of the occipital and temporal lobes
  • Sits in the Traverse Fissue
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10
Q

Where does the Brain stem pass through the Tentorium Cerebelli?

A
  • Passes through the Tentorial Notch
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11
Q

How are the superior and inferior sagittal sinus formed?

A
  • Superior and Inferior Sagittal Sinus are spaces created by the Falx Cerebri
  • Superior Sinus formed when the Meningeal layer peals away from the Periosteal layer (Superior)
  • Inferior Sinus formed when the Meningeal layer folds on itself above the corpus callosum.
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12
Q

Where are the Traverse Sinus located?

A
  • Outer edge space of the tentorium cerebelli
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13
Q

How is the Straight Sinus formed?

A
  • Space caused by the enclosure of the Falx Cerebri (Above) and the Tentorium Cerebelli (Underneath), where the two meet near the base of the occipital lobe
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14
Q

What are cranial venous sinuses and what is their function?

A

Sinuses are enclosed channels within the Dural Reflections that drain blood from the brain away from the head and into the Internal Jugular vein

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15
Q

List the sinuses present in the cranium

A
  • Superior Sagittal Sinus
    –> Drains the superfiecial cerebral veins of cortex
  • Inferior Sagittal Sinus
    –> Drains floor of longitudinal fissure
  • Straight Sinus
    –> Drains internal structures and underside of the brain
  • Traverse Sinus
  • Sigmoid Sinus
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16
Q

List the path of the venous drainage from the base of the skull

A
  • Sup./Inf. Sagittal Sinus drains into the straight sinus
  • Straight sinus drains into the left/right traverse sinus
  • From Traverse sinus to the sigmoid sinus
  • Sigmoid sinus to the internal jugular veins
17
Q

Where is the third ventricle located?

A
  • Single ventricle located along the midline
  • Lateral walls of the ventricle are formed by the Thalamus and Hypothalamus
18
Q

What is the Septum Pellucidum?

A

Thin membrane separating the anterior horns of the lateral ventricles
- Septum Pellucidum extends from the underside of the Corpus Callosum down to the Fornix

19
Q

What is the Choroid Plexus?

A
  • Secretory epithelial cells that secrete CSF
  • Contains fenestrated (leaky) capillaries where the Blood Brain Barrier is absent
20
Q

What is the total volume and rate of production of CSF?

A
  • 140 mL total
  • Rate = 500 mL/day
21
Q

Where is the Choroid Plexus located?

A
  • Floor of the lateral ventricles
  • Roof of the third and fourth ventricles
22
Q

Where does CSF exit to coat the brain and spinal cord

A
  • Produced CSF exits via 3 apetures or openings in the 4th ventricle
23
Q

Where is CSF removed and cleared from the brain?

A
  • Drains in the subarachnoid space in the Superior Sagittal Sinus
24
Q

What are the two major routes of CSF drainage from the Brain?

A
  1. Transcytosis (vesicular movement across endothelial cells) between the Arachnoid Granulations and Sup. Sagittal Sinus (50%)
  2. Drainage through the Cribriform Plate and into the lymphatic channels of the Nasal mucosa (50%)
25
What are Arachnoid Granulations? (Villi)
- Points along the superior sagittal sinus where the arachnoid membrane pierces through the Dura and into the lumen - CSF is transfered to the blood from there
26
How does CSF get drained through the Nasal Mucosa
- drained from the subarachnoid space through holes in the cribriform plate in the ethmoid bone into the lymphatics
27
What is Hydrocephalus? - what are two ways it can be caused
- Abnormal build up of CSF - Obstructive = block in ventricular system - Non-obstructive = inadequate removal - Congenital (at birth) OR acquired (infection, tumor...)
28
What are the symptoms of hydrocephalus?
Headache Nausea Vomiting Coma
29
How do you treat Hydrocephalus?
- Catheter into the ventricles to drain excess CSF into another cavity (usually peritoneal cavity) - Ventriculo-peritoneal shunt
30
What is the blood supply going to the head?
Meningeal Blood Supply - Arteries feed the Dura and inner surface of the skull LIES BETWEEN the MENINGEAL and PERIOSTEAL layers of the dura MAJOR ARTERY: Middle Meningeal Artery
31
What is the major artery in the meningeal blood supply?
- Middle Meningeal Artery
32
Where are the meningeal arteries located?
Between the Meningeal and Periosteal layers of the DURA
33
What is the Pterion?
Junction of 4 bones of the skull (Frontal, Parietal, Temporal, Sphenoid) - Weakest part of the skull - Blow from the side can rupture the Middle Meningeal artery/vein - Can cause an Epidural Hematoma
34
Explain what happens in an Epidural Hematoma.
- Pterion area fractured - Ruptured middle meningeal artery/vein - Blood pools forcing Dura away from the skull compressing the brain