Which area is most likely to cause a constriction or blockage of the eustachian tube?
Cranial base where the sphenoid and temporal bones meet
Pain in the cranium can often be localized to the dura where?
Base of the brain
Which arteries/parts of arteries are "pain sensitive" within the dura of the cranium?
- Proximal parts of the ACA and MCA
- Intracranial portion of the Internal Carotid a.
C2 is in close proximity to what part of the cervical plexus?
Superior cervical ganglion
C1 is in close proximity to which ganglion?
Inferior ganglion of vagus n.
CN VII is associated with Bell's Palsy and this nerve passes through which bone?
What are 2 primary examples of arteries related to pain in the cranium?
1. Middle meningeal a. (carried by the dura)
2. Superficial temporal as.
Which 4 cranial veins have a dural envelope and may be implicated in cranial pain (i.e. HA's)?
- Superior sagittal sinus
- Inferior sagittal sinus
- Straight sinus
- Transverse sinuses
Which cranial bones relevant to OCMM are connected to the dura?
All cranial vault bones!
70-75% of the cranial drainage exits where?
SD of which suture can impair this drainage?
- Jugular foramen
- OM suture
Which ganglion are located in the C1-C3 area?
Which Tx may help relieve pain in the neck/face/head?
- Superior cervical ganglion (sympathetic to head/face)
- Inferior ganglion of CN X (vagus)
- Suboccipital release!
What is the mnemonic for remembering the foramina that the distributions of the Trigeminal (CN V) exit?
- "Standing Room Only"
- Superior orbital fissure = V1
- Foramen Rotundum = V2
- Foramen Ovale = V3
In which bone can you find the foramen ovale and rotundum?
- Foramen ovale (V3) and rotundum (V2) --> Sphenoid bone
- Trigeminal ganglion --> Temporal bone
What's found on the superior surface of the petrosal ridge of the temporal bone?
Meckel's cave ---> contains Trigeminal ganglion, COVERED w/ Dura
Which type temporal bone SD would put pressure on the structures deep to the tentorium cerebri (i.e., Trigeminal Ganglion)?
ER Temporal bone SD ---> Trigeminal Neuralgia
Which 2 SD's need to be treated for Trigeminal Neuralgia?
Treat the SBS and Temporal dysfunctions
What 4 things to treat for Plagiocephaly in a child?
- Paired bones
- Compensatory changes in MS