Meninges, Ventricles, and CSF Flashcards

(36 cards)

1
Q

What are the three meningeal layers?

A

Dura

Arachnoid

Pia

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2
Q

What is the cranial dura?

A

Composed of two layers - outer most essentially serves as periosteum and is not continuous with the the dura of the spinal cord

Inner layer is fused with the endosteal layer except where it forms the septa

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3
Q

What is the function of the dural septa?

A

Provide support and protection for the brain

Protects the brain against sudden and violent movements of the head

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4
Q

What is the Falx Cerebri?

A

Longitudinal Septum in the sagittal fissure between the two cerebral hemispheres

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5
Q

What is the tentorium cerebelli?

A

Septum that extends horizontally between the occipital lobes and the cerebellum attached to the falx cerebri

Forms roof over the posterior cranial fossa

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6
Q

Between what layers are the dural venous sinuses located?

A

Between endosteal and meningeal layers or between two meningeal layers

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7
Q

Where is the superior sagittal sinus?

A

Within the attached borders of the falx cerebri

Receives branches from the superior cerebral veins

Major area where CSF return to the general systemic circulation

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8
Q

Where is the inferior sagittal sinus?

A

Extends along the inferior free margin of the falx cerebri

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9
Q

What is the Great Cerebral Vein of Galen?

A

Collects venous blood from internal cerebral veins, joins the inferior sagittal sinus to form the straight sinus

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10
Q

What lies within the subarachnoid space?

A

Trabeculae (fibrous filaments) that bridge the arachnoid and pial membranes

CSF

All major blood vessels of the brain

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11
Q

Where is the cerebellomedullary cistern?

A

Spans the space over the cerebellum and the part of the brainstem called the medulla

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12
Q

Where is the pontine cistern?

A

Lies over the pons

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13
Q

Where is the interpeduncular cistern?

A

Lies over the interpeduncular fossa (ventral brain surface)

Circle of willis lies within this cistern

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14
Q

Where is the lumbar cistern?

A

Extends from vertebral levels L1/L2 to S2

Area where spinal taps are done

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15
Q

What are arachnoid villi?

A

Structures which allow for passage of CSF from the subarachnoid space into the superior sagittal sinus back to the general circulation

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16
Q

What is the pia mater?

A

thin, highly vascularized membran that adhers closely to the surface of the brain and spinal cord

17
Q

What are Virchow-Robin spaces?

A

Subarachnoid space around anastomosing vessels within the brain before the major branches pass into the brain substance

18
Q

What is papilledema?

A

Edema of the optic papilla caused by elevated CSF pressure around the optic nerve

19
Q

Describe the lateral ventricles.

A

The two larges ventricles, one in each hemisphere

Each ventricle has extensions called horns, named after the lobes or direction they extend

20
Q

What connects the lateral ventricles and the third ventricles?

A

Intraventricular foramen of Monro

21
Q

What forms the walls of the third ventricle?

A

Thalamus and Hypothalamus

22
Q

What connects the third and fourth ventricles?

A

Aqueduct of sylvius

23
Q

What structures form the fourth ventricle?

A

The roof is formed by the cerebellum and its floor by the pons and medulla

24
Q

How does CSF enter the subarachnoid space from the 4th ventricle?

A

Through two lateral foramina of Luschka

And a medial foramen of Magendie

25
What is the function and location of the Pineal Body?
Outside the BBB Secretes melatonin, important for circadian rhythms
26
What is the function of the Organum vasculosum of the lamina terminalis?
Sensory area that supplies input to other brain regions Contains osmoreceptors sensitive to Na and osmotic pressure in blood
27
What is the function of the median eminence of the hypothalamus?
Secretes hormones CRF, TRH, GnRH, GHRH
28
What is the function of the subcommissural organ?
Produces transthyretin
29
What is the function of the neurohypophysis?
Endocrine organ Produces oxytocin, vasopressin
30
What is the function of the Area Postrema?
Chemoreceptor trigger zone (vomit center)
31
Where is CSF found?
Ventricles, Subarachnoid space and cisterns Interstitial space in the brain Continuously produced, but only a small amount of CSF is in the ventricles at any one time
32
What does pink or red CSF indicate?
Blood in the CSF Most commonly due to leakage/rupture of an aneurysm in CoW
33
What does yellow and spontaneous clotting CSF indicate?
Increased protein content or from lysis of RBC Increased IgG can indicate a chronic inflammatory process within the CSF
34
What does cloudy or white CSF indicate?
Bacterial meningitis Elevated WBCs
35
What does clear to slightly cloudy CSF indicate?
May indicate aseptic meningitis Elevated WBCs Commonly associated with a viral infection
36
What causes the circulation of the CSF?
Arterial pulsations Respiratory movements Vasomotor activity All move towards the superior sagittal sinus