The Skull Flashcards

1
Q

Functions of the skull?

A

Enclose and protect brain and special sense organs
Create a specialised environment in which the brain can thrive (cranial cavity)
Attachment of muscle and meninges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three layers of the bones in the cranium?

A

Outer plate - compact bone
Diploe- reduces the weight
Inner plate - compact bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can the cranium be divided into?

A

Calvaria aka neurocranium which houses the brain - 8 bones

Facial bones - 14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which bones form the cap of the cranium?

A

Frontal
Parietal
Occipital
Temporal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What grooves does the parietal bone have?

A

Grooves of:

  • middle meaningeal artery
  • sagittal sulcus
  • granular pits
  • sigmoid sinus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the four parts of the occipital bone arranged around?

A

Foramen magnum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which bones form the floor of the calvaria? (Aka cranial fossa, cranial base)

A

Sphenoidal
Ethmoid
Temporal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Features of the sphenoid bone?

A

Has the sphenoid sinus
Greater and lesser wings
Pterygoid process
Optic groove

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What can fracture of the ethmoid bone lead to?

A

Anosmia (loss of sense of smell)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Features of the temporal bone?

A
Squamous portion
Mastoid process 
Mandibular fossa
Zygomatic process
External auditory meatus
Styloid process
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Features of the ethmoid bone?

A
Allows passage of olfactory nerve fibres
Cribriform plate
Crista galli
Ethmoid bulla
Ethmoid air cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What do the bones of the cranial base provide articulation for?

A

C1 (atlas)
Facial bones
Mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can the calvaria be divided into?

A

Cap and floor of calvaria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Name the bones of the facial skeleton

A
Zygomatic
Lacrimal
Nasal
Inferior nasal conchae
Palatine
Vomer
Maxillae
Mandible 
Frontal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do most of the bones develop?

A

Intramembranous ossification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the main sutures in adulthood?

A

Coronal suture - between frontal and parietals
Saggital - between both parietals
Lambdoid - occipital with parietals
Visualise it!

17
Q

What are fontanelles?

A

Incompletely fused suture joints in neonates

18
Q

Name the fontanelles and the sutures in which they are found

A

Frontal fontanelle - junction of coronal and saggital

Occipital fontanelle - saggital and lambdoid

19
Q

Why are sutures helpful in neonates?

A

They are open so allow for cranial bones to be pushed together during labour
Serrated edges of the bones can temporarily interlock to protect the brain from injury

20
Q

What can happen if the baby is premature concerning the skull?

A

Sutures are too wide
Pressure from birthing does not result in interlocking of bones
Chance of brain damage

21
Q

Signs of a cranial fracture?

A
CSF draining from ears/nose - base of skull fracture
Poor balance
Confusion 
Slurred speech
Stiff neck
22
Q

Where is the pterion found?

What can happen if it is fractured?

A

Junction between temporal, parietal, frontal and sphenoid bones

Lacerate Middle meningeal artery causing an extradural haematoma

23
Q

Where are the points of weakness on the skull?

A

Pterion
Anterior cranial fossa
Middle cranial fossa
Posterior cranial fossa

24
Q

Which bones form each of the cranial fossas?

A

Anterior - depression formed by frontal, ethmoidal and parietal

Middle - depression formed by sphenoid, temporal, parietal

Posterior - squamous, mastoid temporal bone, occipital bone

25
Depressed fracture: What is it? Cause?
Depression of the bone inwards Usually by a direct blow
26
What is a linear fracture?
A break traversing the full thickness of the skull Get radiating (stellate) fracture lines away from point of impact Most common
27
Someone presents with bruising behind ears and eyes - what do you suspect?
Basal skull fracture
28
What is a diastatic fracture?
One that occurs along the suture line which widens the suture Most commonly seen in children
29
What is Battle's sign?
Bruising behind ears
30
Clinical features of a facial fracture?
Profuse bleeding Swelling Deformity Anaesthesia of the skin
31
What makes the bones of the skull less easily unlocked?
The edges are serrated
32
Which bones are most frequently broken in a facial fracture?
Nasal
33
What can fracture of the cribriform plate lead to?
If it involves the dura mater, leakage of CSF fluid out of the nostrils Anosmia if it damages CNI