Unit 5 Flashcards

(52 cards)

1
Q

What are sutures? When do they fuse?

A

Fibrous joints that fuse during adulthood

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2
Q

The skull be divided into what two parts?

A
  • Neurocranium

- Viscerocranium

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3
Q

What is the calvarium?

A

Skull cap (part of the neurocranium)

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4
Q

What may be the reason why adolescent are prone to bad decision making

A

Underdeveloped prefrontal (mass and connections) cortex so not able to assess risk very well.

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5
Q

What are the bones of the cranium?

A
- 6 diff bones (8 total)
frontal
occipital (2)
temporal (2)
parietal
sphenoid 
ethmoid
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6
Q

What are the bones of the face?

A
- 9 diff bones (3 singular)
vomer
hyoid
mandible
maxilla
zygomatic
palatine
nasal bones
inferior nasal chonchae
lacrimal
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7
Q

What are the main sutures? What bones are they

in between?

A
  • Coronal suture (between parietal bone and frontal bone)

- Lambdoid suture (between parietal and occipital bone)

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8
Q

What are wormian bones/sutural bones?

A

When sutures fuse, they sometimes leave islands of bones or sutural bones (wormian bones). No pathological consequences.

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9
Q

What is diploe? Can it be seen on xray? Colour?

A
  • Spongey bone between two layers of compact bone
  • Yes, it can be seen sandwiched between external and internal tables of compact table. Being not as dense as bone, they show up as a darker (black) layer in between the white bones
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10
Q

How are the flat bones of the skull (and other locations in the body) formed?

A

Unlike long bones, flat bones form via intramembranous ossification (the direct production of bone from mesenchyme)

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11
Q

What is endochondryl ossification?

A

Mesenchyme first produes cartilage shell then gradually replaced by bone

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12
Q

Why is movement at sutures important?

A

Permit normal brain growth

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13
Q

How do pneumatized (air-filled) bones appear on xray?

A

Base on density, they appear dark and bear the name of the bone in which they reside.

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14
Q

What is craniosynostosis?

A
  • premature suture ossification

- skull growth is restricted in one direction, and attempts to compensate in another

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15
Q

Where is the pterion? What artery intersects here?

A

Junction of greater wing of sphenoid, squamous temporal, parietal, frontal bones
- overlies course of anterior division of middle meningeal artery

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16
Q

Where is the lambda?

A

Point on calvaria at junction of lambdoid and sagittal sutures

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17
Q

Where is the bregma?

A

Point on calvaria at the junction of coronal and sagittal sutures

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18
Q

Where is the vertex?

A

Superior point of neurocranium, in middle with cranium oriented in anatomical plane

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19
Q

Where is asterion?

A

Star shaped; located at junction of three sutures (parietomastoidm occipitomastoid, and lambdoid)

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20
Q

Where is giabella

A

Smooth prominence; most marked in males; on frontal bones superior to root of nose; most anterior projecting part of forehead

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21
Q

Where is inion

A

Most prominent point of external occipital protuberance

22
Q

Where is nasion

A

Point on cranium where frontonasal and internasal sutures meet

23
Q

What are three features of neonate skull?

A
  1. Large cranium, relatively small face
  2. Prominent fontanelles (located at the junction of skull sutures) that are clinically important
  3. Persistent mandibular division (which fuses to form mandibular symphysis)
24
Q

Why are fontanelles clinically important? What are the 4 main fontanelles in a baby?

A
  • Gives info about baby’s health such as blood pressure and intracranial pressure. E.g. is anterior fontanelle is protruding or popping out, this indicates high intracranial pressure. If anterior fontanelle is sunken in, this indicates low intracranial pressure or venous pressure, or baby is dehydrated
25
What are the 4 main fontanelles in a baby?
- Anterior fontanelle (between frontal and parietal bone), posterior fontanelle (between parietal and occipital bone), sphenoid fontanelle, and mastoid fontanelle
26
What are the 4 types of fractures?
1. Linear fracture: crack in flat bone 2. Depressed fracture: depression in the skull towards the brain 3. Comminuted fracture: bone fragments leftover after fracture (would need to remove fragments and replace skull with something) 4. Basilar fracture. Not a type of fracture but a fracture that occurs at the base of skull. Very serious cause all nerves enter and exit here. It can be a linear, depressed etc. fracture.
27
What is a compound fracture?
When we've breached the barrier between the internal and external environment
28
What does the zygomatic arch consist of?
1. zygomatic process of temporal bone | 2. temporal process of zygomatic bone
29
What is endoscopic trans-sphenoidal surgery?
- used to remove pituitary tumours less invasively Pituitary adenomas are noncancerous tumours and cause hormonal imbalance. They can grow in size and compress nerves/arteries at base of skull. Tumor is removed thru the nose. Endoscope inserted thru nose and goes to nasal cavity. Nasal septum is opened. Drill thru sphenoid bone. Then makes opening in the sella to view the dura (covering of brain. Dura is opened to view tumor. Fat graph from abdomen to repair opening and prevent CSF fluid leakage. Biological glue applied over graph to prevent CSF leakage into nasal cavity.
30
What are the main structures that pass through the foramina? In what direction?
1. Sensory branches enter the brain via the foramina | 2. Motor branches exit the brain via the foramina
31
What does the viscerocranium consist of?
2 singular bones (vomer, hyoid) plus 6 paired bones (zygomatic, maxilla), which fuse to form the orbits of the eyes, the nasal and oral cavities, as well as the sinuses
32
Describe the superficial layer of the skull to the deepest layers
Skull is composed to 3 layers (external table, diploe, internal table. Under the skull is the dura mater. The dura mater is composed of two layers (periosteal layer and meningeal layer). The periosteal and meningeal layers are tightly adhered except for at the sinuses, where they split. Under the dura mater (specifically under the meningeal layer) is the arachnoid mater. The arachnoid mater contains subrarachnoid space that is filled with CSF. Under the arachnoid mater is the pia mater. Under the pia mater is the cerebral cortex.
33
What are meninges and their function?
Cranial meninges overlie the surround the brain.
34
What are the four dural folds (dural reflections)?
1. Falx cerebri 2. Falx cerebelli 3. Tentorium cerebelli 4. Diaphragma sellae
35
What are venous sinuses? What creates then?
- Created by dural folds | - spaces of venous filled blood
36
Describe the path of the venous sinus from the superior sagittal sinus
Superior sagittal sinus -> conjugation of sinuses -> transverse sinus -> sigmoid sinus -> internal jugular vein
37
Describe the path of the venous sinus from the inferior sagittal sinus
inferior sagittal sinus -> straight sinus -> conjugation of sinuses -> transverse sinus -> sigmoid sinus -> internal jugular vein
38
Connect the dural reflections witht he dural venous sinuses
The dura separates into two layers at dura reflections (dura folds), places where the inner dural layer is reflected as sheet-like protrusions into the cranial cavity. The separation between dural layers at folds creates the dural venous sinuses, which drain blood and cerebrospinal fluid brain the brain.
39
Describe the falx cerebri
Separates the 2 hemispheres of the brain, located in the longitudinal cerebral fissure between hemispheres
40
Describe the tentorium cerebelli
Exists between and separates the cerebellum and brainstem from the occipital lobes of cerebrum
41
Describe the falx cerebelli
Vertical dural reflection that lies inferior to the tentorium cerebelli in the posterior part of the posterior cranial fossa. It partially separates the cerebellar hemispheres.
42
Describe the sellar diaphragm
Circular sheet of dura that is suspended between clinoid processes, forming a partial roof over the hypophyseal fossa (which is part of the sella turcica, covering the pituitary gland
43
What does the central sulcus divide?
separating the parietal lobe from the frontal lobe and the primary motor cortex from the primary somatosensory cortex
44
What does the sylvian/lateral fissure divide?
divides both the frontal lobe and parietal lobe above from the temporal lobe below
45
What does the precentral sulcus divide?
Lies parallel to, and in front of, the central sulcus. The precentral sulcus divides the inferior, middle and superior frontal gyri from the precentral gyrus
46
What does the postcentral sulcus divide?
The postcentral sulcus of the parietal lobe lies parallel to, and behind, the central sulcus in the human brain
47
What does the Parieto-occipital sulcus divide?
-
48
What does the Cingulate sulcus divide?
-
49
What does the Calcarine fissure divide?
-
50
What does the Precentral gyrus divide?
-
51
What does the Postcentral gyrus divide?
0
52
What does the Cingulate gyrus divide?
-