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46 Cards in this Set

  • Front
  • Back
How many facial bones are there?
14 facial bones
Vertebral artery joins to form this, which then divides into these:
Vertebral artery joins to form Basilar artery, which branches to form Posterior Cerebral Artery.
Internal carotid artery branches into these:
ICA branches into the bigger Middel Cerebral Artery and the smaller Anterior Cerebral Artery
What forms the circle of Willis:
On each side: ACA,Posterior communicating artery, PCA; On the front: anterior communication artery
Muscles off of styloid process:
Stylohyoid (CN VII), stylopharyngeus (CN IX), styloglossus (CN XII)
Constrictor muscle innervation:
Constrictors are innervated by the Vagus X
Cricothyroid innervation:
Cricothyroid is innervated by external branch of superior laryngeal (CN X)
What nerves pass through Jugular foramen? What's actually a spinal nerve?
CN IX, CN X, CN XI all pass through Jugular Foramen, CN XI is actually a spinal nerve
What artery and nerves cross the Foramen Lacerum?
Internal carotid, greater and lesser petrossal nerves.
Nerves that cross Cavernous sinus include:
CN III, CN IV, CN VI (medial), CN V1, CN V2
What's medial to the pterion? Jolt to pterion may causes what?
The middle meningeal artery is medial to pterion. A jalt may cause epidural or extradural hematoma.
Berry Aneurysm common sites, and consequences:
Berry Aneurysm commonly occurs at anterior Circle of Willis; can result in subarachnoid hematoma or oculomotor nerve compression.
4 layers of meninges, what doesn't divide the hemisphere? Where is CSF?
Periosteal meninges, inner meningeal layer (contiguous with spinal dura), arachonoid layer, pia mater; Periosteal doesn't divide the hemisphere. CSF is between arachonoid and pia.
Meningeal Dura innervation:
Most dura is innervated by meningeal branches of 3 branches of trigeminal; posterior is by first 3 cervical nerves and CN X.
What's dural venous sinuses made of? Between what layers do cerebral veins run?
Dural venous sinues are made of endothelial cells (lacking smooth muscle or valves); veins run in both subdural and subarachnoid space.
Break in cerebral vein may cause what?
Break of cerebral vein may cause subdural hematoma.
Sinus pattern in the back of skull:
Confluence of sinuses are made of: saggital sinus, occipital sinus, Transverse sigus and striaght sinus; Striagh sinus is formed by Great cerebral vein of Galen and inf sagital sinus. All exit via transverse to sigmoidal sinus, which drains thru Jugular foramen at Int Jugular.
Cavernous sinus receives blood from these and drains into these?
Cavernous sinus receives blood from sup/inf ophthalmic vein and sphenoparietal sinus & other cerebral veins; drains into sup/inf petrosal sinuses
Arachnoid granulation, location and function:
Arachnoid granulations are subarachnoid protrusions in sinues; they allow CSF to be filtered from subarachnoid space into the sinues.
Thrombosis of cavernous sinus: cause, symptoms and other potential consequences:
Thrombosis of cavernous sinus maybe caused by infection introduced through sup/inf ophthalmic veins; initially abdence may be lesioned (internal strabismus); then all ocular movements maybe lost, infection can be spread to other sinuses.
What structures transmit thru jugular foramen (3 nerves and 2 sinues)
CN IX, CN X, CN XI; Inf petrosal sinus, Sigmoid sinus to int jugular vein;
Face and scalp: sensory innervation, arterial supply, venous supply?
Face and Scalp: sensory by trigeminal; arteries:external carotid & ophthalmic arteries; veins: facial and retromandibular veins
Tumor in the parotid may have this symptom:
Tumor in parotid may cause facial nerve lesion to give problematic facial expression.
Parotid gland innervation:
Parotid is innervated by CN IX preganglionic (lesser petrosal) and from otic ganglion post ganglionic.
What sinuses drains into the superior meatus?
The posterior ethmoid cells drains into the superior meatus.
What drains into the middle meatus?
Frontal sinus, maxillary sinus, anterior and middle ethmoid cells drains into the middle meatus.
What drains into the inferior meatus?
The nasolacrimal duct drains into the inferior meatus.
Where does the sphenoidal sinus drains into?
The sphenoid sinus drains into sphenoethmoidal recess.
What SENSORY nerves innervate the mucosa of nasal cavity?
The olfactory CN I, the trigemina V1 (small part of lateral) and V2 (lateral).
What is the innervation for nasal mucous gland? What provide the blood supply to nasal cavity?
The facial nerve (CN VII) parasympatheticlly innervates the nasal glands. Maxillary, ophthalmic and facil arteries supply the nasal cavity and form the Kiesselbach's plexus.
Where is CN I and what does it synapse with? What's the consequence of damage in the adjacent area:
CN I is in the mucosa slighty protruding the cribriform above and synapsing with mitral cell; damage to cribriform may cause hyposmia, dysosmia or anosmia; olfractory bulb puncture may also cause CSF leak.
What nerves innervate at pterygopalatine ganglion? What nerves runs past it?
CN V2 pterygopalatine nerves runs past PTP ganglion; Of the CN VII nerve of the PTP canal, only parasympathetic branch synapse (nasal, oral, nasalpharynx and lacrimal glands), taste nerve from palate and deep petrosal nerve runs past.
What forms the nerve of pterygopalatine canal?
Greater petrosal (2 like Chorda tympani: taste from palate, parasymp to glands) + Deep petrosal (sympath to int carotid from sympathetic trunk)
Which nerve in general innervates all the "palate" muscles, what's the exception?
CN X Vagus supplies all "palate" muscles except for tensor palati (CN V).
Which nerve in general innervates all the "pharyngeal" muscles, what's the exception?
CN X Vagus supplies all "pharyngeal" muscles except for stylopharyngeal (CN IX's only muscle).
Which nerve in general innervates all the "glossal" muscles, what's the exception?
CN XII Hypoglossal supplies all "glossal" muscles, except for Palatoglossus (CN X).
Which nerve in general innervates all the "laryngeal" muscles, what's the exception?
Recurrent laryngeal nerve from CN X; except cricothyroid (External brch of superior laryngeal of X)
What muscles are innervated by CN V?
Muscles of mastication, tensor tympani, tensor veli palati, mylohyoid, ant diagastric
What innervates the geniohyoid? Digastric?
The C1 running with hypoglossal innervates the geniohyoid. Ant digastric is by Trigeminal, Pos digastric is by CN VII.
Levator palpebrae superioris innervation:
Skeletal part by CN III oculomotor; smooth part (superior tarsal) by sympathetic fibers (also innervates pupil dilator).
Tendinous ring give rise to what muscles?
the four rectuses origin from the tendinous ring.
What's the innervation of ciliary muscle and pupil constrictor?
Short ciliary nerve via CN III parasympathetic innervates the ciliary muscle and pupil constrictor?
How many layers of sheat surrounds optic nerve? Why? What's one possible disease as a result?
Optic nerve is an outgrowth of the CNS and hence is surrounded by meningel nerve, arachnoid and pia mater; Optic nerve is therefore sensitive to CNS demylinating disease.
Marcus Gunn pupil?
Shine normal eye, both pupil constrict, then swing to afferent affect eye, both pupils dilate (relative to previous constriction); shows CN II lesion.
The right optic nerve sense___;The righ optic tract sense__:
The right optic nerve senses vision from the right eye;The righ optic tract senses visions from the LEFT FIELD in BOTH eyes:
Which funcionality of CN III is first affected by lesion? What's symptom maybe presented from CN III lesion in general?
The parasympathetic function maybe affected, demonstrating mydriasis; CN III leision can give external strabismus in general.