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57 Cards in this Set
- Front
- Back
4 extrinsic tongue muscles
-innervations |
Palatoglossus - CN X
Genioglossus = XII Hyoglossus - XII Syloglossus - CN XII |
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Muscles innervated by Hypoglossal nerve:
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-All intrinsic tongue mm
-All extrinsic except palatoglossus |
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Palatoglossus nerve
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CN X
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Muscle innervated by CN IX:
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Stylopharyngeus
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"STYLOID" muscles and nerves:
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-Stylohyoid - CN VII
-Stylopharyngeus - CN IX (pharn) -Styloglossus - CN XII (glossal) |
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Tongue - Ant 2/3
-Taste -Sensory -Motor |
Taste = VII (chorda tympani)
Sensory = V3 Motor = XII |
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Tongue - Post 1/3
-Taste -Sensory -Motor |
Taste = IX
Sensory = IX & X (superior laryngeal) Motor = XII and X (palatoglossus) |
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Route of Ophthalmic branch - Lacrimal:
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Between lateral rectus muscle and orbit roof
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Route of Ophthalmic branch - Frontal branch - Supratochlear:
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Deep to periorbita
Superficial to levator palpebrae |
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Route of Ophthalmic branch - Frontal branch - Supraorbital:
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Through supraorbital notch
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Route of Ophthalmic branch - Nasociliary:
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-Within muscular cone and tendinous ring of rectus muscles
-Crosses optic n. w/ Opthalmic artery |
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Dura mater - 2 layers:
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1. endosteal
2. meningeal |
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Dura mater - 4 folds:
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-Falx cerebri
-Falx cerebelli -Tentorium cerebelli -Tentorium sellae (diaphragma) |
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What pierces Diaphragma sellae?
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Pituitary stalk
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Nerves supplying dura mater:
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CN V
CN X Cervical nn via XII |
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Arterial supply to Dura mater:
Venous draingage: |
Middle meningeal artery
Middle meningeal vein |
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7 Venous sinouses:
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1. Superior sagittal
2. Inferior sagittal 3. Straight sinus 4. Transverse sinus 5. Sigmoid sinus 6. Cavernous sinus 7. Petrosals - sup/inf |
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Superior sagittal drains into
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confluence
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Inferior sagittal joins
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Great Cerebral Vein (of Galen)
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Great cerebral vein forms
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Straight sinus
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Straight sinus - attachment of:
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-Falx cerebri
-Tentorium cerebelli |
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Sigmoid sinuses drain into
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IJV
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What passes through the cavernous sinuses?
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-CNs 3, 4, V1, V2, 6
-Internal carotid artery |
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Cavernous sinuses drain into:
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Sup/Inf Petrosal sinuses
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Superior Petrosal sinus drains into:
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Sigmoid sinus
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Inferior Petrosal sinus drains into:
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IJV
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Vascular supply to Arachnoid mater:
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nothing - it's avascular
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What is the purpose of arachnoid granulations?
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Project into venous sinuses and reabsorb CSF
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Pia mater
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Faithfully follows contour of the brain
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4 types of intracranial hemorrhages:
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1. Epidural
2. Subdural 3. Subarachnoid 4. Cerebral |
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Vessels associated with Epidural hemorrhage:
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Meningeal aa or vein
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Vessels associated with Subdural hemorrhage:
-Between what 2 layers? |
Superior cerebral
-Between Dura/arachnoid |
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Vessels associated with Subarachnoid hemorrhage:
-Between what 2 layers? |
Cerebral arterial circle (of
Willis) -Between subArachnoid/Pia |
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Vessels associated with Cerebral hemorrhage:
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Intracerebral
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Site of CSF secretion:
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Choroid plexus
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First 4 steps - CSF circulation:
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-Lateral Ventricles (R/L)
-3rd ventricle via intraventricular foramina -Cerebral aqueduct (at bottom of 3rd ventricle -4th Ventricle |
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How CSF exits the 4th ventricle:
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Via 3 foramina:
-Foramen of Matradi - median -Lateral Foramina of Lushka (2) |
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Where does CSF flow into from exiting the 4th ventricle?
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Subarachnoid space and cisterns
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How does CSF exit the subarachnoid space?
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Via arachnoid granulations - they project up into venous sinuses and allow CSF reabsptn.
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What is Hydrocephalus?
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Increased CSF volume which causes ventricular dilation.
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What is a common traumatic cause of Hydrocephaly?
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Fracture in the occipital region
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3 things cause Hydrocephaly (increased CSF)
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1. Increased production
2. Blocked circulation 3. Decreased reabsorption |
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2 Types of Hydrocephaly:
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-Communicating
-Noncommunicating |
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What is noncommunicating hydrocephaly?
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Blocked circulation due to obstructed ventrical system.
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Where is usual site of obstruction in noncommunicating hydrocephaly?
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Cerebral aqueduct (btwn 3rd/4th ventricles)
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What causes Communicating Hydrocephaly?
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CSF can't get from subarachnoid space into venous sinuses.
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2 main arteries supply Circle of Willis:
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1. ICA
2. Vertebral aa. |
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Vertebral aa's branch from ___ and enter the skull via:
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Subclavian a. via Foramen Magnum and Transverse foramina (cervical vertebrae)
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How does ICA enter the skull?
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Via carotid canal (petrous temporal bone) through upper part of Foramen Lacerum.
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Where does ICA go after entering the skull via Foramen lacerum?
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Cavernous sinus -> penetrates dura -> subarachnoid space -> branches
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What are the most important branches of ICA in the brain?
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-Ophthalmic a.
-Anterior cerebral aa. -Middle cerebral aa. -Hypothalamic/pituitary branches |
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What cranial nerve will be affected by an aneurism in AICA?
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Abducent CN VI
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What typically causes CVA?
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(CVA=cerebrovasc accidents)
-Ischemia -Infarct |
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From which can brain recover?
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Ischemia - infarct results in tissue death.
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What is the difference between ischemia and infarct?
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Ischemia = decr. blood flow
Infarct = ceased blood flow |
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What is the back border of the anterior cranial fossa?
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LESSER sphenoid wing - not ant clinoid processes!
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What is crista galli's function?
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Attachment of Falx Cerebri
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