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100 Cards in this Set

  • Front
  • Back

Two parts of Skull

Cranium (vault, base)


Facial skeleton

Bones of the Cranium

Frontal, parietal, occipital, temporal, sphenoid, ethmoid

Sutures of the skull

Coronal, sagittal, lambdoid

Bregma

where the coronal and sagittal sutures meet

Lambda

where the sagittal and lambdoid sutures meet

Anterior (frontal) fontanelle

fused at 7-18 months to form bregma

Posterior (occipital) fontanelle

Fused at 2-4 months to form lambda

Cranial Fossae (x3)

Anterior (holds frontal lobe), middle (holds temporal lobe), posterior (holds cerebellum)

Anterior cranial fossa

FOrmed by the cribriform plate and the orbital plate of frontal bone

Middle cranial fossa

Contains pituitary fossa (sella turcica), middle meningeal arteries

Posterior cranial fossa

Contains foramen magnum

Nerve of olfactory foramina

CNI

Nerve of Optic foramen

CNII

Nerve of foramen rotundum

CNV2

Nerve of foramen ovale

CNV3

Nerve of internal auditory meatus

CNVII, CNVIII

Nerve of jugular foramen

CNIX, X< XI

CNS contains

Brain and spinal cord

PNS contains

Cranial and spinal nerves

Forebrain contains

Cerebral hemispheres (cerebrum) - 83% of brain volume


Diencephalon

Brainstem contains

-Midbrain


-Pons


-Medulla

Hindbrain contains

-Pons


-Medulla
-Cerebellum

Orientation: Brainstem

Diagonal axis


- Superior (rostal)


- Anterior (ventral)


- Inferior (caudal)


- Posterior (dorsal)

Orientation: Cerebrum

Flat horizontal axis


- Anterior (rostal)


- Superior (Dorsal)


- Posterior (caudal)


- Inferior (Ventral)

Sulci

valleys

Gyri

hill tops

Transverse fissure

Sperates cerebellum from cerebrum

Parieto-occipital sulcus

Runs between parietal and occipital lobes

Central sulcus

Runs between parietal and frontal lobes

Lateral sulcus

Runs between temporal lobe and frontal and parietal lobes

Median longitudinal fissure

Seperates the hemispheres

5 Lobes of the Cerebrum

Frontal, Parietal, Temporal, Occipital, Insula

Insula

Lobe of the cerebrum


- Is buried deep within the lateral sulcus and forms part of its floor


- Is covered by portions of the temporal, parietal and frontal lobes

Corpus collosum (3 parts)

Joins the left and right hemispheres


- Rostrum (anterior and inferior)


- Genu (bend)


- Body (long part)


-Splenium (posterior)

Septum pellucidum

Joins corpus collosum and fornix

Diencephalon contains

- thalamus


-hypothalamus


-pituitary gland


-pineal gland

Commisural fibres

Communicate between hemispheres


eg. corpus callosum

Projection fibres

Brain to spinal cord


eg. internal capsule

Association fibres

Within hemisphere

Basal Nuclei (Ganglia) Structure

- Caudate nucleus (comma shaped)


- Putamen (pod)


- Globus pallidus (pale globe)

Lentiform nucleus: Structure

putamen + globus pallidus

Corpus striatum: Structure

Lentiform nucleus + caudate nucleus

Striatum: Structure

putamen + caudate nucleus

Pallidum

Globus pallidus

Basal ganglia are functionally associated with...

the subthalamic nuclei and substantia nigra (involved in motor control)

Internal Capsule

Fibres between the lentiform nucleus and thalamus/caudate nucleus

Internal Capsule: Anterior Limb

Between head of caudate nucleus and lentiform nucleus

Internal Capsule: Posterior Limb

Between thalamus and lentiform nucleus


Common site for stroke

Middle Meningeal Arteries

From external carotid artery


Supply to dura and cranium


Injury can cause epidural (extradural) haematoma

Falx cerebri

Partition between two cerebral hemispheres


- Lies in median sagittal plane


- Partially separates cerebral hemispheres


- Attaches to crista galli and tentorium cerebelli

Tentorium cerebelli

Partition between cerebellum and cerebrum


-More horizontal plane


-Separates cerebrum from cerebellum



Falx cerebelli

Partition between two cerebellar hemispheres


- Runs along vermis


- Separates two cerebellar hemispheres

Cisterns

Enlarged subarachnoid space

Spinal Meninges

- No dural periosteal layer - meningeal layer = dual sheath


- Epidural space; between the spinal dural sheath and vertebral bony wall, containing fat tissue and venous plexus


- Lumbar cistern: lumbar puncture for CSF sampling (below L2)


- Strong pia mater: filum terminale, denticulate ligaments

Blood supply to the brain

Dual arterial supply to the brain


-Internal carotid artery


-Vertebral artery



Internal carotid arteries: splits into...

Middle cerebral arteries


Anterior cerebral arteries



Vertebral arteries....

Join to form Basilar artery



Basilar artery

SPlits to form posterior cerebral arteries

Middle cerebral arteries

-Joined to posterial cerebral arteries via posterior communicating arteries


- Supply almost all of the lateral surface of the cerebral hemispheres

Anterior cerebral arteries

Joined by the anterior communicating artery


Supply the medial aspect of the cerebral hemispheres (anterior 2/3 only)

Posterial cerebral arteries

Joined to middle cerebral arteries via posterior communicating arteries


Supply the medial aspect of the hemisphere (posterior 1/3), occipital lobes, inferior temporal lobe regions, brainstem, 2rd and lateral ventricles

Stroke: Occlusion of ACA

-contralateral hemiplegia (one artery) or bilateral paralysis (two arteries) & impaired sensation


- greatest in the lower limb

Stroke: Occlusion of MCA

- a severe contralateral hemiplegia and impaired sensation


-most marked in the upper limb and face


-severe aphasia (if dominant hemisphere is affected)

Stroke: Occlusion of PCA

-contralateral homonymous hemianopsia

Cavernous sinus encloses....

-internal carotid artery


-cranial nerves 3,4,5 (two divisions) and 6

Superior petrosal sinus drains

into transverse sinus

Inferior petrosal sinus drains

into internal jugular vein

Interventricular foramen connects

lateral ventricles to 3rd ventricle

Cerebral aqueduct connects

3rd and 4th ventricles

Two lateral apertures of 4th ventricle connect

4th ventricle with subarachnoid space

One medial aperture of 4th ventricle connect

4th ventricle with subarachnoid space

Cranial Nerves: I

I. Olfactory

Cranial Nerves: II

II. Optic


Cranial Nerves: III

III. Oculomotor

Cranial Nerves: IV

IV. Trochlear

Cranial Nerves: V

V. Trigeminal

Cranial Nerves: VI

VI. Abducens

Cranial Nerves: VII

VII. Facial

Cranial Nerves: VIII

VIII. Vestibulococlear

Cranial Nerves: IX

IX. Glossopharyngeal

Cranial Nerves: X

X. Vagus

Cranial Nerves: XI

XI. Accessory

Cranial Nerves: XII

XII. Hypoglossal

Midbrain: Cerebral Peduncles

- Consist of fibres descending from the cortex to the brainstem and spinal cord


-Help to anchor the cerebrum to the brain stem

Midbrain: Superior colliculi

-Detecting movement of objects in the visual field


-Coordinating head and eye movements

Midbrain: Inferior colliculi

- Act in reflexive responses to sound (eg. startle reflex)

Midbrain: Substantia nigra

- Located deep to the cerebral peduncle


-Contains melanin pigment (precursor of dopamine)


-Functionally linked to the basal nuclei



Midbrain: Red nucleus

Rich blood supply


Iron pigment


Relay nucleus in some descending motor pathways

Midbrain: Cerebral aqueduct

-Drainage of ventricular system

Midbrain: Cranial Nerves

Oculomotor (III)


Trochlear (IV)

Pons: Cranial Nerves

Trigminal (V)


Abducens (VI)


Facial (VII)


Vestibulocochlear (VIII)

Pons: Pneumotaxic Centre

Respiratory centre, together with medullary centre

Medulla: Pyramids

Formed by the pyramidal (corticospinal) tracts


Pyramidal Decussation - fibres cross over to the opposite side at the foramen magnum level

Medulla: Cranial Nerves

Glossopharyngeal (IX)


Vagus (X)


Accessory (XI)


Hypoglossal (XII)

Medulla: Cardiovascular Centre

Cardiac centre - adjusts rate and force of heart beat to meet the body's needs


Vasomotor centre - adjusts blood vessel diameter to regulate blood pressure

Medulla: Respiratory Centre

Control rate and depth of breathing (together with pons centre)

Medulla: Other reflex centres

Control activities such as coughing, sneezing, gagging, swallowing, vomiting, sweating etc

Spinocerebellum

Vermis + Intermediate Hemisphere


- Posture and movement of the trunk and limbs

Cerebrocerebellum

Lateral hemispheres


- Planning movement

Vestibulocerebellum (floccolondular lobe)

2x flocculus + nodulus


-Balance, head and eye movements