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136 Cards in this Set

  • Front
  • Back
5 layers of the scalp?
skin, connective tissue, epicranial aponeurosis, loose connective tissue, pericranium
the most superficial layer of the scalp?
skin
thick, dense layer of the scalp containing blood vessels and cutaneous nn.?
connective tissue
connects the two bellies of the occipitofrontalis m.?
epicranial aponeurosis (galea aponeurotica)
makes up the scalp proper?
skin, connective tissue, epicranial aponeurosis
allows free movement of scalp proper?
loose connective tissue
danger space of scalp?
loose connective tissue
thin connective tissue layer closely attached to calvaria?
pericranium (periosteum)
n. that supplies cutaneous innervation anterior to the ear?
branches of Trigeminal CN V
supraorbital n. V1 supplies cutaneous innervation where?
in front of ear
Supratrochlear n. V1 supplies cutaneous innervation where?
in front of the ear
zygomaticotemporal n. V2 supplies cutaneous innervation where?
in front of the ear
auriculotemporal n. V3 suppplies cutaneous innervation where?
in front of the ear
n. supplying cutaneous innervation to area inferior to ear?
great auricular n. (ventral rami of C2 and C3)
nn. supplying cutaneous innervation to area behind ear?
greater occipital n. (dorsal ramus of C2), lesser occipital n. (ventral ramus of C2)
greater occipital n. supplies cutaneous innervation where?
behind ear
lesser occipital n. supplies cutaneous innervation where?
behind ear
n. supplying cutaneous innervation to scalp on lower back of head?
3rd occipital n. (dorsal ramus of C3)
Which cervical n. has no cutaneous fibers, only motor?
C1
Which a. supplies blood to anterior portion of scalp?
branches of ophthalmic a. (Internal carotid a.)
What are the branches of the ophthalmic a.?
supraorbital and supratrochlear aa.
supraorbital a. a branch of what?
ophthalmic a.
supratrochlear a. a branch of what?
ophthalmic a.
Which a. supplies blood to posterior portion of scalp?
branches of the external carotid a.: superficial temporal a., posterior auricular a., occipital a.
superficial temporal a. supplies blood where?
posterior portion of scalp
posterior auricular a. supplies blood where?
posterior portion of scalp
occipital a. supplies blood where?
posterior portion of scalp
supraorbital a. supplies blood where?
anterior portion of scalp
supratrochlear a. supplies blood where?
anterior portion of scalp
Which vv. from the scalp innervate the skull to drain into the dural sinuses?
emissary vv.
loose connective tissue layer allows accumulation of pus and blood causing what?
scalp infection
scalp infection can spread into intracranial cavity via?
emissary vv.
most common type head injury requiring surgical care
scalp laceration
What causes a scalp laceration to bleed profusely?
abundant arterial anastomoses in the scalp region
encloses a fluid-filled cavity and protects the brain
meninges
meningeal layers and spaces (exterior to interior)
epidural space, dura mater, subdural space, arachnoid mater, subarachnoid space, pia mater
bony structure of the head
calvaria
two layers of dura mater
periosteal (endosteal) and meningeal
lines internal surface of calvaria
periosteal (endosteal) layer of dura mater
does not continue as dura mater of spinal cord but instead folds over to form pericranium of scalp
periosteal (endosteal) layer of dura mater
external layer of calvaria
pericranium of scalp
separates from other layer of dura mater to form dural sinuses and septum
meningeal layer of dura mater
Dural sinuses and septa between compartments of the brain are formed from the separation of what two layers?
periosteal (endosteal) and meningeal layers of dura mater
supplies blood to dura mater
middle meningeal a. (maxillary a.-external carotid a.)
middle meningeal a. enters cranial cavity via?
foramen spinosum
diverticula of arachnoid membrane that project into the dural sinuses to return CSF to venous drainage
arachnoid granulations
calvarial depressions from arachnoid granulations
faveola granulae
closely adheres to brain
pia mater
highly vascularized by a network of fine blood vessels
pia mater
invades into sulci of brain
pia mater
vascular trauma where blood is trapped between the dura and inner table of the calvaria
epidural (extradural) hematoma
hematoma caused by tearing of arterial vessels, specifically middle meningeal a.
epidural (extradural) hematoma
hematoma causing loss of consciousness followed by improvement (lucid interval), then rapid deterioration
epidural (extradural) hematoma
vascular trauma where blood is trapped between the dura and the arachnoid and is very diffuse
subdural hematoma
hematoma generally caused by tearing of venous structure
subdural hematoma
rupture of intracranial vessels where blood flows through the grooves of the brain
subarachnoid hemorrhage
"worst headache of my life", stiff neck, loss of consciousness
subarachnoid hemorrhage
dural sheath that lies between the 2 cerebral hemispheres
falx cerebri (cerebral falx)
dural sheath separating the cerebral hemispheres from the cerebellum
tentorium cerebelli (cerebellar tentorium)
dural sheath separating the cerebellar hemispheres from the cerebellum
falx cerebelli (cerebellar falx)
dural sheath that is the roof of the hypophyseal (pituitary) fossa
diaphragma sellae (sellar diaphragm)
infundibulum of pituitary gland runs through this sheath
diaphragma sellae
falci made of which layer?
meningeal layer of dura mater
sinus making up convex (superior) margin of falx cerebri
superior sagittal sinus
sinus making up free (inferior) margin of falx cerebri
inferior sagittal sinus
sinus making up attached margin (posteriorly) of falx cerebelli
occipital sinus
sinus at junction of falx cerebri and tentorium cerebelli
straight sinus
sinus on attached margin (laterally) of tentorium cerebelli
transverse sinus
S-shaped continuation of transverse sinus that empties into the internal jugular v.
sigmoid sinus
junction of superior sagittal, transverse (left and right), straight and occipital sinuses
confluence of sinuses
located on the lateral edge of sella turcica of the sphenoid bone
cavernous sinus
sinus communicating w/ ophthalmic vv.
cavernous sinus
contained in cavernous sinus?
Oculomotor CN III, Trochlear CN IV, Ophthalmic V1, Maxillary V2, Abducens VI, internal carotid a., sympathetic plexus
located on either side of pituitary infundibulum?
cavernous sinus
Oculomotor CN III runs through which sinus
cavernous sinus
Trochlear CN IV runs through which sinus
cavernous sinus
Ophthalmic V1 runs through which sinus
cavernous sinus
Maxillary V2 runs through which sinus
cavernous sinus
Abducens CN VI runs through which sinus
cavernous sinus
internal carotid a. runs through which sinus
cavernous sinus
sympathetic plexus runs through which sinus
cavernous sinus
sinus joining great cerebral v. of Galen
inferior sagittal sinus
empties into straight sinus
great cerebral v. of Galen
anterior and posterior bands connecting the cavernous sinuses
intercavernous sinuses
connects posterosuperior portion of cavernous sinus to transverse sinus
superior petrosal sinus
connects posteroinferior portion of cavernous sinus to internal jugular v.
inferior petrosal sinus
clot in cavernous sinus compressing structures contained in sinus
cavernous sinus thrombosis
what commonly invades cavernous sinus causing problems
pituitary tumor
connection between the facial vv. and cavernous sinuses, due to superior and inferior ophthalmic vv., that provides a route for the intracranial spread of facial infections
"danger area" of the face
cribriform plate in which fossa?
anterior fossa
Olfactory CN I exits cranial cavity through?
cribriform plate
optic canal in which fossa?
middle fossa
Optic CN II exits cranial cavity through?
optic canal
superior orbital fissure in which fossa?
middle fossa
What exits cranial cavity through superior orbital fissure?
Oculomotor CN III, Trochlear CN IV, Ophthalmic V1, Abducens CN VI
Oculomotor CN III exits cranial cavity through?
superior orbital fissure
Trochlear CN IV exits cranial cavity through?
superior orbital fissure
Ophthalmic V1 exits cranial cavity through?
superior orbital fissure
Abducens CN VI exits cranial cavity through?
superior orbital fissure
foramen rotundum in what fossa?
middle fossa
What exits cranial cavity through foramen rotundum?
Maxillary V2
foramen ovale in what fossa?
middle fossa
What exits cranial cavity through foramen ovale?
Mandibular V3
internal acoustic meatus in what fossa?
posterior
What exits cranial cavity through internal acoustic meatus?
Facial CN VII, Vestibulocochlear CN VIII
Facial CN VII exits cranial cavity through?
internal acoustic meatus
Vestibulocochlear CN VIII exits cranial cavity through?
internal acoustic meatus
jugular foramen in what fossa?
posterior fossa
What exits cranial cavity through jugular foramen?
Glossopharyngeal CN IX, Vagus CN X, Spinal Accessory CN X!
Glossopharyngeal CN IX exits cranial cavity via?
jugular foramen
Vagus CN X exits cranial cavity via?
jugular foramen
Spinal Accessory XI exits cranial cavity via?
jugular foramen
hypoglossal canal in what fossa?
posterior fossa
Hypoglossal CN XII exits cranial cavity via?
hypoglossal canal
enters cranial cavity via foramen magnum?
Spinal Accessory CN XI
anterior blood supply to the brain?
internal carotid a.
branches of internal carotid a. in brain?
anterior cerebral and middle cerebral aa.
anterior cerebral a. a branch of?
internal carotid a.
middle cerebral a. a branch of?
internal carotid a.
posterior blood supply to the brain?
vertebral and basilar aa.
which aa. form basilar a.?
vertebral aa.
posterior inferior cerebellar a. a branch of?
vertebral a.
branches of basilar a.?
anterior inferior cerebellar a., superior cerebellar a., posterior cerebral a.
anterior inferior cerebellar a. a branch of?
basilar a.
superior cerebellar a. a branch of?
basilar a.
posterior cerebral a. a branch of?
basilar a.
anastomoses of anterior (internal carotid) and posterior (subclavian) systems and bilateral (left and right) anastomoses
circle of Willis
n. located between posterior cerebral and superior cerebellar aa.
Oculomotor CN III
no sutures necessary when scalp wound not deep in this structure
epicranial aponeurosis
Deep scalp wounds gape widely b/c of pull of what mm.?
frontal and occipital bellies of occipitofrontalis m.
scalp infection cannot pass to neck b/c of what m. attaching to occipital bone and mastoid processes of temporal bone?
occipitofrontalis m.
Scalp infection cannot spread laterally past what structures b/c of continuous epicranial aponeurosis w/ temporal fascia in the area?
zygomatic arches
extravasation of blood into subcutaneous tissue and skin
ecchymosis
black eyes may develop from injury to this?
scalp or forehead
most common type of head trauma requiring surgical care
scalp laceration
spasms of which m. increase gaping in a scalp laceration?
occipitofrontalis m.