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65 Cards in this Set
- Front
- Back
medulla becomes the spinal cord at ___ |
cervicomedullary junction
foramen magnum |
|
cerebral arterial sinus is present in the ___ space |
subarachnoid
|
|
cerebral v.s run in the ___ space |
subarachnoid
bridging subdural sinuses |
|
Virchow-Robin space is a ______ extension of ___ which occurs at ___ |
inward
subarachnoid space where vessels penetrate brain parenchyma |
|
___ lobe rests on superior aspect of tentorium |
temporal |
|
___ sits between the 2 slopes of tentorium |
midbrain
|
|
Opening through which the midbrain passes: |
tentorial incisura (or notch)
|
|
Above the tentorial incisura is an opening for ___ |
great vein of Galen
|
|
After entering ___, the great vein of Galen joins the ___ to make the ___. |
falx
inferior sagittal sinus straight sinus |
|
Straight sinus joins with the ___ to make the ___, aka the ___. |
superior sagittal sinus
confluence of sinues torcular Herophili |
|
The confluence of sinuses has ___ for inputs |
straight sinus |
|
From choroid plexus of lateral ventricle: CSF flows through ___ to the ___, |
foramina of Monro
3rd ventricle cerebral (Silvian) aqueduct 4th ventricle foramina of Magendie and Luschka subarachnoid |
|
CSF in subarachnoid space flows from ___ inferiorly to ___
and then superiorly to ___ before returning to venous circulation via ___ |
cisterna magna
lumbar cistern prepontine cistern perimesencephalic cisterns arachnoid granulations |
|
3 perimesencephalic cisterns
|
interpeduncular
ambient quadrigeminal |
|
interpeduncular fossa contains CN ___
|
3
|
|
prepontine cistern contains ___ (2) |
basilar artery |
|
Arachnoid villi go through ___ |
meningeal dura
|
|
3 kinds of herniation
|
subfalcine
transtentorial tonsillar |
|
2 kinds of transtentorial herniation
|
central
uncal |
|
uncal herniation means ___
|
inferomedial compression of medial temporal lobe into tentorial incisura
|
|
uncal herniation pw ___ (3) |
blown pupil
hemiplagia coma PCA stroke |
|
in uncal herniation, blown pupil is ___lateral |
ipsi
ipsi or contra |
|
central herniation pw ___ if mild |
CN6 palsy
tonsillar herniation |
|
tonsillar herniation pw ___ (3) |
respiratory arrest
BP instability death |
|
subfalcine herniation pw ___
and sometimes with ___ |
nothing (usually)
ACA stroke |
|
Symptomatic acute subdural hemorrhage requires ___.
|
high impact velocity
traumatic subarachnoid hemorrhage |
|
T/F: |
false: usually worse
|
|
SDH begins to liquefy after ___
|
1--2 weeks
|
|
Old SDH with intermittent bleeding appears as ___ on CT, occassionally with ___ |
mixed density
HCT effect |
|
HCT effect means
|
gradient with hyperdensity at bottom
|
|
___% of SAH is from ruptured aneurysm
|
75--80
|
|
circle of willis branch points most prone to berry aneurysms IDOOF
|
AComm (30% of all aneurysms)
PComm (25%) MCA (20%) |
|
___ end of PComm is the one prone to aneurysm
this pw ___ |
ICA
painful CN3 palsy |
|
cerebral contusion happens where ___, especially ___ (2)
|
gyri hit bony ridges of skull
frontal pole temporal pole |
|
pattern common with cerebral contusion
|
coup and contrecoup
|
|
contusion is associated with ___ (3)
|
SDH
SAH intraparenchymal hemorrhage (IPH) |
|
3 causes of IPH
|
HTN
amyloid angiopathy vascular malformation |
|
2 histopath changes in hypertensive IPH
|
lipohyalinosis
Charcot-Bouchard micoraneurysm |
|
amyloid angiopathy is associated with ___ IPH
|
lobar
|
|
4 kinds of vascular malformations
of these, ___ are prone to hemorrhage |
AVM
cavernoma capillary telangiectasia developmental venous anomalies AVM cavernoma |
|
AVMs are ___
|
tangle of abnormal vessels with direct connections between A + V
|
|
cavernomas are ___ with ___
|
dilated vascular cavities
1 endothelial layer |
|
T/F: cavernomas are visible on angio
|
false
|
|
cavernomas are dxed with ___
|
MRI
|
|
cerebral aqueduct flows through ___
|
midbrain
|
|
lateral walls of 3rd ventricle are made by ___ superiorly
and inferiorly by ___ floor of 3rd ventricle is made by ___ roof of 3rd ventricle is made by ___ |
thalami
hypothalamus hypothalamus fornices |
|
floor of foramina of Monro is made by ___
anterior wall of a foramen of Monro is made by ___ posterior wall of a foramen of Monro is made by ___ |
anterior commisure
column of fornix anterior thalamus |
|
roof of anterior horn of lateral ventricle is made by ___
medial wall is made by ___ lateral wall is made by ___ |
corpus callosum
septum pellucidum caudate nucleus |
|
septum pellucidum extends from ___ superiorly to ___ inferiorly
|
corpus callosum
fornix |
|
floor of temporal horn of lateral ventricle is made by ___
|
hippocampus
|
|
only the ___ dura extends inferiorly to the foramen magnum
|
meningeal
|
|
choroid plexus is present in ___ of lateral ventricle
|
body
atrium temporal horn |
|
choroid plexus is perfused by ___
|
anterior choroidal a.
medial posterior choroidal a. lateral posterior choroidal a. |
|
anterior choroidal a. perfuses choroid plexus of ___
|
temporal horn
|
|
medial posterior choroidal a. perfuses choroid plexus of ___
|
3rd ventricle
anterior body |
|
lateral posterior choroidal a. perfuses choroid plexus of ___
|
atrium
posterior body |
|
choroidal a.s access intraventricular space of lateral ventricles via ___
|
choroidal fissure
|
|
choroidal fissure is made of ___
|
pia-lined invaginated ependyma
|
|
choroidal fissure is squeezed between ___
it is shaped like a ___ it is an interface between ___ and ___ |
thalamus
fimbria and body of fornix C subarachnoid space intraventricular space |
|
medial posterior choroidal a. runs through a potential space called ___ formed by a structure called ___
|
velum interpositum
tela choroidea |
|
tela choroidea is formed by ___
|
pia-lined ependyma which invaginates anteriorly under the body of the fornix
|
|
velum interpositum is continuous posteriorly with ___
|
transverse cerebral fissure
|
|
in addition to the medial posterior choroidal a., tela choroidea houses ___
|
internal cerebral veins
|
|
lateral posterior choroidal a. accesses chroidal fissure via ___
|
transverse cerebral fissure
|
|
anterior choroidal a. access choroidal fissure via ___
|
ambient cistern
|