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Envelopes of the brain

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A guide to understanding the envelopes of the brain

A guide to understanding the envelopes of the brain

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    Envelopes of the brain Envelopes of the brain Presentation Transcript

    • www.Examville.com Online practice tests, live classes, tutoring, study guides Q&A, premium content and more .
    •  
      • 3 Meninges:
      • A. Dura Mater
      • B. Arachnoid Mater
      • C. Pia Mater
      • Conventionally described as 2 layers
      • A. ENDOSTEAL LAYER
      • - is nothing more than the periosteum covering the inner surface of the skull bones
      • B. MENINGEAL LAYER
      • -dura mater proper
      • - a dense strong fibrous membrane covering the brain and is continuous thru the foramen magnum with the dura of the spinal cord
      • - endosteal and meningeal layers closely united except along certain lines where they separate to form venous sinuses
      • - the meningeal layer sends inward four septa which divides the cranial cavity into freely communicating spaces that lodge the subdivisions of the brain
      • - the function of these septa is to restrict the displacement of the brain associated with acceleration and deceleration when the head is moved
      • Defined as:
      • -sickle shaped fold of dura mater that lies in the midline between the two cerebral hemispheres
      • -Crescent shaped fold of dura mater that roofs over the posterior cranial fossa. Covers the upper surface of the Cerebellum and supports the occipital lobes of the cerebral hemispheres.
      • - The Falx Cerebelli are attached to the upper and lower surfaces of the tentorium respectively. The straight sinus runs along its attachment to the falx cerebri, the superior petrosal sinus along its attachment to the petros bone and the transverse sinus along its attachment to the occipital bone.
      • Is a small, circular fold of dura mater that forms the roof for the sella turcica. A small opening in its center allows passage of the stalk of the hypophysis cerebri.
      • Branches of the trigeminal, vagus, and the first three cervical spinal nerves and branches from the sympathetic trunk pass to the dura.
      • Numerous arteries supply the dura mater from the:
      • A. Internal Carotid –surrounded by its sympathetic nerve plexus; runs forward through the sinus
      • B. Maxillary –runs forward in the lateral wall of the sinus
      • C. Ascending Pharyngeal
      • D. Occipital and Vertebral Arteries
      • Note: From the clinical standpoint the most important is the middle meningeal artery, which can be damaged in head injuries
      • MAXILLARY ARTERY
      • TEMPORAL BONE
      MIDDLE MENINGEAL ARTERY FORAMEN SPINOSUM
      • Lie in the endosteal layer of dura
      • The middle meningeal vein follows the branches of the middle meningeal artery and drains into the pterygoid venous plexus or the sphenoparietal sinus.
      • The veins lie lateral to the arteries.
      • Situated between the layers of the dura mater.
      • Main Function: receive blood from the brain and the CSF from the subarachnoid space through the Arachnoid Villi.
      • Emissary Veins- also valveless, connect the dural venous sinuses with the diploic veins of the skull and with the veins of the skull
      • Superior Sagittal Sinus – occupies the upper fixed border of the falx cerebri; begins anteriorly at the foramen cecum;continuous with corresponding transverse sinus
      • Inferior Sagittal Sinus – occupies the free lower margin of the falx cerebri
      • Straight Sinus – occupies the line of junction of the falx cerebri with the tentorium cerebelli (formed from the union of the inferior sagittal sinus with the great cerebral vein; ends by turning to the left to from the transverse sinus)
      • Transverse Sinus – Paired structures and they begin at the internal occipital protruberance (receive the superior petrosal sinuses, inferior cerebral and cerebellar veins and the diploic veins). End by turning downward as the sigmoid sinuses.
      • Sigmoid Sinus – Direct continuation of the transverse sinus. Each sinus trurns downward and medially and grooves the mastoid part of the temporal bone. (Superior Bulb of the Internal Jugular Vein)
      • Occipital Sinus- is a small sinus occupying t he attached margin of the falx cerebelli and commences near the foramen magnum where it communicated with the vertebral vein and drains into the confluence of sinuses.
      • Cavernous Sinus- middle cranial fossa on each side of the body of the sphenoid bone
      • Superior and Inferior Petrosal Sinus- communicate with each other by means of the anterior and posterior intercavernous sinuses which run in the diaphragma sellae anterior and posterior to the stalk of the hypophysis cerebri.
    •  
      • Is a delicate, impermeable membrane covering the brain and lying between the pia mater and the dura mater externally.
      • Separated from the dura by a potential space the SUBDURAL SPACE.
      • Separated from the pia by the SUBARACHNOID SPACE.
      • Outer and Inner covered by flattened mesothelial cells.
      • Cisterna Cerebellomedularis – inf. Surface of cerebellum and roof of fourth ventricle
      • Cisterna Interpeduncularis – 2 cerebral peduncles
      • Arachnoid Villi – most numerous along the sup. Sagittal sinus (ARACHNOID GRANULATIONS)
      • CSF- produced by the choroid plexuses within the lateral third and fourth ventricles of the brain
    •  
      • Is a vascular membrane covered by flattened mesothelial cells. It closely invests the brain, covering the gyri and descending into the deepest sulci.
      • The pia mater forms the tela choroidea of the roof of the third and fourth ventricles of the brain, and it fuses with the ependyma to form the choroid plexus in the lateral, third, and fourth ventricles of the brain.
      • Emissary veins which are valveless, connect the dural venous sinuses with the diploic veins of the skull and with the veins of the scalp.
      • Coronal Section through the body of the sphenoid bone
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