SlideShare a Scribd company logo
1 of 14
NUR IZZATUL NAJWA BINTI SHARUPUDDIN
082015100036
ATTHE END OFTHE SEMINAR, STUDENTS
SHOULD BE ABLETO :
 List and expain the spinal meninges
 Know the epidural space and its importance
 Upper end – medulla
oblongata
 Lower end – first
lumbar vertebra
 45cm
 Conus medullaris (L1)
 Filum terminale
(20cm)
 Specialized membranes isolate spinal cord
from surroundings
 Functions :
 protect spinal cord
 carry blood supply
 continuous with cranial meninges
Figure 13–3
Dura mater:
outer layer
Arachnoid mater:
middle layer
Pia mater:
inner layer
 Tough and fibrous
membrane
 Meningeal layer only
 Contains loose
areolar tissue &
internal vertebral
venous space
 Extend up 5 to S2
 Arachnoid = spiderlike
 Delicate impermeable
membrane
 Thin membrane
 Lies between pia and
dura mater
 Extend up to S2
 Thin and vascular membrane
 Closely covers spinal cord
 Continue as filum terminale
 Undergoes modification :
 Ligamentum denticulatum
▪ 21 pairs teeth like projection
▪ Keep spinal cord in position
 Linea splendens
▪ Thickening at anteromedian sulcus
 Between spinal dura mater
and walls of vertebral canal
(above the dura)
 No such space in the brain
 Contains loose connective
and adipose tissue
 Anesthetic injection site
 Subdural space:
 between arachnoid mater and dura mater
 Subarachnoid space:
 between arachnoid mater and pia mater
 filled with cerebrospinal fluid (CSF)
 LumbarTap withdraws CSF from inferior
lumbar region (below conus medularis) for
diagnostic purposes.
 BD CHAURASIA 25TH EDITION
 TEXTBOOK OF HUMAN NEUROANATOMY,
INDERBIR SINGH 7TH EDITION
Epidural space and spinal meninges

More Related Content

What's hot

Lower limb blocks
Lower limb blocksLower limb blocks
Lower limb blocksgaganbrar18
 
Epidural Anaesthesia.pptx
Epidural Anaesthesia.pptxEpidural Anaesthesia.pptx
Epidural Anaesthesia.pptxTess Jose
 
Spinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & PhysiologySpinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & PhysiologyDr.Daber Pareed
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAPARNA SAHU
 
Ultrasound guided truncal blocks
Ultrasound guided truncal blocksUltrasound guided truncal blocks
Ultrasound guided truncal blocksrazishahid
 
Thoracic and abdominal nerve blocks
Thoracic and abdominal nerve blocksThoracic and abdominal nerve blocks
Thoracic and abdominal nerve blockstapashbk
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockSaeid Safari
 
US Guided Lower Limb Nerve Blocks
US Guided Lower Limb Nerve BlocksUS Guided Lower Limb Nerve Blocks
US Guided Lower Limb Nerve BlocksSCGH ED CME
 
Anatomy of the respiratory tract
Anatomy of the respiratory tractAnatomy of the respiratory tract
Anatomy of the respiratory tractHimanshu Jangid
 
surgical anatomy of inguinal canal
surgical anatomy of inguinal canalsurgical anatomy of inguinal canal
surgical anatomy of inguinal canalGergis Rabea
 

What's hot (20)

Lower limb blocks
Lower limb blocksLower limb blocks
Lower limb blocks
 
Pleura
PleuraPleura
Pleura
 
Epidural Anaesthesia.pptx
Epidural Anaesthesia.pptxEpidural Anaesthesia.pptx
Epidural Anaesthesia.pptx
 
Airway anatomy
Airway anatomy Airway anatomy
Airway anatomy
 
Arteries of the head and neck
Arteries of the head and neckArteries of the head and neck
Arteries of the head and neck
 
Spinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & PhysiologySpinal Anaesthesia - Anatomy & Physiology
Spinal Anaesthesia - Anatomy & Physiology
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implication
 
Femoral sheath
Femoral sheathFemoral sheath
Femoral sheath
 
Ultrasound guided truncal blocks
Ultrasound guided truncal blocksUltrasound guided truncal blocks
Ultrasound guided truncal blocks
 
Thoracic and abdominal nerve blocks
Thoracic and abdominal nerve blocksThoracic and abdominal nerve blocks
Thoracic and abdominal nerve blocks
 
Adductor canal
Adductor canalAdductor canal
Adductor canal
 
Brachial Plexus Anatomy
Brachial Plexus AnatomyBrachial Plexus Anatomy
Brachial Plexus Anatomy
 
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) BlockUltrasound Guided Transversus Abdominis Plane (TAP) Block
Ultrasound Guided Transversus Abdominis Plane (TAP) Block
 
US Guided Lower Limb Nerve Blocks
US Guided Lower Limb Nerve BlocksUS Guided Lower Limb Nerve Blocks
US Guided Lower Limb Nerve Blocks
 
sacral plexus block
sacral plexus blocksacral plexus block
sacral plexus block
 
Anatomy of airway
Anatomy of airwayAnatomy of airway
Anatomy of airway
 
Anatomy of the respiratory tract
Anatomy of the respiratory tractAnatomy of the respiratory tract
Anatomy of the respiratory tract
 
Cervical Plexus
Cervical PlexusCervical Plexus
Cervical Plexus
 
surgical anatomy of inguinal canal
surgical anatomy of inguinal canalsurgical anatomy of inguinal canal
surgical anatomy of inguinal canal
 
Thoracic inlet & outlet
Thoracic inlet & outletThoracic inlet & outlet
Thoracic inlet & outlet
 

Similar to Epidural space and spinal meninges

Meninges of spinal cord
Meninges of spinal cordMeninges of spinal cord
Meninges of spinal cordAQSAKIRAN5
 
Spinal cord Gross anatomy with Clinical Anatomy.pptx
Spinal cord Gross anatomy with Clinical Anatomy.pptxSpinal cord Gross anatomy with Clinical Anatomy.pptx
Spinal cord Gross anatomy with Clinical Anatomy.pptxsiddharthroy26587
 
Deep fascia of Neck
Deep fascia of NeckDeep fascia of Neck
Deep fascia of NeckCIMS
 
Fascia of neck .ppt
Fascia of neck .pptFascia of neck .ppt
Fascia of neck .pptDrMohammed43
 
Surgical anatomy of nose
Surgical anatomy of noseSurgical anatomy of nose
Surgical anatomy of nosePratima Jaiswal
 
1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf
1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf
1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdfMIBRAHIMALHAMECH
 
spinal cord and spinal nerves.ppt
spinal cord and spinal nerves.pptspinal cord and spinal nerves.ppt
spinal cord and spinal nerves.pptRamTimsina2
 
Anatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle EarAnatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle EarDiptiman Baliarsingh
 
Surgical anatomy and approaches to neck
Surgical anatomy and approaches to neckSurgical anatomy and approaches to neck
Surgical anatomy and approaches to necksadaf syed
 
Antomy of scrotum and testis
Antomy of scrotum and testisAntomy of scrotum and testis
Antomy of scrotum and testispriyanka rana
 
Anatomy of brachial plexus
Anatomy of brachial plexusAnatomy of brachial plexus
Anatomy of brachial plexusAmeyDixit6
 
1.Bones of The Upper Limbs.pdf
1.Bones of The Upper Limbs.pdf1.Bones of The Upper Limbs.pdf
1.Bones of The Upper Limbs.pdflamba christian
 
1 anatomy & physiology of tmj
1 anatomy & physiology of tmj1 anatomy & physiology of tmj
1 anatomy & physiology of tmjDrKamini Dadsena
 

Similar to Epidural space and spinal meninges (20)

Meninges of spinal cord
Meninges of spinal cordMeninges of spinal cord
Meninges of spinal cord
 
Meninges
MeningesMeninges
Meninges
 
Anatomy of spine
Anatomy of spineAnatomy of spine
Anatomy of spine
 
Spinal cord Gross anatomy with Clinical Anatomy.pptx
Spinal cord Gross anatomy with Clinical Anatomy.pptxSpinal cord Gross anatomy with Clinical Anatomy.pptx
Spinal cord Gross anatomy with Clinical Anatomy.pptx
 
Deep fascia of Neck
Deep fascia of NeckDeep fascia of Neck
Deep fascia of Neck
 
Meninges
MeningesMeninges
Meninges
 
RAFF.pptx
RAFF.pptxRAFF.pptx
RAFF.pptx
 
Fascia of neck .ppt
Fascia of neck .pptFascia of neck .ppt
Fascia of neck .ppt
 
Surgical anatomy of nose
Surgical anatomy of noseSurgical anatomy of nose
Surgical anatomy of nose
 
1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf
1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf
1-Anatomy of ear Anatomy of ear Anatomy of ear Anatomy of ear .pdf
 
Anatomy of orbit
Anatomy of orbitAnatomy of orbit
Anatomy of orbit
 
spinal cord and spinal nerves.ppt
spinal cord and spinal nerves.pptspinal cord and spinal nerves.ppt
spinal cord and spinal nerves.ppt
 
Anatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle EarAnatomy of External Ear and Middle Ear
Anatomy of External Ear and Middle Ear
 
Surgical anatomy and approaches to neck
Surgical anatomy and approaches to neckSurgical anatomy and approaches to neck
Surgical anatomy and approaches to neck
 
Antomy of scrotum and testis
Antomy of scrotum and testisAntomy of scrotum and testis
Antomy of scrotum and testis
 
Anatomy of brachial plexus
Anatomy of brachial plexusAnatomy of brachial plexus
Anatomy of brachial plexus
 
1.Bones of The Upper Limbs.pdf
1.Bones of The Upper Limbs.pdf1.Bones of The Upper Limbs.pdf
1.Bones of The Upper Limbs.pdf
 
1 anatomy & physiology of tmj
1 anatomy & physiology of tmj1 anatomy & physiology of tmj
1 anatomy & physiology of tmj
 
Meninges with it's clinical aspects
Meninges with it's clinical aspectsMeninges with it's clinical aspects
Meninges with it's clinical aspects
 
Brachial plexus 1.pdf
Brachial plexus 1.pdfBrachial plexus 1.pdf
Brachial plexus 1.pdf
 

More from Nur Izzatul Najwa (20)

Paracetamol poisoning
Paracetamol poisoningParacetamol poisoning
Paracetamol poisoning
 
Yellow fever
Yellow feverYellow fever
Yellow fever
 
Stemi
StemiStemi
Stemi
 
HIV
HIVHIV
HIV
 
Seizures
SeizuresSeizures
Seizures
 
Epstein barr virus (ebv) and varicella
Epstein barr virus (ebv) and varicellaEpstein barr virus (ebv) and varicella
Epstein barr virus (ebv) and varicella
 
Chronic renal failure
Chronic renal failureChronic renal failure
Chronic renal failure
 
Tributaries of portal veins
Tributaries of portal veinsTributaries of portal veins
Tributaries of portal veins
 
Sodium, potassium and chloride
Sodium, potassium and chlorideSodium, potassium and chloride
Sodium, potassium and chloride
 
Pre hepatic jaundice
Pre hepatic jaundicePre hepatic jaundice
Pre hepatic jaundice
 
Movement
MovementMovement
Movement
 
Jaundice
JaundiceJaundice
Jaundice
 
Golgi apparatus
Golgi apparatusGolgi apparatus
Golgi apparatus
 
Glomerulonephritis
GlomerulonephritisGlomerulonephritis
Glomerulonephritis
 
Functions of lymph
Functions of lymphFunctions of lymph
Functions of lymph
 
Clinical feature of ant. pituitary gland
Clinical feature of ant. pituitary glandClinical feature of ant. pituitary gland
Clinical feature of ant. pituitary gland
 
Meniscal injury
Meniscal injuryMeniscal injury
Meniscal injury
 
Poverty and inequality in health
Poverty and inequality in healthPoverty and inequality in health
Poverty and inequality in health
 
Preparation mri and ctscan
Preparation mri and ctscanPreparation mri and ctscan
Preparation mri and ctscan
 
Septic arthritis
Septic arthritisSeptic arthritis
Septic arthritis
 

Recently uploaded

Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 

Recently uploaded (20)

Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 

Epidural space and spinal meninges

  • 1. NUR IZZATUL NAJWA BINTI SHARUPUDDIN 082015100036
  • 2. ATTHE END OFTHE SEMINAR, STUDENTS SHOULD BE ABLETO :  List and expain the spinal meninges  Know the epidural space and its importance
  • 3.  Upper end – medulla oblongata  Lower end – first lumbar vertebra  45cm  Conus medullaris (L1)  Filum terminale (20cm)
  • 4.  Specialized membranes isolate spinal cord from surroundings  Functions :  protect spinal cord  carry blood supply  continuous with cranial meninges
  • 5. Figure 13–3 Dura mater: outer layer Arachnoid mater: middle layer Pia mater: inner layer
  • 6.  Tough and fibrous membrane  Meningeal layer only  Contains loose areolar tissue & internal vertebral venous space  Extend up 5 to S2
  • 7.  Arachnoid = spiderlike  Delicate impermeable membrane  Thin membrane  Lies between pia and dura mater  Extend up to S2
  • 8.  Thin and vascular membrane  Closely covers spinal cord  Continue as filum terminale  Undergoes modification :  Ligamentum denticulatum ▪ 21 pairs teeth like projection ▪ Keep spinal cord in position  Linea splendens ▪ Thickening at anteromedian sulcus
  • 9.  Between spinal dura mater and walls of vertebral canal (above the dura)  No such space in the brain  Contains loose connective and adipose tissue  Anesthetic injection site
  • 10.  Subdural space:  between arachnoid mater and dura mater  Subarachnoid space:  between arachnoid mater and pia mater  filled with cerebrospinal fluid (CSF)  LumbarTap withdraws CSF from inferior lumbar region (below conus medularis) for diagnostic purposes.
  • 11.
  • 12.
  • 13.  BD CHAURASIA 25TH EDITION  TEXTBOOK OF HUMAN NEUROANATOMY, INDERBIR SINGH 7TH EDITION