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MENINGES
Outer to inner
Dura mater (mother) Arachnoid Pia
(Pachymeninx)
Leptomeninges( Delicate)Leptomeninges( Delicate)
Dura Mater
• Thickest , inelastic , dense
• Outer surface is rough & inner smooth
• Cranial & spinal layers-Unite at foramen magnum
Cranial Spinal
Inner OuterInner
Meningeal
Outer
Endosteal
Falx cerebri Tentorium
cerebelli
Falx
cerebelli
Diaphragma
sellae
• The endosteal & meningeal layers are united except where
they enclose venous sinuses.
• Endosteal layer
• sends septa to cranium.
• Firmly attached to sutures, base of skull, foramen
magnum.
• As the age advances, it becomes thick & adheres more• As the age advances, it becomes thick & adheres more
firmly to cranium
• Continuous with pericranium & orbital periosteum
• Dura of optic nerve is continuous with sclera
Endosteal
layer
• Meningeal layer
• Provides sheath to cranial nerves
• Fuses with the epineurium
• Divides cranial cavity into spaces in which different parts
of brain are lodged
Falx cerebri
• Between 2 cerebral hemispheres in the sagittal fissure
• Ant-Crista galli
• Post- Tentorium cerebelli (contains straight sinus)
Int occipital protuberance
• Sup.- Sup sagittal sinus
Attached on either side of midline
Sup. Sag.sinus
Attached on either side of midline
• Inf- inf sagittal sinus
Inf.sag.sinus
Tentorium Cerebelli
• Tent like fold
• Below occipital lobes of cerebrum, covers sup surface of
cerebellum
• Bet. Ant. Free margin & dorsum cellae is a large hiatus -
Tentorial incisure. Occupied by midbrain
• Attachments• Attachments
1) Outer convex margin- Transverse sulcus of occipital
bones- T. sinus
2) Lat- Sup margin of Petrosal bone-Sup petrosal sinus
3) Forms trigeminal cave at the apex of petrosal bone
4) Ant- Ant & post clenoid process,
Crista galli
Ant.clenoid
Post.clenoidPost.clenoid
Petrous
temporal
Transverse
Occipital
sulcus
Tentorial
incisure
Tentorium
cerebelli
Falx cerebelli
• Below tentorium,in post cerebellar notch
• Attachments- 1) Base- Tentorium cerebelli
2) Post- int occipital crest(Occ.Sinus)
3) Apex – passes at the sides of Fo.
magnum
Occipital sinus
Diphragma Sellae
• Forms roof of sella turcica
• Blood supply- 1)Meningeal br of ant & post
ethmoidal
2) Int carotid
3) Maxillary3) Maxillary
4) Lacrimal
5) Vertebral
6) Occipital
7) Ascending pharyngeal
• Venous drain- Meningeal
• Nerve supply- Trigeminal / Vagus / Hypoglosal /
Facial/ Glossopharyngeal
Spinal Dura Mater
• Attachment – 1) Foramen magnum margin /
bodies of C3,C4
2) Blends with periosteum of coccyx
• Forms atlanto -occipital mem.
• The meningeal layer here becomes periosteum of
vertebral canalvertebral canal
• Hence bet. dura mater & periosteum is epidural space
• So dura mater forms a tubular sheath around spinal
cord & spinal nerves
• At cervical region- Thickest
Arachnoid Mater
• Enters only longitudinal fissure
• Thin , transparent
• Thick & opaque at the base
• Fuses with adventitia of carotid, vertebral A.
Pia Mater
• Delicate ,enters sulci. Between it & brain is
subpial space containing blood vessels
Spinal Leptomeninges
• Spinal nerves are covered by arachnoid when
they leave vertebral column
• At foramen fuse with perineurium
• Pia mater enters ant. fissure
Spaces
1) Extradural- Bet. Spinal dura mater & periosteum.
Contains loose connective tissue, fat & venous plexus
Anesthetic fluid can reach upto cranial base
2) Subdural- Dura & arachnoid. Accidental injections can
cause injury to cord
3) Subarachnoid- Arachnoid & pia –Contains CSF/ larger3) Subarachnoid- Arachnoid & pia –Contains CSF/ larger
arteries & veins
Subarachnoid Cisterns
• Gap bet. Pia & arachnoid
• Communicate with general subarachnoid
Cerebello
Medullary/
Pontine Inter
peduncular
Lat fossa Cistern of
GreatMedullary/
Cistern
magna
peduncular Great
cerebral vein
/Cistern
Ambiens/
Sup.cistern
• Arachnoid Villi- Extention of arachnoid mater &
space into sinuses(especially sup.sagittal)
• Arachnoid granulations- highly folded arachnoid
,Produce pitting on inner surface of calvaria
Cerebro-spinal fluid
• Clear fluid in subarachnoid space
• Brain floats in it
• Formation- Choroid plexus- 50-70%
• Rest- Blood vessels
• Circulation-• Circulation-
Lateral ventricle
3rd ventricle
Foramen of Monro
Cerebral auqeduct
4th ventricle
Subarachnoid space
Foramen of Megendie/Luska
Re absorption in veins via arachnoid granulationsRe absorption in veins via arachnoid granulations
Amount produced- 500ml/day
Brain capacity- 135-150 ml
Contents- 1) Glucose
2) Proteins
3) RBCs
4) WBCs
Functions Of CSF
• Wt. reduction – Brain actual wt.- 1400 gm
In CSF-25 gm
• Protection
Applied- 1) MeningitisApplied- 1) Meningitis
2) Lumbar puncture

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Meninges & and CSF

  • 1. MENINGES Outer to inner Dura mater (mother) Arachnoid Pia (Pachymeninx) Leptomeninges( Delicate)Leptomeninges( Delicate)
  • 2. Dura Mater • Thickest , inelastic , dense • Outer surface is rough & inner smooth • Cranial & spinal layers-Unite at foramen magnum Cranial Spinal Inner OuterInner Meningeal Outer Endosteal Falx cerebri Tentorium cerebelli Falx cerebelli Diaphragma sellae
  • 3. • The endosteal & meningeal layers are united except where they enclose venous sinuses. • Endosteal layer • sends septa to cranium. • Firmly attached to sutures, base of skull, foramen magnum. • As the age advances, it becomes thick & adheres more• As the age advances, it becomes thick & adheres more firmly to cranium • Continuous with pericranium & orbital periosteum • Dura of optic nerve is continuous with sclera
  • 5. • Meningeal layer • Provides sheath to cranial nerves • Fuses with the epineurium • Divides cranial cavity into spaces in which different parts of brain are lodged
  • 6. Falx cerebri • Between 2 cerebral hemispheres in the sagittal fissure • Ant-Crista galli • Post- Tentorium cerebelli (contains straight sinus) Int occipital protuberance • Sup.- Sup sagittal sinus Attached on either side of midline Sup. Sag.sinus Attached on either side of midline • Inf- inf sagittal sinus Inf.sag.sinus
  • 7.
  • 8. Tentorium Cerebelli • Tent like fold • Below occipital lobes of cerebrum, covers sup surface of cerebellum • Bet. Ant. Free margin & dorsum cellae is a large hiatus - Tentorial incisure. Occupied by midbrain • Attachments• Attachments 1) Outer convex margin- Transverse sulcus of occipital bones- T. sinus 2) Lat- Sup margin of Petrosal bone-Sup petrosal sinus 3) Forms trigeminal cave at the apex of petrosal bone 4) Ant- Ant & post clenoid process,
  • 11. Falx cerebelli • Below tentorium,in post cerebellar notch • Attachments- 1) Base- Tentorium cerebelli 2) Post- int occipital crest(Occ.Sinus) 3) Apex – passes at the sides of Fo. magnum Occipital sinus
  • 12. Diphragma Sellae • Forms roof of sella turcica • Blood supply- 1)Meningeal br of ant & post ethmoidal 2) Int carotid 3) Maxillary3) Maxillary 4) Lacrimal 5) Vertebral 6) Occipital 7) Ascending pharyngeal
  • 13. • Venous drain- Meningeal • Nerve supply- Trigeminal / Vagus / Hypoglosal / Facial/ Glossopharyngeal
  • 14. Spinal Dura Mater • Attachment – 1) Foramen magnum margin / bodies of C3,C4 2) Blends with periosteum of coccyx • Forms atlanto -occipital mem. • The meningeal layer here becomes periosteum of vertebral canalvertebral canal • Hence bet. dura mater & periosteum is epidural space • So dura mater forms a tubular sheath around spinal cord & spinal nerves • At cervical region- Thickest
  • 15.
  • 16. Arachnoid Mater • Enters only longitudinal fissure • Thin , transparent • Thick & opaque at the base • Fuses with adventitia of carotid, vertebral A.
  • 17. Pia Mater • Delicate ,enters sulci. Between it & brain is subpial space containing blood vessels Spinal Leptomeninges • Spinal nerves are covered by arachnoid when they leave vertebral column • At foramen fuse with perineurium • Pia mater enters ant. fissure
  • 18. Spaces 1) Extradural- Bet. Spinal dura mater & periosteum. Contains loose connective tissue, fat & venous plexus Anesthetic fluid can reach upto cranial base 2) Subdural- Dura & arachnoid. Accidental injections can cause injury to cord 3) Subarachnoid- Arachnoid & pia –Contains CSF/ larger3) Subarachnoid- Arachnoid & pia –Contains CSF/ larger arteries & veins
  • 19.
  • 20.
  • 21. Subarachnoid Cisterns • Gap bet. Pia & arachnoid • Communicate with general subarachnoid Cerebello Medullary/ Pontine Inter peduncular Lat fossa Cistern of GreatMedullary/ Cistern magna peduncular Great cerebral vein /Cistern Ambiens/ Sup.cistern
  • 22.
  • 23. • Arachnoid Villi- Extention of arachnoid mater & space into sinuses(especially sup.sagittal) • Arachnoid granulations- highly folded arachnoid ,Produce pitting on inner surface of calvaria
  • 24. Cerebro-spinal fluid • Clear fluid in subarachnoid space • Brain floats in it • Formation- Choroid plexus- 50-70% • Rest- Blood vessels • Circulation-• Circulation- Lateral ventricle 3rd ventricle Foramen of Monro Cerebral auqeduct
  • 25.
  • 26. 4th ventricle Subarachnoid space Foramen of Megendie/Luska Re absorption in veins via arachnoid granulationsRe absorption in veins via arachnoid granulations Amount produced- 500ml/day Brain capacity- 135-150 ml Contents- 1) Glucose 2) Proteins 3) RBCs 4) WBCs
  • 27.
  • 28. Functions Of CSF • Wt. reduction – Brain actual wt.- 1400 gm In CSF-25 gm • Protection Applied- 1) MeningitisApplied- 1) Meningitis 2) Lumbar puncture