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PT 516
Lecture 3
48
Medical
Graduate
02/11/2012

Additional Medical Flashcards

 


 

Cards

Term
Meninges 
Definition

- stabilize shape & position

- attaches to skull

- contains CSF

Term

Meningeal Layers

(outter --> inner)

Definition

- dura mater

- arachnoid

- pia mater 

Term
subarachnoid space
Definition

between arachnoid and pia mater

&

contains CSF

&

cerebral arteries and veins travel here

Term
leptomeninges
Definition
arachnoid & pia mater lumped together
Term
Layers of Dura Mater
Definition

- periosteal dura

- meningeal dura 

Term
potential spaces involving dura mater
Definition
epidural & subdural
Term
Falx cerebri
Definition

separates 2 cerebral hemispheres

 

Term
tentorium cerebelli
Definition
separates occipital lobe from cerebellum
Term
tentorial notch
Definition
opening where brainstem passes out 
Term
falx cerebelli
Definition
separates cerebellum
Term
diaphragma sellae
Definition
stalk of the pituitary 
Term
dural venous sinuses
Definition
channels for venous blood located within dural reflections
Term
confleunce of sinses
Definition
where sinuses come together (contains straight sinus)
Term
Sigmoid sinus
Definition
exits the skull and becomes the internal jugular vein
Term
vascular Supply of Dura
Definition

meningeal arteries 

middle meningeal arteries (branch of maxillary)

opthalamic arteries

occipital arteries

vertebral arteries 

Term
epidural hematoma
Definition
blood outside the dura
Term
whats sensitive to pain?
Definition
dura and proximal portion of vessel at the base of the brain
Term
what innervates the majority of dura?
Definition
trigeminal nerve fibers & its 3 branches 
Term
what innervates posterior cranial fossa dura
Definition

branches of vagus nerve,

C2 & C3

Term
Arachnoid
Definition

- avascular membrane

- attached to dura

- arachnoid trabeculae attaches to pia

 

Term
Cisterns
Definition

- large spaces between arachnoid and pia

 

Term
Cisterna Magna
Definition

aka cerebellomedullary cistern 

-largest cistern

Term
Pia Mater
Definition
invests all external surfaces of CNS
Term
Cranial Epidural Space
Definition
potential space 
Term
Spinal Epidural Space 
Definition
actual space 
Term
Spinal dura 
Definition
single-layered 
Term
spinal cord terminates where?
Definition
L1 - L2
Term
Overview of Ventricular System
Definition

2 lateral venticles 

- foramina monro

3rd ventricle

-cerebral aqueduct

4th ventricle 

Term
lumbar cistern
Definition

where cauda equina is located

- large arachnoid space containing CSF

 

Term
Lateral Ventricles 
Definition

-anterior (frontal horn)

- body

- posterior (occipital) horn

-inferior (temporal) horn

 

*atrium/trigone = where posterior, inferior, and anterior horn come together 

Term
Third ventricle
Definition

- in the diencephalon 

- dought-nut shape = has interthalamic adhesion

- contains the lamina terminalis = most anterior portion of ventricles

Term
fourth ventricle 
Definition

-tent shaped: superior medullary velum & inferior medullary velum

rhomboid fossa : foramen of Magendie & Foramina of Luschka 

 

communicates with subarachnoid space

Term
Cerebrospinal Fluid source
Definition
choroid plexus
Term
choroid plexus locations
Definition

atrium

roof of 3rd ventricle

caudal half of 4th ventricle 

lateral ventricles (except anterior and posterior horns)

Term
Circulation of CSF
Definition

choroid plexus --> ventricular system --> subarachnoid space --> arachnoid villi

--> dural venous sinuses --> peripheral venous system

Term
return of CSF to venous system
Definition
arachnoid villi --> arachnoid granulation - pacchionian bodies
Term
blood-brain barrier
Definition
keeps micro-organisms out of the brain 
Term
CSF volume that warrants concern
Definition
> 30 ml
Term
Turnover rate of CSF
Definition

500 ml/day

turnover rate = 3-4 times daily

Term
Purpose of CSF
Definition

- maintains external environment for neurons and glia

- removal of potentially harmful metabolites

- mechanical cushion

- buoyancy

- conduction pathway for peptide hormones secreted by hypothalamus 

Term
cloudy CSF
Definition
presence of leukocytes or high protein content
Term
bloody or yellow CSF
Definition
CNS hemorrhage
Term
Acute Bacterial Meningitis 
Definition
3000 - 4000 leukocytes/ml
Term
decrease in glucose in CSF
Definition

acute bacterial infection

or

tumors of meninges

Term
CSF Sampling
Definition

Lumbar cistern (L1-S2; CSF & nerve roots)

 

or cerebellar cistern

Term
hydrocephalus 
Definition
excess CSF because of alteration of circulation of CSF
Term
potential causes of hydrocephalus
Definition

-excess production of CSF (papillomas)

- reduced absorption of CSF

- blockage of CSF circulation

Term
Types of Hydrocephalus
Definition

communicating - both lateral ventricles have communication with sub arachnoid space

noncommunicating - 1 or both lateral ventricles cannot communicate with the subarachnoid space

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