The Skull & Cranial Cavity • • • • • Dr Frank CT Voon Brain Meninges Cranial nerves Arterial supply Venous sinuses 30 March 2009 The Neurocranium Frontal Parietal Occipital Ethmoid Temporal Sphenoid •Tip: PETS OF or FPOETS. The Cranium • The cranium (skull) is the skeleton of the head. • It consists of a neurocranium and a viscerocranium. • The neurocranium is also known as the cranial vault. • The viscerocranium is also known as the facial skeleton. The Neurocranium • The neurocranium (cranial vault) has a roof and a floor. • The roof (calvaria or skull cap) is shaped like a dome. • The basicranium (cranial base) forms the floor. • It encloses the cranial cavity. The Neurocranium • It is formed by 8 bones, the frontal, parietal, occipital, temporal, ethmoidal and sphenoidal bones. • The frontal, occipital, ethmoidal and sphenoidal bones are single and thus are in the midline. • The parietal and temporal bones are bilateral and hence are paired. • The fibrous joints between the bones are known as sutures. Intramembranous ossification • The frontal, parietal and temporal bones are formed by intramembranous ossification and are known as flat bones. • Do note that these flat bones forming the calvaria are actually curved, with a convex external surface and a concave internal surface. Endochondral ossification • The sphenoid, ethmoid and temporal bones are mainly formed by endochondral ossification and are known as irregular bones. • These bones form the cranial base. • The ethmoid is a part of both the neurocranium and viscerocranium. The Brain and spinal cord • • • • • • Cerebral hemispheres Diencephalon Midbrain Pons and cerebellum Medulla oblongata Spinal cord Motor cortex Sensory cortex Parietal lobe Frontal lobe Occipital lobe Temporal lobe The Cranial nerves • • • • • • Olfactory Optic Oculomotor Trochlear Trigeminal Abducens • • • • • • Facial Vestibulocochlear Glossopharyngeal Vagus Accessory Hypoglossal The 12 cranial nerves Foramina • • • • Structures that pass through the foramina Cranial nerves Arteries - Internal carotid and vertebral Veins – sigmoid sinus and beginning of internal jugular vein • Spinal cord – Foramen magnum Circle of Willis Anterior cerebral artery Internal carotid artery Middle cerebral artery Posterior cerebral artery Anterior communicating artery Perforating arteries Ophthalmic artery Anterior choroidal artery Posterior communicating artery Superior cerebellar artery Basilar artery Pontine arteries Anterior inferior cerebellar artery Vertebral artery The flow of CSF Superior sagittal sinus Arachnoid granulations Emissary veins Skin Close tissue Aponeurosis Loose tissue Periosteum Outer table Diploe Inner table Dura mater Endosteum Arachnoid mater Subdural space Subarachnoid space Pia mater Gray matter White matter Falx cerebri Cerebrospinal fluid Venous sinuses Superior Sagittal Sinus Confluence Internal occipital protruberance Jugular foramen Internal Jugular Vein The Scalp and Cranial Cavity • • • • • Skin Close subcutaneous tissue Aponeurosis Loose areolar tissue Periosteum • Outer table • Diploe • Inner table • Endosteum • • • • Endosteal layer of dura mater Menigeal layer of dura mater Arachnoid mater Pia mater • Brain • Grey matter • White matter • Ventricles Meninges and spaces – Extradural space • Dura mater – Subdural space • Arachnoid mater – Subarachnoid space • Pia mater – Gray matter – White matter – Ventricles