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G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David A. Morton, Ph.D. Pg 21

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Page 1: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

G17B: Brain and

Base of Skull

GL17:

A - Clinical Apps (HSEB 1700)

B - Scalp, Calvarium, Brain (Cadaver)

David A. Morton, Ph.D. Pg 21

Page 2: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

G17B: ObjectivesPg 21

Page 3: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp

• Skin

• Connective tissue

• Aponeurosis

• Loose CT

• Periosteium

Pgs 21-22

Page 4: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp

• Skin

• Connective tissue

• Aponeurosis

• Loose CT

• Periosteium

Pgs 21-22

Page 5: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp

• Skin

• Connective tissue

• Aponeurosis

• Loose CT

• Periosteium

Page 6: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp

• Skin

• Connective tissue

• Aponeurosis

• Loose CT

• Periosteium

Page 7: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp

• Skin

• Connective tissue

• Aponeurosis

• Loose CT

• Periosteium

Page 8: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp

• Skin

• Connective tissue

• Aponeurosis

• Loose CT

• Periosteium

Page 9: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Cutaneous innervation

• CN V-1

• CN V-2

• CN V-3

• Lesser occipital n.

• Greater occipital n.

• Least occipital n.

Page 10: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Cutaneous innervation

• CN V-1

• CN V-2

• CN V-3

• Least occipital n. (C3)

• Greater occipital n. (C2)

• Lesser occipital n. (C2)

Page 11: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Cutaneous innervation

• Greater occipital n. (C2)

• Lesser occipital n. (C2)

C2

Page 12: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Cutaneous innervation

• Greater occipital n. (C2)

• Lesser occipital n. (C2)

Page 13: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Arterial vascularization

• External carotid a.

• Internal carotid a.

Page 14: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Arterial vascularization1.

2.

3.

• External carotid a.

• Internal carotid a.

Page 15: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

1) Scalp - Arterial vascularization1.

2.

3.

• External carotid a.

Page 16: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

2) Skull

Page 17: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

2) Skull

Page 18: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges

Dura mater

Arachnoid mater

Pia mater

Page 19: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges

Dura mater

Arachnoid mater

Pia mater

Page 20: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges

Dura mater

• Falx cerebri

• Tentorium cerebelli

• Falx cerebelli

Page 21: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial MeningesDura mater

• Dural venous sinus

Page 22: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial MeningesDura mater

• Cerebral veins

• Emissary veins

• Diploic veins

Page 23: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges

Arachnoid mater

Arachnoid granulations (villi)

Subarachnoid space

Pia mater

Page 24: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial MeningesDura mater

• Dural venous sinus

Page 25: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Dural ven. sinuses

Superior sagittal sinus

Page 26: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Dural ven. sinuses

Inferior sagittal sinus

Page 27: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Dural ven. sinuses

Transverse sinus

Page 28: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Dural ven. sinuses

Sigmoid sinus

IJV

Page 29: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Dural ven. sinuses

Cavernous sinus

Page 30: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Dural ven. sinuses

Cavernous sinus

Page 31: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Cavernous sinus

Cavernous sinus

Page 32: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Cavernous sinus

Structures passing THROUGH the sinus:

ICA

CN VI

Page 33: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Cavernous sinus

Structures in LATERAL WALL of sinus:

CN III

CN IV

CN V-1

CN V-2

Page 34: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

3) Cranial Meninges - Cavernous sinus

Pituitary gland

Page 35: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Cerebrum

Lateral ventricles

Page 36: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Diencephalon

Third ventricle

Page 37: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Lateral ventricles

Third ventricle

Page 38: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Midbrain (CN III, IV)

Cerebral aqueduct

Page 39: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Pons

(CN V, VI, VII, VIII)

Page 40: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Medulla oblongata

(CN IX, X, XI, XII)

Page 41: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Cerebellum

Fourth ventricle

Page 42: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Corpus callosum

Page 43: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Choroid plexus

Page 44: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Ventricles

Page 45: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Apertures

- 2 Lateral

- 1 Median

Page 46: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

Nutty Putty Caves

Page 47: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

Nutty Putty Caves

Page 48: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

4) Brain

Dural venous sinus

Subarachnoid villi

Subarachnoid space

Page 49: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Internal carotid artery

Vertebral artery

Page 50: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Internal carotid artery

Vertebral artery

Page 51: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Internal carotid artery

Vertebral artery

Page 52: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Internal carotid artery

Vertebral artery

Page 53: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Cerebral arterial circle of Willis

Internal carotid artery

Vertebral artery

Page 54: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Page 55: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Page 56: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Page 57: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

5) Blood Supply to the Brain

Page 58: G17B: Brain and Base of Skull - University of Utah · 2008-10-17 · G17B: Brain and Base of Skull GL17: A - Clinical Apps (HSEB 1700) B - Scalp, Calvarium, Brain (Cadaver) David

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