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frontal view of skull features |
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Air-Filled Spaces With the Skull |
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Oral and nasal cavities and face are richly |
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important foramen on the skull |
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Attachments for muscles of mastication and external ear on lateral skull |
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base of skull impt anatomy |
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Frontal bone A Zygoma B Maxilla C Mandible D |
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Temporal bone D Zygomatic arch E Mastoid process C Occipital bone A Parietal bone B |
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Hard palate A Mastoid process D Foramen magnum C Choana B |
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anterior cranial fossa impt anatomy |
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[image] Nasal cavity (blue) and orbit (orange) are inferior. |
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Middle Cranial Fossa impt components |
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Doors to orbit (blue); fossa for pituitary (orange); internal carotid (purple) [image] |
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Posterior Cranial Fossa impt anatomy |
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Internal jugular vein (blue) ; spinal cord (purple); auditory and facial nerves (orange) [image] |
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I. Olfactory II. Optic III. Oculomotor IV. Trochlear V. Trigeminal • Ophthalmic • Maxillary • Mandibular VI. Abducens VII. Facial VIII. Auditory IX. Glossopharyngeal X. Vagus XI. Accessory XII. Hypoglossal |
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Cribriform plate/olfactory nerve |
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cranial nerves and middle, posterior skull fossa |
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Posterior Superior View: Posterior Cranial Fossa |
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inferior skull foramen and nerves |
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Anterior fossa A Posterior fossa C Middle fossa B |
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Hypoglossal C Olfactory A Optic B Jugular vein C Carotid artery B Trigeminal B Facial C |
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___partially partition the interior of the skull |
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[image] Dural venous sinuses are located in dural folds. |
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[image] Dural venous sinuses are located in dural folds. These drain the brain and empty, through the sigmoid sinus, into the internal jugular |
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Nerves run between _____ before they leave the skull. |
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skull cranial nerve locations |
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Cavernous (venous) sinus with nerves inside diagram |
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Cranial nerves commonly run between the meningeal and periosteal layers of the dura before they leave the skull. |
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what is the correct flow through dural venous sinuses? |
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Superior sagittal, confluens, transverse, sigmoid, internal jugular |
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Optic n. B Trigeminal n. D Olfactory n. C Int. carotid A Facial n. E |
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paranasal sinuses drainage |
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[image] The paranasal sinuses drain into the nasal cavity. |
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On an AP film the ethmoid and sphenoid sinuses overlay each other. [image] |
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lateral views of sinuses and air cells and cavities and pituitary |
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[image] Ethmoid air cells are anterior to the sphenoid sinus. |
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[image] The close relationship of the nasal cavity and the sphenoid sinus. |
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[image] Sphenoid sinus borders the sella turcica (pituitary). |
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[image] The bone on the medial aspect of the orbit is very thin. |
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[image] Mastoid air cells drain into the middle ear which, in turn, drains through the auditory tube into the nasopharynx. |
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___ arteries supply the brain [image] |
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Internal carotid and vertebral arteries [image] |
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[image] Internal carotid has a long course through bone. |
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[image] medial vs lateral? |
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[image] Anterior cerebral is medial. Middle cerebral is lateral. |
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[image] Vertebral bends medially to enter the foramen magnum |
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[image] Vertebral angiogram (with aneurysm) AP view |
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Sphenoid sinus C Maxillary sinus A Nasal cavity B Mastoid air cells D |
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vertebral system, basilar artery |
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HPI: BL is a 57-year-old right-handed female with an eight- month history of visual difficulties in her left eye. She underwent left-sided cataract surgery with lens replacement, but continued to have deterioration of her visual acuity, with complaints of blurriness in the left eye. She also complains of occasional diplopia. A recent ophthalmologic examination revealed exophthalmos. Question: What is exophthalmos? |
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Answer: The eyeball bulges out. |
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What does the low acuity in the left eye tell us about the optic nerve? |
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The pupils constrict to light, so the oculomotor nerves are intact bilaterally. (Besides controlling some movements of the eyes, the oculomotor nerve is responsible for pupillary constriction.) |
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Diplopia on left lateral gaze suggests?. Together with the exophthalmos? |
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an issue with the abducens nerve.. Together with the exophthalmos, the symptoms suggest a mass posterior to the orbit. |
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