أسئلة أناتومي ثانية - Cranial Cavity & PituItary Gland
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Questions and Answers

What dural fold structure is characterized by a circular shape and located above the pituitary gland?

  • Tentorium Cerebelli
  • Falx Cerebri
  • Falx Cerebelli
  • Diaphragma Sellae (correct)

Which of the following describes the correct attachments of the Diaphragma Sellae?

  • Superiorly to falx cerebri, inferiorly to falx cerebelli
  • Anteriorly to dorsum sellae, posteriorly to tuberculum sellae
  • Anteriorly to tuberculum sellae, posteriorly to dorsum sellae (correct)
  • Laterally to cavernous sinuses, medially to pituitary gland

A surgeon is operating near the pituitary gland and needs to be aware of nearby dural structures. Which sinus is most closely related to the Diaphragma Sellae?

  • Superior sagittal sinus
  • Transverse sinus
  • Sigmoid sinus
  • Inter-cavernous sinuses (correct)

The Tentorium Cerebelli separates which two major brain structures?

<p>Cerebrum and cerebellum (C)</p> Signup and view all the answers

What is the shape of the free border of the Tentorium Cerebelli, and which structure does it surround?

<p>U-shaped; surrounds the midbrain (A)</p> Signup and view all the answers

Which dural sinus begins at the foramen cecum and ends by forming the right transverse sinus?

<p>Superior Sagittal Sinus (A)</p> Signup and view all the answers

The falx cerebelli attaches to which of the following structures at its apex?

<p>Posterior border of the foramen magnum (A)</p> Signup and view all the answers

The straight sinus is formed by the confluence of which two structures?

<p>Inferior sagittal sinus and great cerebral vein (A)</p> Signup and view all the answers

Which of the following structures is NOT directly related to the cavernous sinus?

<p>Foramen magnum (C)</p> Signup and view all the answers

The superior petrosal sinus drains blood from the cavernous sinus into which sinus?

<p>Transverse sinus (A)</p> Signup and view all the answers

Through which structure does the inferior petrosal sinus pass to drain into the internal jugular vein?

<p>Jugular foramen (C)</p> Signup and view all the answers

What is the significance of the 'dangerous area of the face' in relation to the cranial venous system?

<p>Infections from this area can spread to the cavernous sinus, potentially causing thrombosis. (B)</p> Signup and view all the answers

The intercavernous sinuses are located within the borders of which structure?

<p>Diaphragma sellae (B)</p> Signup and view all the answers

What is the relationship between the basilar plexus of veins and the inferior petrosal sinuses?

<p>The basilar plexus connects the two inferior petrosal sinuses. (D)</p> Signup and view all the answers

If a patient has a lesion affecting the abducens nerve, which of the following locations is the MOST likely site of the lesion?

<p>Floor of the cavernous sinus (C)</p> Signup and view all the answers

The spheno-parietal sinus ultimately drains into which of the following dural sinuses?

<p>Cavernous sinus (D)</p> Signup and view all the answers

Which sinus is located along the internal occipital crest?

<p>Occipital sinus (C)</p> Signup and view all the answers

What is the name of the projection from the upper part of the anterior lobe (adenohypophysis) of the pituitary gland?

<p>Pars tuberalis (C)</p> Signup and view all the answers

Which dural sinus is a continuation of the superior sagittal sinus?

<p>Transverse sinus (A)</p> Signup and view all the answers

The cavum trigeminale encloses which structure?

<p>Trigeminal ganglion (D)</p> Signup and view all the answers

A patient presents with a pituitary tumor pressing against the Diaphragma Sellae. Damage to which structure passing through the central hole of this dural fold would MOST likely cause hormonal imbalances?

<p>Infundibulum of the pituitary gland (A)</p> Signup and view all the answers

If the Tentorium Cerebelli is damaged, causing herniation, which of the following structures is at greatest risk due to the U-shaped free border's anatomical relationship?

<p>Midbrain (B)</p> Signup and view all the answers

A patient undergoing neurosurgery requires the division of the Falx Cerebri at its base. Which of the following structures is MOST directly attached to the superior surface of the Tentorium Cerebelli at this location?

<p>Falx Cerebelli (D)</p> Signup and view all the answers

During a surgical procedure, a small tear occurs in the Diaphragma Sellae. Which of the following sinuses is MOST likely to be affected, potentially leading to complications?

<p>Intercavernous Sinuses (A)</p> Signup and view all the answers

A CT scan reveals calcification along the anterior attachment point of the Diaphragma Sellae. Which of the following bony landmarks is MOST directly associated with this attachment?

<p>Tuberculum Sellae (A)</p> Signup and view all the answers

Following a traumatic injury, a patient exhibits thrombosis within the cavernous sinus. If the infection spreads indirectly via the pterygoid plexus, which emissary vein is MOST likely involved in the transmission of the infection?

<p>Emissary vein passing through the foramen ovale (A)</p> Signup and view all the answers

A patient presents with impaired function of cranial nerves III, IV, V1, and VI. Imaging reveals a lesion within the cavernous sinus. Considering the anatomical arrangement of these nerves, which of the following describes their MOST likely position relative to the internal carotid artery within the sinus?

<p>Cranial nerve VI is located in the floor of the cavernous sinus, inferolateral to the internal carotid artery, while cranial nerves III, IV, and V1 are located within the lateral wall. (C)</p> Signup and view all the answers

During a neurosurgical procedure, the superior sagittal sinus is inadvertently lacerated. What is the MOST immediate and significant risk associated with this injury?

<p>Significant blood loss and potential for air embolism (C)</p> Signup and view all the answers

A patient is diagnosed with a tumor affecting the anterior cranial fossa, specifically impinging on the crista galli. Which dural structure would be MOST directly affected by the tumor's proximity to this bony landmark?

<p>Falx cerebri (C)</p> Signup and view all the answers

In a patient with a dural arteriovenous fistula near the tentorium cerebelli, which sinus is MOST likely to be directly involved in the abnormal shunting of blood?

<p>Transverse sinus (A)</p> Signup and view all the answers

A patient presents with hydrocephalus due to impaired drainage of cerebrospinal fluid. If the obstruction is located within the posterior cranial fossa, which sinus, upon blockage, would MOST directly impede the outflow of CSF via the arachnoid granulations?

<p>Sigmoid sinus (B)</p> Signup and view all the answers

Following a head injury, a patient is found to have a dural tear resulting in a cerebrospinal fluid (CSF) leak. If imaging indicates the tear is near the posterior border of the foramen magnum, which dural structure is MOST likely compromised?

<p>Falx cerebelli (B)</p> Signup and view all the answers

A neurosurgeon is planning a transsphenoidal approach to remove a pituitary adenoma. Which of the following venous structures lies within the dural folds that must be carefully considered during the approach through the floor of the sella turcica?

<p>Basilar plexus of veins (C)</p> Signup and view all the answers

During the dissection of a cadaver, a medical student observes a small venous channel running along the posterior border of the lesser wing of the sphenoid bone. This channel MOST likely represents which of the dural sinuses?

<p>Sphenoparietal sinus (A)</p> Signup and view all the answers

A pathologist is examining a specimen that includes the confluence of sinuses. Which of the following sinuses would NOT directly contribute to this confluence?

<p>Inferior sagittal sinus (C)</p> Signup and view all the answers

A patient presents with signs and symptoms suggestive of trigeminal neuralgia. If the underlying cause is related to compression of the trigeminal ganglion, which dural structure is MOST likely involved in encapsulating this ganglion?

<p>Cavum trigeminale (D)</p> Signup and view all the answers

A patient presents with a lesion affecting the hypophysis cerebri. Which structure is MOST at risk due to its position superior to the gland?

<p>Optic chiasm (A)</p> Signup and view all the answers

A radiologist observes an anomaly in the development of the dural sinuses. Which of the following best describes the developmental origin of dural sinuses?

<p>They are valueless venous channels between the two layers of dura mater. (B)</p> Signup and view all the answers

A patient with a severe head trauma exhibits damage to the dural sinuses, resulting in alterations to the normal venous drainage pathways. If the superior sagittal sinus is obstructed, which of the following represents the MOST likely compensatory mechanism for venous drainage?

<p>Increased drainage through the inferior sagittal sinus and straight sinus (D)</p> Signup and view all the answers

Anatomy students are studying the dural sinuses and their connections. Which statement accurately describes a relationship between different dural sinuses?

<p>The superior petrosal sinus drains the cavernous sinus into the transverse sinus. (B)</p> Signup and view all the answers

In the context of complex neurosurgical planning, if a surgeon aims to minimize manipulation of the dural folds during an approach to the cerebellopontine angle, which structure's relationship with the tentorium cerebelli must be MOST meticulously considered to avoid inadvertent complications?

<p>The transverse sinus, due to its direct continuity with the sigmoid sinus and proximity to the surgical field. (C)</p> Signup and view all the answers

A researcher is investigating the biomechanical properties of the dural folds and their response to rapid deceleration injuries. Which of the following factors would MOST significantly influence the stress distribution within the tentorium cerebelli during such an event?

<p>The precise collagen fiber orientation within the dural matrix and its interface with the falx cerebri. (D)</p> Signup and view all the answers

In a rare anatomical variation, the infundibulum of the pituitary gland exhibits significant lateral displacement, causing it to course tangentially along one side of the Diaphragma Sellae before attaching to the hypophysis. This aberrant positioning would MOST likely increase the risk of iatrogenic injury to which of the following structures during transsphenoidal surgery?

<p>The intercavernous sinuses, potentially leading to significant hemorrhage. (A)</p> Signup and view all the answers

Consider a scenario where a genetic mutation disrupts the normal development of the dural folds, resulting in partial agenesis of the tentorium cerebelli. Which of the following compensatory mechanisms would MOST likely occur to maintain intracranial compartmentalization and prevent herniation?

<p>Caudal expansion of the falx cerebri with subsequent adhesion to the falx cerebelli, reinforcing structural support. (A)</p> Signup and view all the answers

Following a complex surgical procedure involving extensive manipulation near the tentorium cerebelli, a patient exhibits a highly specific and unusual neurological deficit: impaired modulation of saccadic eye movements, but with intact voluntary eye movement and no pupillary abnormalities. Which of the following mechanisms BEST explains this isolated deficit, considering the intricate anatomy of the dural folds?

<p>Selective microvascular injury within the midbrain tegmentum indirectly impacting the paramedian pontine reticular formation (PPRF). (A)</p> Signup and view all the answers

A patient presents with thrombosis of the cavernous sinus secondary to a facial infection. If the infection spreads indirectly via the pterygoid plexus, which emissary vein is MOST likely involved in the transmission of the infection to the cavernous sinus?

<p>Emissary vein passing through the foramen ovale (B)</p> Signup and view all the answers

During a complex neurosurgical procedure involving the tentorium cerebelli, a surgeon inadvertently compromises the venous drainage along the superior petrosal sulcus. Which of the following sinuses would be MOST directly affected by this injury, potentially leading to increased intracranial pressure?

<p>Transverse sinus (C)</p> Signup and view all the answers

A patient presents with a rare condition causing calcification of the dural sinuses. If the calcification primarily affects the sinus located along the internal occipital crest, which neurological deficit is MOST likely to manifest initially?

<p>Disturbances in venous drainage from the cerebellum (C)</p> Signup and view all the answers

A neurosurgeon is planning a minimally invasive procedure targeting the pituitary gland. To minimize the risk of damaging nearby venous structures, the surgeon must have a comprehensive understanding of the intercavernous sinuses. Which of the following statements accurately describes the anatomical relationships of these sinuses?

<p>The intercavernous sinuses run within the borders of the diaphragma sellae and below the pituitary gland. (D)</p> Signup and view all the answers

A researcher is investigating the embryological development of the dural sinuses. A disruption in which of the following developmental processes would MOST likely result in agenesis of the superior sagittal sinus?

<p>Failure of mesenchymal condensation along the falx cerebri (B)</p> Signup and view all the answers

A Forensic pathologist is examining a skull and observes a fracture line running along the superior aspect of the falx cerebri attachment. Which of the following sinuses is MOST likely at risk of being lacerated?

<p>Superior sagittal sinus (D)</p> Signup and view all the answers

During a surgical procedure, manipulation near the confluence of sinuses results in damage. Which of the following structures would be LEAST likely to be directly affected?

<p>Inferior sagittal sinus (D)</p> Signup and view all the answers

A patient presents with a tumor impinging on the anterior cranial fossa near the crista galli. Which of the following symptoms would MOST directly result from the tumor's effect on the attached dural structure?

<p>Changes in olfaction (D)</p> Signup and view all the answers

A patient is diagnosed with thrombosis of the inferior sagittal sinus. Which of the following venous structures will MOST directly experience reduced blood flow as a consequence of this thrombosis?

<p>Straight sinus (C)</p> Signup and view all the answers

Following a traumatic brain injury, a patient develops a dural arteriovenous fistula involving the transverse sinus. Which of the following clinical manifestations is MOST likely to arise as a direct consequence of this condition?

<p>Pulsatile tinnitus (A)</p> Signup and view all the answers

During a complex neurosurgical procedure, the basilar plexus of veins is inadvertently damaged. Which of the following dural sinuses is MOST likely to be directly affected, potentially leading to significant venous congestion?

<p>Inferior petrosal sinus (C)</p> Signup and view all the answers

A cadaver dissection reveals an anatomical variation where the superior sagittal sinus primarily drains into the left transverse sinus. This variation would MOST significantly impact the drainage from which of the following?

<p>Left cerebral hemisphere (D)</p> Signup and view all the answers

A neurosurgeon is operating to remove a tumor adjacent to the cavernous sinus. Inadvertent damage to the spheno-parietal sinus during the procedure would MOST directly affect venous drainage from which of the following regions?

<p>The frontal lobe (B)</p> Signup and view all the answers

A patient presents with hydrocephalus caused by impaired CSF absorption at the arachnoid granulations. If the primary obstruction lies within a dural sinus, which of the following is the MOST likely location of the blockage directly impeding CSF outflow?

<p>Superior sagittal sinus (B)</p> Signup and view all the answers

A neurosurgeon is planning a transsphenoidal approach to the pituitary gland. Which structure lies superior to the pituitary gland and is MOST susceptible to injury during the procedure?

<p>Diaphragma sellae (D)</p> Signup and view all the answers

Flashcards

Dural folds

Replications of the inner meningeal layer of the dura mater that creates partitions in the cranial cavity.

Diaphragma sellae

A circular fold above the pituitary gland, transmitting the infundibulum of the pituitary gland.

Tentorium cerebelli

A tent-shaped dural fold located between the cerebral and cerebellar hemispheres.

Attachments of Diaphragma sellae

Attached anteriorly to the tuberculum sellae and posteriorly to the dorsum sellae, with a central hole for the infundibulum.

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Sinuses related to Dural folds

The inter-cavernous sinuses are associated with the dural folds in the cranial cavity.

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Falx Cerebri

A sickle-shaped fold of dura mater separating the cerebral hemispheres.

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Superior Sagittal Sinus

A dural sinus located along the upper margin of the falx cerebri.

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Inferior Sagittal Sinus

A dural sinus along the lower border of falx cerebri, merging with the great cerebral vein to form straight sinus.

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Straight Sinus

A vein formed from the union of the great cerebral vein and the inferior sagittal sinus.

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Cavernous Sinus

A paired sinus located laterally to the pituitary gland, connected to multiple veins.

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Transverse Sinus

A sinus that connects the superior sagittal sinus and straight sinus to the sigmoid sinus.

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Inferior Petrosal Sinus

A sinus running in the petro-occipital sulcus from the cavernous sinus to the internal jugular vein.

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Sigmoid Sinus

The continuation of the transverse sinus, leading to the internal jugular vein.

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Falx Cerebelli

An inverted triangle-shaped fold of dura mater between the cerebellar hemispheres.

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Platysma Shows of Blood

Conveys the connection of facial veins to cavernous sinus.

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Cavum Trigeminal

The space that encloses the trigeminal ganglion.

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Anterior Facial Vein

A vein that drains the face, including the nose and upper lip.

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Pituitary Gland

A gland located below the optic chiasma, divided into anterior and posterior lobes.

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Shape of Diaphragma sellae

Circular shape located above the pituitary gland.

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Central hole of Diaphragma sellae

A hole in the diaphragma sellae transmitting the infundibulum of the pituitary gland.

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Attachments of Tentorium cerebelli

Attached to the base of Falx Cerebri above and Falx Cerebelli below with a U-shaped free border.

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Site of Tentorium cerebelli

Located between the cerebral and cerebellar hemispheres in the cranial cavity.

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Related sinuses of Diaphragma sellae

Inter-cavernous sinuses are associated with the diaphragma sellae.

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Falx Cerebri Attachment

Attached to the frontal crest and upper tentorium cerebelli.

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Superior Petrosal Sinus

A sinus located in the petro-occipital sulcus leading to the internal jugular vein.

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Cavum Trigeminal Function

Encloses the trigeminal ganglion, part of the cranial nerves.

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Occipital Sinus

A paired sinus along the internal occipital crest, drains into the confluence of sinuses.

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Transverse Sinus Path

Connected to superior sagittal and straight sinuses, ends as sigmoid sinus.

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Dangerous Facial Area

Region of face drained by anterior facial vein, can spread infections.

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Inferior Sagittal Sinus Connection

Merges with great cerebral vein to form straight sinus.

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Superior Sagittal Sinus Beginning

Begins at foramen caecum and runs along the falx cerebri.

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Basilar Plexus of Veins

System over the clivus connecting inferior petrosal sinsuses.

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Straight Sinus Formation

Formed by the union of the great cerebral vein and inferior sagittal sinus.

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Sigmoid Sinus Pathway

Continuation of the transverse sinus leading to the internal jugular vein.

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Pituitary Gland Relations

Superior to optic chiasma and inferior to sphenoid body.

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Falx Cerebelli Shape

An inverted triangle separating two cerebellar hemispheres.

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Shape of Tentorium cerebelli

Tent-shaped dural fold between cerebral and cerebellar hemispheres.

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Connections of Tentorium cerebelli

Attached to falx cerebri and falx cerebelli, with a U-shaped free border around midbrain.

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Function of Central hole of Diaphragma sellae

Transmits the infundibulum of the pituitary gland.

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Location of Diaphragma sellae

Circular fold located above the pituitary gland in the cranial cavity.

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Role of Inter-Cavernous Sinuses

Sinuses related to the diaphragma sellae facilitating venous drainage.

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Attachments of Falx Cerebri

Attached to the frontal crest, crista galli, and upper tentorium cerebelli.

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Related Sinuses of Falx Cerebri

Includes superior sagittal, inferior sagittal, and straight sinuses at its margins.

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Primarily Sinuses of Dural Folds

Dural sinuses are venous channels between the layers of dura mater.

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Cavernous Sinus Location

Paired sinuses situated laterally to the pituitary gland, with connections to various veins.

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Inferior Petrosal Sinus Function

Carries blood from cavernous sinus to the internal jugular vein.

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Dangerous Facial Area Overview

Region drained by the anterior facial vein; infection can spread to cavernous sinus.

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Occipital Sinus Path

Located along the internal occipital crest, draining into the confluence of sinuses.

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Sigmoid Sinus Connection

Continues from transverse sinus and drains into the internal jugular vein via the jugular foramen.

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Pituitary Gland Structure

Divided into anterior and posterior lobes; connects to the hypothalamus by infundibulum.

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Shape of Falx Cerebelli

An inverted triangle separating the cerebellar hemispheres.

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Basilar Plexus Location

A network of veins over the clivus connecting inferior petrosal sinuses.

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Study Notes

Cranial Cavity Structures

  • The cranial cavity is the space inside the skull, housing the brain.
  • Structures within this cavity include various dural folds, including the diaphragma sellae and tentorium cerebelli.
  • The diaphragma sellae is a fold of dura mater, forming a circular structure above the pituitary gland.
  • Its anterior attachment is to the tuberculum sellae, and posterior attachment is to the dorsum sellae.
  • The tentorium cerebelli separates the cerebellum from the cerebrum, having a tent-like shape.
  • It is attached to the base of the falx cerebri and base of the falx cerebelli at its inferior surface.

Additional Cranial Cavity Structures

  • The falx cerebri is a sickle-shaped fold of dura mater between the two cerebral hemispheres.
  • Its apex attaches to the frontal crest and crista galli, and its base is connected to the upper surface of the tentorium cerebelli.
  • The lower border of the falx cerebri is free.
  • The falx cerebelli is an inverted triangle between the two cerebellar hemispheres.
  • It's attached to the posterior border of the foramen magnum and the inferior surface of the tentorium cerebelli.
  • Its posterior border connects to the internal occipital crest.

Dural Sinuses

  • Dural sinuses are venous channels located between the two layers of the dura mater.
  • These venous channels contain blood, which eventually drains into the jugular veins.
  • Singular dural sinuses include the superior sagittal sinus, inferior sagittal sinus, straight sinus, and occipital sinus.
  • The superior sagittal sinus begins at the foramen caecum and continues to form the right transverse sinus.
  • The inferior sagittal sinus joins with the great cerebral vein to form the straight sinus.
  • The straight sinus then forms the left transverse sinus.

Additional Dural Sinuses

  • The occipital sinus bifurcates at the foramen magnum, draining into the sigmoid sinus.
  • Intercavernous sinuses are located at the borders of the diaphragma sellae, and middle sinuses are below the pituitary gland.
  • These intercavernous sinuses connect to the cavernous sinuses on both sides.

Paired Sinuses and their Tributaries

  • The sphenoparietal sinus runs along the lesser wing of the sphenoid bone, ending in the cavernous sinus.
  • The cavernous sinus is related to the superior orbital fissure, apex of the petrous temporal bone, pituitary gland, and body of the sphenoid bone.
  • Tributaries to the cavernous sinus include ophthalmic veins, central retinal veins, and the sphenoparietal sinus.
  • Its contents include the oculomotor, trochlear, ophthalmic, and maxillary nerves, plus the internal carotid artery.
  • Drainage from the cavernous sinus is to the superior and inferior petrosal sinuses.

Dangerous Area of Face

  • Infections in the face's dangerous zone can spread to the cavernous sinus via two routes:
  • Directly, through the superior ophthalmic vein.
  • Indirectly, via the pterygoid plexus, connecting deep facial veins to the cavernous sinus, through the foramen ovale. Infection in this zone can trigger cavernous sinus thrombosis.

Pituitary Gland

  • The pituitary gland (hypophysis cerebri) consists of anterior and posterior lobes.
  • The anterior lobe (adenohypophysis) comprises the pars tuberalis, pars distalis, and pars intermedia.
  • The posterior lobe (neurohypophysis) connects to the hypothalamus via the infundibulum.
  • The pituitary gland is related to the diaphragma sellae, optic chiasma, body of the sphenoid bone, sphenoidal sinuses, tuberculum sellae, and anterior/posterior intercavernous sinuses.

Pituitary Gland Development

  • The neurohypophysis develops from a downgrowth from the floor of the diencephalon.
  • The adenohypophysis originates as an upgrowth from the roof of the stomodeum (Rathke's pouch).
  • Potential anomalies include pharyngeal pituitary glands and craniopharyngiomas.

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