Cranium: Neurocranium and Viscerocranium

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Questions and Answers

According to the Federative International Committee on Anatomical Terminology (FICAT), what is the cranium?

  • The bones of the upper limbs
  • The bones of the trunk
  • The skeleton of the face
  • The skeleton of the head (correct)

The neurocranium consists of 14 bones.

False (B)

Name the two types of cranium components.

Neurocranium and Viscerocranium

The brain box or cranial vault is also known as the ______.

<p>neurocranium</p> Signup and view all the answers

Match the following bones to their respective cranial component:

<p>Frontal = Neurocranium Maxillae = Viscerocranium Occipital = Neurocranium Mandible = Viscerocranium</p> Signup and view all the answers

Which of the following is a function of the neurocranium?

<p>Provides a case for the brain. (D)</p> Signup and view all the answers

The sphenoid bone is part of the viscerocranium.

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

How many bones form the viscerocranium?

<p>14</p> Signup and view all the answers

The junction of the coronal and sagittal sutures is known as the ______.

<p>Bregma</p> Signup and view all the answers

Match the following skull features with their descriptions:

<p>Lambda = Junction of lambdoid and sagittal sutures Glabella = Smooth prominence superior to the root of the nose Nasion = Point where the frontonasal and internasal sutures unite Inion = External occipital protuberance</p> Signup and view all the answers

Which of the following is the function of fontanelles in neonates?

<p>To allow the skull to deform during birth. (B)</p> Signup and view all the answers

The anterior fontanelle is usually closed by the time a child is 6 months old.

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

What is the clinical significance of a depressed fontanelle in an infant?

<p>Dehydration</p> Signup and view all the answers

The flat bones of the calvaria are formed by ______ ossification.

<p>intramembranous</p> Signup and view all the answers

Match the following terms with their correct description related to sutures in the calvaria::

<p>Coronal suture = Between frontal and parietal bones Sagittal suture = Between parietal bones Lambdoid suture = Between parietal and occipital bones Emissary foramina = Connect scalp veins to venous sinuses</p> Signup and view all the answers

Which of the following best describes the layers of the calvaria?

<p>Hard external and internal laminae with a cancellous middle layer (A)</p> Signup and view all the answers

The bony vault of the skull is approximately 20 mm thick.

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

What is the function of the emissary veins found in the emissary foramina?

<p>Connect scalp veins to venous sinuses</p> Signup and view all the answers

The point 3-4 cm superior to the midpoint of the zygomatic arch is known as the ______.

<p>pterion</p> Signup and view all the answers

Match each cranial nerve (CN) with its corresponding name:

<p>CN I = Olfactory nerve CN II = Optic nerve CN V = Trigeminal nerve CN VII = Facial nerve</p> Signup and view all the answers

Which of the following cranial nerves has three major branches (Ophthalmic, Maxillary, and Mandibular)?

<p>Trigeminal nerve (CN V) (C)</p> Signup and view all the answers

The cranial base is divided into five fossae.

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

Name the three cranial fossae.

<p>Anterior, Middle, Posterior</p> Signup and view all the answers

The axons of the olfactory nerves (CN I) pass through the ______ foramina.

<p>Cribriform</p> Signup and view all the answers

Match the cranial fossa with the nerve/artery that passes through it:

<p>Anterior Cranial Fossa = Anterior Ethmoidal Artery Middle Cranial Fossa = Optic Nerve (CN II) Posterior Cranial Fossa = Facial Nerve (CN VII)</p> Signup and view all the answers

Which cranial nerve passes through the optic canal?

<p>Optic nerve (CN II) (C)</p> Signup and view all the answers

The foramen spinosum transmits the internal carotid artery.

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

What structures pass through the jugular foramen?

<p>Inferior petrosal and sigmoid sinuses, glossopharyngeal nerve (CN IX), vagus nerve (CN X), accessory nerve (CN XI), meningeal branches of ascending &amp; occipital arteries, jugular bulb of internal jugular vein</p> Signup and view all the answers

The ______ transmits the facial nerve (CN VII) and the vestibulocochlear nerve (CN VIII).

<p>internal acoustic meatus</p> Signup and view all the answers

Match the foramen with the nerve branch that passes through it.

<p>Foramen Rotundum = Maxillary branch of CN V Foramen Ovale = Mandibular branch of CN V Superior Orbital Fissure = Ophthalmic nerve (CN V1)</p> Signup and view all the answers

Which of the following structures passes through the Foramen Magnum?

<p>Medulla Oblongata (D)</p> Signup and view all the answers

The trochlear nerve (CN IV) passes through the Foramen Ovale.

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

What type of vein passes through the mastoid foramen (when present)? Where does it originate and terminate?

<p>Mastoid emissary vein; sigmoid sinus; vertebral veins in the neck</p> Signup and view all the answers

A blunt force trauma to to the calvaria may cause a fracture on the side opposite the impact - this is a ______ fracture.

<p>Contre coup</p> Signup and view all the answers

A patient presents with profuse bleeding after a blow to a sharp ridge in the superciliary arches. Which area of the skull was most likely injured?

<p>Superciliary Weles (A)</p> Signup and view all the answers

Which of the following structures is part of the neurocranium?

<p>Ethmoid bone (D)</p> Signup and view all the answers

What structure houses the ear canal?

<p>Temporal bone</p> Signup and view all the answers

Which structures connect at the pterion?

<p>Frontal, parietal, sphenoid and temporal bones</p> Signup and view all the answers

Which structure houses the pituitary gland?

<p>Sella turcica</p> Signup and view all the answers

Which suture is formed by the connection of the occipital bone and the two parietal bones?

<p>Lambdoid suture</p> Signup and view all the answers

Which structures of the neurocranium does the frontal bone connect to?

<p>Parietal, ethmoid, and sphenoid bones</p> Signup and view all the answers

Which of the following bones in the viscerocranium is unpaired?

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

Which structure connects to the perpendicular plate of the ethmoid bone?

<p>Vomer</p> Signup and view all the answers

Which aspect of the mandible articulates with the temporal bone?

<p>Condylar process</p> Signup and view all the answers

Which two bones form the hard palate?

<p>Maxilla and palatine bone</p> Signup and view all the answers

Which bones contribute to the anterior cranial fossa?

<p>Frontal, ethmoid, and sphenoid bones</p> Signup and view all the answers

Which structure is located in the posterior cranial fossa and allows the passage of CN VII and CN VIII?

<p>Internal acoustic meatus</p> Signup and view all the answers

Which two structures connect the cranial cavity to the infratemporal fossa?

<p>Foramen spinosum and foramen ovale</p> Signup and view all the answers

Which structures pass through the superior orbital fissure?

<p><strong>oculomotor nerve</strong> (CN III), trochlear nerve (CN IV), <strong>ophthalmic nerve</strong> (CN V1), and <strong>abducens nerve</strong> (CN VI)</p> Signup and view all the answers

Which structure connects the cranial cavity to the nasal cavity?

<p>Foramen Cecum</p> Signup and view all the answers

Which structures pass through the foramina of the anterior cranial fossa?

<p>Olfactory nerve (CN I) and emissary veins</p> Signup and view all the answers

What is a common cause of cerebrospinal fluid (CSF) rhinorrhea?

<p>Fracture of the cribiform plate</p> Signup and view all the answers

Which structures form the border of the mastoid fontanelle?

<p>Parietal, temporal and occipital bones</p> Signup and view all the answers

Upon fusion of the skull, which fontanelle is replaced by the lambda?

<p>Posterior fontanelle</p> Signup and view all the answers

Which suture prematurely fuses in scaphocephaly?

<p>Sagittal Suture</p> Signup and view all the answers

Which type of craniosynostosis is caused by premature fusion of the lambdoid suture?

<p>Posterior plagiocephaly</p> Signup and view all the answers

Identify the tagged structure.

<p>Inferior nasal concha</p> Signup and view all the answers

Which structure travels through this opening?

<p>Internal carotid artery</p> Signup and view all the answers

What are the two parts of the cranium?

<p>Neurocranium and Viscerocranium</p> Signup and view all the answers

What bones form the neurocranium?

<p>Frontal, parietal, temporal, ethmoid, sphenoid, and occipital bones</p> Signup and view all the answers

What are the components of the sphenoid bone?

<p>Body, greater and lesser wings, pterygoid process, sella turcica, anterior clinoid process, posterior clinoid process, tuberculum sellae, hypophyseal fossa, and dorsum sellae</p> Signup and view all the answers

What structures are part of the frontal bone?

<p>Glabella, supraorbital margin, supraorbital notch, superciliary arch, orbital surface, orbital fissures, optic canal</p> Signup and view all the answers

What is the glabella?

<p>Smooth prominence superior to root of the nose on the frontal bones</p> Signup and view all the answers

What is the nasion?

<p>Point where the frontonasal and internasal sutures unite</p> Signup and view all the answers

What is the bregma?

<p>Junction of coronal and sagittal sutures</p> Signup and view all the answers

What is the vertex of the neurocranium?

<p>The most superior point</p> Signup and view all the answers

What are the components of the parietal bone?

<p>Superior temporal line (stl) and inferior temporal line (itl)</p> Signup and view all the answers

What are the components of the Temporal bone?

<p>Squamous part, petrous part, mastoid part, external acoustic meatus (tympanic part), Zygomatic process, temporal fossa, articular tubercle</p> Signup and view all the answers

The _____ is the largest, diamond shaped, future site of bregma and is fussed by 18months of age.

<p>Anterior Fontanelle</p> Signup and view all the answers

The _____ is triangular shaped, the future site of lambda, and is completely closed by the 1st year.

<p>Posterior Fontanelle</p> Signup and view all the answers

Anterolateral fontanelle is also called _____;posterolateral fontanelle is also called _____

<p>sphenoidal; mastoid</p> Signup and view all the answers

What is the clinical significance of the fontanelles?

<p>Help determine the progress of growth, hydration, and level of intracranial pressure</p> Signup and view all the answers

What bones are considered the calvaria?

<p>Frontal, parietals, occipital, sphenoid and temporal (neurocranium)</p> Signup and view all the answers

What type of ossification are flat bones formed by?

<p>intramembranous</p> Signup and view all the answers

What type of ossification are irregular bones formed by?

<p>endochondral</p> Signup and view all the answers

What are buttresses?

<p>thickened portions of the cranial bones that transmit forces bypassing the orbits and nasal cavity</p> Signup and view all the answers

What structures are part of the anterior cranial fossa?

<p>Foramen cecum, cribriform foramina, anterior ethmoidal foramen, and posterior ethmoidal foramen</p> Signup and view all the answers

What passes through the foramen cecum?

<p>Nasal emissary vein that supplies superior sagittal sinus</p> Signup and view all the answers

What structure passes through the cribriform foramina?

<p>Axons if olfactory nerves CN I</p> Signup and view all the answers

What structure passes through the anterior ethmoid foramen?

<p>anterior ethmoidal artery, vein and nerves</p> Signup and view all the answers

What structures form the middle cranial fossa?

<p>greater wings of the sphenoid (laterally), squamous part of temporal bone (laterally) and petrous part of temporal bone (posteriorly)</p> Signup and view all the answers

What structures are found within the middle cranial fossa?

<p>Optic canal, superior orbital fissure, foramen rotundum, foramen ovale, foramen spinosum, carotid canal, foramen lacerum, and groove or hiatus of lesser and greater petrosal nerve</p> Signup and view all the answers

What structure passes through the optic canal?

<p><em>Optic nerve (CN II) , Ophthalmic artery, Associated postganglionic sympathetic fibers</em></p> Signup and view all the answers

What structure passes through the superior orbital fissure?

<p><em>Oculomotor (CN III), Trochlear (CN IV), Ophthalmic nerve (CN V1), Abducent (CN VI), Ophthalmic vein, Sympathetic fibers</em></p> Signup and view all the answers

What cranial nerve passes through the Foramen rotundum?

<p><em>Maxillary (CN V2) branch of CN V</em></p> Signup and view all the answers

What structure passes through the Foramen ovale?

<p><em>Mandibular (CN V3) branch of CN V, Accessory meningeal artery, Lesser petrosal nerve (sometimes)</em></p> Signup and view all the answers

What structure passes through the Foramen spinosum?

<p><em>Middle meningeal artery and vein, Meningeal branch of CN V3</em></p> Signup and view all the answers

What structure passes through the Foramen lacerum?

<p>Normally covered by a cartilaginous plate</p> Signup and view all the answers

What structure passes through the groove or hiatus of lesser and greater petrosal nerve?

<p><em>Lesser and greater petrosal nerve, respectively, Petrosal branch of middle meningeal artery</em></p> Signup and view all the answers

What structures form the Posterior Cranial Fossa?

<p>Internal acoustic meatus, jugular foramen, mastoid foramen, condylar canal, and hypoglossal canal and foramen magnum</p> Signup and view all the answers

What structure passes through the internal acoustic meatus?

<p><em>Facial nerve (CN VII), Vestibulocochlear nerve (CN VIII), Labyrinthine artery</em></p> Signup and view all the answers

What structure passes through the mastoid foramen?

<p><em>Mastoid emissary vein from sigmoid sinus, Meningeal branch of occipital artery</em></p> Signup and view all the answers

What structure passes through the condylar canal?

<p>emissary veins</p> Signup and view all the answers

Damage to which structure within the anterior cranial fossa would most directly result in anosmia?

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

A patient presents with periorbital bruising (raccoon eyes) and CSF rhinorrhea following a head trauma. Which of the following is the MOST likely location of the fracture?

<p>Anterior cranial fossa (D)</p> Signup and view all the answers

In most people, the foramen cecum typically transmits what?

<p>Emissary veins (C)</p> Signup and view all the answers

A newborn presents with a flattened forehead and a high, tower-like cranium. Which condition is MOST likely responsible?

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

An infant presents with premature closure of the sagittal suture. Which of the following cranial malformations is MOST likely observed?

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

Premature closure of the coronal suture on one side results in flattening of the forehead on the affected side with bossing on the opposite side. Which condition is MOST likely?

<p>Anterior Plagiocephaly (A)</p> Signup and view all the answers

Premature closure of the lambdoid suture on one side results in frontal and occipital bossing. Which condition is MOST likely?

<p>Posterior Plagiocephaly (C)</p> Signup and view all the answers

What two structures are connected by the crista galli and perpendicular plate?

<p>Frontal bone and nasal septum (C)</p> Signup and view all the answers

What type of imaging is shown in the included image?

<p>Coronal Head - Part 1 (CT) (A)</p> Signup and view all the answers

What structure is highlighted in the provided image?

<p>Longus colli (D)</p> Signup and view all the answers

Identify the name of the structure highlighted in the provided image.

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

Which of the following clinical findings is LEAST likely to be associated with a fracture of the anterior cranial fossa?

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

A patient with a suspected anterior cranial fossa fracture reports a clear fluid draining from their nose. Which of the following is the MOST appropriate initial step to confirm the fluid is CSF?

<p>Check for the presence of transferrin or beta-2 transferrin (C)</p> Signup and view all the answers

A newborn infant has a large anterior fontanelle that remains open longer than expected. Physical examination reveals a somewhat elongated head shape. Which cranial malformation is MOST likely responsible for this presentation?

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

A 9-month-old infant is brought to the clinic with a visibly flattened forehead and a high and wide cranium. The coronal sutures appear prematurely fused. Which cranial malformation is MOST likely responsible for this presentation?

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

Which of the following structures is visible in the provided axial neck T2-weighted image?

<p>Spinal nerve C8 &amp; C8 spinal ganglion (B)</p> Signup and view all the answers

Which of the following is MOST accurate regarding the anatomical path of the emissary veins that may pass through the foramen cecum?

<p>Connecting the superior sagittal sinus to the scalp veins. (B)</p> Signup and view all the answers

Which of the following anatomical relationships BEST explains the occurrence of periorbital bruising (raccoon eyes) in anterior cranial fossa fractures?

<p>Gravity-dependent flow of blood from the fracture site along fascial planes into the periorbital region. (B)</p> Signup and view all the answers

Which of the following imaging modalities would be MOST appropriate to initially assess a suspected anterior cranial fossa fracture in an emergency setting?

<p>CT scan without contrast (D)</p> Signup and view all the answers

A patient involved in a high-speed motor vehicle accident presents with suspected basilar skull fracture. Besides raccoon eyes and CSF rhinorrhea, what other clinical sign should raise suspicion for anterior cranial fossa involvement specifically?

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

An infant presents with a head shape characterized by a prominent, pointed forehead. Which of the following cranial sutures is MOST likely prematurely fused in this patient?

<p>Metopic suture (A)</p> Signup and view all the answers

Identify the highlighted part of the skull as shown in this image.

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

Identify the structure highlighted in this image.

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

Which of the following structures is BEST visualized in the provided Coronal Head - Part 2 (CT) scan?

<p>Ethmoidal sinuses (A)</p> Signup and view all the answers

A trauma patient presents with anosmia and CSF rhinorrhea after a head injury. Which of the following is the MOST likely mechanism causing these symptoms?

<p>Disruption of the olfactory bulb and meningeal tear (D)</p> Signup and view all the answers

A researcher is studying variations in skull morphology. Which of the following BEST describes the typical sequence of fontanelle closure in infants?

<p>Posterior, posterolateral, anterolateral, then anterior (A)</p> Signup and view all the answers

What is the main functional significance of the mastoid air cells, as depicted in the Cranial Head - Caudal Slice (CT) Part 1?

<p>Protecting the inner ear from rapid pressure changes (D)</p> Signup and view all the answers

In the context of an anterior cranial fossa fracture, what pathophysiological process MOST directly leads to CSF rhinorrhea?

<p>Direct communication between the subarachnoid space and the nasal cavity due to dural and cribriform plate disruption (E)</p> Signup and view all the answers

A clinician observes a newborn to have scaphocephaly. This condition arises due to the premature fusion of which cranial suture?

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

A forensic anthropologist discovers a skull with a healed fracture that resulted in anosmia. Which specific region of the skull should they examine CLOSELY for evidence of trauma?

<p>The cribriform plate of the ethmoid bone (D)</p> Signup and view all the answers

Which of the following best describes the primary function of the mastoid process?

<p>Attachment site for neck muscles. (A)</p> Signup and view all the answers

Which of the following structures is housed within the temporal bone?

<p>Inner ear. (A)</p> Signup and view all the answers

The mandibular fossa of the temporal bone articulates with which structure?

<p>Condylar process of the mandible. (C)</p> Signup and view all the answers

Which part of the temporal bone contributes to the zygomatic arch?

<p>Squamous portion. (A)</p> Signup and view all the answers

What is the function of the articular tubercle of the temporal bone?

<p>Provides support during mandibular movement. (D)</p> Signup and view all the answers

Which process of the sphenoid bone serves as an attachment site for muscles involved in mastication?

<p>Pterygoid plates. (A)</p> Signup and view all the answers

Which of the following best describes the location of the sella turcica?

<p>Middle cranial fossa. (B)</p> Signup and view all the answers

Which structure transmits the olfactory nerves (CN I)?

<p>Cribriform plate. (D)</p> Signup and view all the answers

Which of the following structures is NOT part of the ethmoid bone?

<p>Inferior nasal concha. (A)</p> Signup and view all the answers

Which of the following best describes the function of the crista galli?

<p>Attachment point for the falx cerebri. (A)</p> Signup and view all the answers

Which of the following features is found on the occipital bone?

<p>External occipital protuberance. (B)</p> Signup and view all the answers

What is the primary function of the occipital condyles?

<p>Articulation with the atlas (C1 vertebra). (B)</p> Signup and view all the answers

What is the function of the external occipital crest?

<p>Serves as an insertion point for the ligamentum nuchae and some muscles in the back of the neck. (D)</p> Signup and view all the answers

Which bone does NOT contribute to the formation of the nasal septum?

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

With which bone does the zygomatic bone articulate to form the zygomatic arch?

<p>Temporal bone. (D)</p> Signup and view all the answers

In the context of the maxilla, what is the alveolar process?

<p>The inferior portion that contains the sockets for the teeth. (B)</p> Signup and view all the answers

Which of the following best describes the location of the mental foramen?

<p>Mandible. (A)</p> Signup and view all the answers

Which of the following passes through the mental foramen?

<p>Mental nerve. (C)</p> Signup and view all the answers

The mandibular condyle articulates with which part of the temporal bone?

<p>Mandibular fossa (D)</p> Signup and view all the answers

What bony structure is formed by the horizontal plates of the palatine bones and palatine processes of the maxillae?

<p>Hard palate (A)</p> Signup and view all the answers

Through which foramen does the mandibular nerve (CN V3) exit the skull?

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

If a patient presents with loss of sensation in the cheek, upper lip, and side of the nose following a fracture, which foramen is MOST likely involved?

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

A lesion in the jugular foramen would MOST likely affect which combination of cranial nerves?

<p>CN IX, CN X, CN XI (A)</p> Signup and view all the answers

What structure passes through the hypoglossal canal?

<p>Hypoglossal nerve (CN XII) (B)</p> Signup and view all the answers

A patient presents with vertigo and hearing loss following a skull fracture. Which foramen is MOST likely affected?

<p>Internal acoustic meatus (A)</p> Signup and view all the answers

Which structure is LEAST likely to be found within the anterior cranial fossa?

<p>Hypophyseal fossa (D)</p> Signup and view all the answers

Which artery travels through the foramen spinosum?

<p>Middle meningeal artery (B)</p> Signup and view all the answers

A neurosurgeon is planning a transsphenoidal surgery to remove a pituitary adenoma. Which of the following bony structures will the surgeon MOST likely need to access or manipulate? (Assuming a nasal approach)

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

An extremely virulent infection spreads along the greater petrosal nerve. Assuming the infection makes its way into the meninges, which foramen did it MOST likely enter?

<p>Hiatus of the facial canal (C)</p> Signup and view all the answers

Flashcards

Cranium (skull)

The skeleton of the head, as defined by FICAT.

Neurocranium

The brain box, encasing the brain, cranial meninges, nerves, and vessels.

Viscerocranium

Anterior part of the skull, containing orbits and nasal cavities.

Parietal bone

Superior and lateral aspects of the skull.

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Bregma

Junction of coronal and sagittal sutures.

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Lambda

Junction of lambdoid and sagittal sutures.

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Occipital bone

Encloses the foramen magnum; has external protuberance.

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Inion

Point of the external occipital protuberance.

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Asterion

Point where parietomastoid, occipitomastoid, and lambdoid sutures meet.

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Parietal Bone

Forms superior and lateral aspects of the skull.

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Frontal bone

Underlies the forehead and superior margin of the orbit.

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Glabella

Smooth prominence superior to the root of the nose.

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Nasion

Point where the frontonasal and internasal sutures unite.

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Fontanelles

Calvaria bones separated by a fibrous membrane in neonates.

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Anterior Fontanelle

Largest fontanelle; future site of the Bregma.

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Posterior Fontanelle

Future site of Lambda.

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Bones of the Skullcap

Calvaria bones are:

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Bregma

Junction of coronal and sagittal sutures.

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Lambda

Junction of lambdoid and sagittal sutures.

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Emissary Veins

Veins connecting the scalp to the venous sinuses.

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Layers of the Calvaria

Hard external and internal laminae with a Cencellous middle layer.

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Groove for superior sagittal sinus

Formed by dura mater.

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The Cranial Fossae

The anterior, middle, and posterior parts make up the...

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Anterior Cranial Fossa

Shallowest cranial fossae.

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Foramen Cecum

Innervates the nasal emissary vein to the superior saggital sinus.

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Cribriform Foramina

Axons of Olfactory nerves (CN I).

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Anterior Ethmoidal Foramen

Anterior ethmoidal artery, vein and nerves.

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Frontal crest

Provides a superior attachment for the falx cerebri.

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Sphenoid Bone

Forms the optic canal and superior orbital fissure.

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Optic canal

Optic nerve (CN II) and the ophthalmic artery.

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Foramen Rotundum

Maxillary (CN Vâ‚‚) branch of CN V.

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Foramen Ovale

Mandibular (CN V3) branch of CN V.

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Internal acoustic (auditory) meatus

Facial nerve (CN VII).

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Jugular foramen

Glossopharyngeal nerve (CN IX)

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Foramen magnum

Medulla oblongata and meninges.

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Temporal Bone

Part of the neurocranium that houses the ear canal.

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Foramen Spinosum and Ovale

Connects the cranial cavity to the infratemporal fossa.

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Lambdoid Suture

The suture formed by the connection of the occipital bone and the two parietal bones

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Mandible

A singular bone in the viscerocranium (facial skeleton).

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Sella Turcica

The structure that houses the pituitary gland.

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Vomer

Connects to the perpendicular plate of the ethmoid bone.

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Bones of Anterior Cranial Fossa

Frontal, ethmoid and sphenoid bones

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Anterior Cranial Fossa Fracture: Causes

Anterior cranial fossa fracture caused by blunt trauma or penetrating injuries.

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Anosmia

Loss of smell

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Epistaxis

Nosebleeds

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Periorbital Bruising

Bruising around eyes post-injury

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CSF Rhinorrhea

Cerebrospinal fluid leaks into the nasal cavity after fracture.

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Vision Disturbances

Visual impairments due to cranial trauma.

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Coronal Suture

Suture between frontal and parietal bones.

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Sagittal Suture

Suture between two parietal bones.

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Craniosynostosis

Premature fusion of cranial sutures.

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Sagittal Craniosynostosis (Scaphocephaly)

Sagittal suture fuses prematurely, elongated head.

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Coronal Craniosynostosis (Brachycephaly)

Coronal sutures fuse early, flat forehead, tall cranium.

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Coronal Craniosynostosis (Plagiocephaly)

One coronal suture fuses early, asymmetrical forehead.

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Lambdoid Craniosynostosis (Plagiocephaly)

Lambdoid suture fuses early, trapezoid skull.

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Crista Galli & Perpendicular Plate

The perpendicular plate forms this structure

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Ethmoid Air Cells

Air-filled spaces within the ethmoid bone.

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Optic Nerve

A nerve behind the eye socket

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Maxillary Sinus

A sinus above your nose

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Thyroid Cartilage

Cartilage in the neck

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Medial Sagittal Neck

A rare imaging of the spine is done

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Longus Colli

A muscle near spine

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Spinal Nerve

Ganglion above the ribs

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Common Carotid

Artery in the neck

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External Acoustic Meatus

The canal leading from the outer ear to the tympanic membrane.

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Squamous Portion (Temporal)

Flat, broad portion of the temporal bone, forming part of the cranial wall.

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Mastoid Portion

A bony projection at the base of the temporal bone behind the ear.

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Styloid Process

Conical projection of bone near the mastoid process; attachment site for muscles and ligaments of the neck.

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Mandibular Fossa

A depression inferior to the articular tubercle of the temporal bone that articulates with the mandible.

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Zygomatic Process

Bridge-like projection that articulates with the zygomatic bone.

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Articular Tubercle

Small, rounded prominence anterior to the mandibular fossa on the temporal bone.

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Optic Canal (Sphenoid)

A canal in the sphenoid bone through which the optic nerve passes.

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Superior Orbital Fissure

A fissure in the sphenoid bone between the greater and lesser wings.

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Greater Wing (Sphenoid)

A wing-like process on the sphenoid bone, larger than the lesser wing.

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Lesser Wing (Sphenoid)

A wing-like process on the sphenoid bone, smaller than the greater wing.

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Hypophyseal Fossa

Pituitary fossa; a depression in the sphenoid bone that contains the pituitary gland.

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Foramen Rotundum (Sphenoid)

Opening in the sphenoid bone for the maxillary nerve (CN V2)

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Foramen Ovale (Sphenoid)

Passageway for the mandibular branch of the trigeminal nerve (CN V3).

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Foramen Spinosum

Passage for middle meningeal artery.

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Ethmoid Bone

A small unpaired bone forming part of the nasal septum and the medial wall of the orbit.

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Crista Galli

Projection on the ethmoid bone; the point of attachment for the falx cerebri.

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Cribriform Plate

Sieve-like structure through which the olfactory nerves pass.

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Perpendicular Plate

Thin, vertical mid-line plate of the ethmoid bone forming the superior part of the nasal septum.

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Nasal Bone

Forms lateral part of the nose

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Maxilla

Paired bones forming the upper jaw.

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Zygomatic Bone

Bone of cheek.

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Lacrimal Bone

Smallest facial bone; part of the medial wall of the orbit.

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Palatine Bone

Forms the inferior and posterior parts of the hard palate and nasal cavity floor.

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Inferior nasal concha

Concha that is its own bone

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Incisive foramen

Incisor passages of maxilla.

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Infraorbital foramen

Foramen of maxilla above orbit.

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Study Notes

Neurocranium Bones

  • The ethmoid bone is part of the neurocranium.
  • The frontal bone connects to the parietal, ethmoid, and sphenoid bones in the neurocranium.
  • Frontal, parietal, temporal, ethmoid, sphenoid, and occipital bones constitute the neurocranium.

Viscerocranium Bones

  • Mandible is an unpaired bone in the viscerocranium.
  • Lacrimal, nasal, maxillae, zygomatic, palatine, inferior nasal conchae, mandible, and vomer bones constitute the viscerocranium.

Pterion

  • The frontal, parietal, sphenoid, and temporal bones connect at the pterion.

Temporal Bone

  • Houses the ear canal.
  • Temporal bone is paired.
  • The styloid process is long and pointy, serving as a site of muscle attachment.
  • Contains the mastoid portion, which has mastoid air cells that are a continuation of the tympanic membrane.
  • The area that houses the mandibular condyle attachment is the mandibular fossa.
  • Houses the external acoustic meatus.
  • The articular tubercle and zygomatic process are key features.

Sphenoid Bone

  • The sphenoid bone is unpaired.
  • Features optic canals, the hypophyseal fossa of the sella turcica, and the body of the sphenoid.
  • The superior orbital fissure, foramen rotundum, foramen ovale, and foramen spinosum are also present.
  • This bone contains greater and lesser wings, as well as pterygoid plates.
  • Optic canals house cranial nerve II which provide sense of vision.

Ethmoid Bone

  • Ethmoid air cells are located within.
  • This bone contains the crista galli and cribriform plate.
  • Contains a superior nasal concha and a middle nasal concha.
  • Features a perpendicular plate and contributes to the medial wall of the orbit.
  • Olfactory nerves enter through the cribriform plate, providing the special sensory of olfaction.

Occipital Bone

  • Features include the external occipital protuberance (inion), superior nuchal line, and inferior nuchal line.
  • The external occipital crest, foramen magnum, and occipital condyles are key structures.

Maxilla

  • Paired bone.

Zygomatic bone

  • Paired bone, also referred to as cheekbones.

Vomer

  • A key function involves forming the nasal septum.

Mandible

  • Forms the lower jaw.

Hard Palate

  • Maxilla and palatine bones form the hard palate.
  • Is made up of the palatine bone along with maxilla making up the roof of the moth.

Anterior Cranial Fossa Bones

  • Frontal, ethmoid, and sphenoid bones contribute to this fossa.

Posterior Cranial Fossa

  • Internal acoustic meatus is located here.
  • Allows passage of CN VII and CN VIII.

Cranial Cavity Connection to Infratemporal Fossa

  • Connects via the foramen spinosum and foramen ovale.

Jugular Foramen

  • The glossopharyngeal (CN IX), vagus (CN X), and spinal accessory (CN XI) nerves pass through the jugular foramen.

Superior Orbital Fissure

  • Oculomotor nerve (CN III), trochlear nerve (CN IV), ophthalmic nerve (CN V1), and abducens nerve (CN VI) pass through.

Foramen Cecum

  • Connects cranial cavity to the nasal cavity.

Anterior Cranial Fossa

  • Olfactory nerve (CN I) and emissary veins pass through the foramina.

CSF Rhinorrhea

  • Fracture of the cribriform plate is a common cause.

Mastoid Fontanelle Borders

  • Parietal, temporal, and occipital bones form the borders.

Posterior Fontanelle

  • Replaced by the lambda upon skull fusion.

Scaphocephaly

  • Premature fusion of the sagittal suture.

Plagiocephaly

  • Caused by premature fusion of the lambdoid suture.

Inferior Nasal Concha

Internal Carotid Artery

  • Travels through the internal acoustic Meatus.

Olfactory Nerve (CN I)

  • The olfactory nerve (CN I) and emissary pass through the foramina of the anterior cranial fossa

Fontanelle Significance

  • Aids in passage through the birth canal by allowing the flat bones to override each other.

Zygomatic bone

  • Zygomatic bone articulates with the zygomatic process of the temporal bone.

Mandible Features

  • Condylar process is located posteriorly.
  • Coronoid process is anterior.

Cranial Nerve Mnemonic

  • "Old Rotund Owls Spin Lazily Across Jugs": Optic/Orbital, Rotundum, Ovale, Spinosum, Lacerum, Acoustic, Jugular

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