Viva question of Base of the skull:
1. Define skull: cranium with mandible is known as skull
Parts of the skull : base of the skull and cranial vault
Ossification : base of the skull : intracartilaginous ossif) & cranial vault : intramembranous ossification
Anatomical points:
1. infraorbital margin and and upper border of external auditory meatus lies in same horizontal line , this line is known as Frankfort line
2. orbital cavity directed anteriorly
3. foramen magnum lies horizontally and directed inferiorly
q. show different view of skull :
norma verticalis : viewed from above
norma frontalis from front
norma basalis from below
norma occipitalis from behind
norma lateralis from sides
Identification and definition of: bregma, lambda , asterion, pterior
** pterior: it is the meeting point of 4 bones frontal , squamous part of temporal bone, parietal bone and greater wings of sphenoid clinical important : deep to this point branches of middle meningeal vessels are present . this vessel torn in accident , barr hole operation done here
Cranial fossa : three in number anterior, middle and posterior
Learn Boundary and content of each cranial fossa :
*** foramen through which cranial nerves are passage
Identify the sulcus which lodges cranial dural sinus
Cranial dural sinus
Cranial dura has two layer : endoesteum layer and meningeal layer
The sinuses of the dura mater are venous channels which drain the blood from the brain;
They are situated between the two layers of the dura mater
They are devoid of valves, and and lined by endothelium but no smooth muscle cells layer.
Different types of dural venous sinus:
- Pair: cavernous sinus, transverse sinus, sigmoid sinus etc.
- unpair: superior sagittal sinus, inferior sagittal sinus, straight sinus etc.
Superior sagittal sinus > right transverse sinus > right sigmoid sinus > right internal jugular vein
Inferior sagittal sinus > straight sinus > left transverse sinus > left sigmoid sinus > left internal jugular vein
The cavernous sinuses are placed one on either side of the body of the sphenoid bone, extending from the superior orbital fissure to the apex of the petrous portion of the temporal bone.
Medial wall (central part) is related to –
- the internal carotid artery,
- abducent nerve.
Lateral wall : is related to
- the oculomotor
- trochlear nerves,
- the ophthalmic nerves
- maxillary divisions of the trigeminal nerve
The cavernous sinus : tributaries :
- the superior ophthalmic vein
- superior and inferior petrosal sinus
- pterygoid venous plexus veins
- The two sinuses also communicate with each other by means of the anterior and posterior intercavernous sinuses.
Sulcus (a bony impression) |
Structure lodge on sulcus |
Bone |
Sagittal sulcus |
Superior sagittal sinus |
Frontal bone, parietal bone, occipital bone |
Transverse sulcus |
Transverse sinus |
occipital bone |
Sigmoid sulcus |
Sigmoid sinus |
Mastoid part of temporal bones |
q. Identify the Suture : coranal , sagittal, lamdoid suture
q: Suture, what type of joint: fibrous variety
Location of anterior and posterior frontanelle and their time of closer
Anterior frontanelle : located in between coronal and sagittal suture close : 8–24 months after birth
Pos frontanelle : located in between coronal and lambdoid suture. close : 6–8 weeks after birth
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