Nuoret ekonomit - Johda itsesi menestykseen, Oulu 26.11.2013
Kaan Yücel M.D., Ph.D. 26.11.2013 Tuesday€¦ · Foramen cecum (blind hole) @ the base of the...
Transcript of Kaan Yücel M.D., Ph.D. 26.11.2013 Tuesday€¦ · Foramen cecum (blind hole) @ the base of the...
View of a Skull, 1489 by Leonardo Da Vinci
Kaan Yücel M.D., Ph.D. 26.11.2013 Tuesday
1.SKULL
skeleton of the head
cranium
22 bones excluding ossicles of the ear
1.SKULL
Mandible Lower jaw bone
1.SKULL
skeleton of the head
Neurocranium Viscerocranium facial skeleton
22 bones in the cranium
8 @ neurocranium
Frontal bone- single Occipital bone- single Parietal bones- paired Temporal bones- paired Sphenoid bone- single Ethmoid bone- single
neurocranium 1 roof (calvaria) 1 floor base (base of the skull) basicranium
CALVARIA TEMPORAL BONES PARIETAL BONES parts of the single frontal, sphenoid, & occipital bones
CRANIAL BASE mainly parts of the Sphenoid bone Temporal bones Occipital bone
BONES OF THE NEUROCRANIUM
FRONTAL BONE OS FRONTALE
FRONTAL BONE 1. Squama vertical portion
region of the forehead
2. Orbital portion frontal orbit/orbita frontalis horizontal portion
formation of roofs of the orbital & nasal cavities
Squama
ANTERIOR VIEW
supra-orbital margin of the frontal bone
angular boundary between squamous & orbital parts
superciliary arches superior to
supra-orbital margin & rim of the
orbit
prominence of these ridges
greater in males
glabella small depression between superciliary
arches
ANTERIOR VIEW
frontal eminences
in some
calvaria looks like a square
Medially frontal bone projects inferiorly forms part of the medial rim of the orbit.
Laterally zygomatic process of the frontal bone projects inferiorly forms upper lateral rim of the orbit. articulates with frontal process of the zygomatic bone.
ANTERIOR VIEW
In some adults Visible in the midline of the glabella Smooth, slightly depressed area between superciliary arches
a persistent frontal suture or remnant of it
ANTERIOR VIEW
INTERNAL VIEW
Sagittal sulcus
vertical groove @ upper part of the midline squama frontalis
Frontal crest
formed by the union of the edges of the sagittal sulcus
median bony extension of the frontal bone
Foramen cecum (blind hole)
@ the base of the frontal crest
Nasal process downward projection of the nasal part
of the frontal bone terminates as
nasal spine
Two parietal bones unite and form the sides & roof of the cranium. Each bone is irregularly quadrilateral in form.
PARIETAL BONES OS PARIETALE
PARIETAL BONES OS PARIETALE
Parietal eminence (tuber parietale)
an elevation near the centre of the convex and smooth external surface
Superior and inferior temporal lines
two curved lines crossing the middle of the bone in an arched direction
PARIETAL BONES OS PARIETALE
Parietal foramen small, inconstant aperture posteriorly in the parietal bone near sagittal suture
Situated at the sides and base of the skull. Contributes most of the lower portion of lateral wall of the cranium.
TEMPORAL BONES OS TEMPORALE
3 parts
1. Squamous part 2. Tympanic part 3. Petromastoid part
TEMPORAL BONES
contributes to lateral wall of the cranium articulates
anteriorly with greater wing of the sphenoid bone superiorly with parietal bone
Squamous part of the temporal bone
large flat plate, forms the anterior & superior parts of the temporal bone
Squamous part of the temporal bone
Zygomatic process
anterior bony projection from the lower surface of the squamous part of the temporal bone
Zygomatic arch zygomatic process of the temporal bone+temporal process of the zygomatic bone
Temporomandindibular joint
mandibular fossa
concave depression located inferiorly @ squamous portion Head of the mandible enters here! articular tubercle
downward projection of the anterior border of the mandibular fossa
Tympanic part of the temporal bone just below the origin of the zygomatic process
External acoustic opening (pore)
entrance to the external acoustic meatus (canal) leads to the tympanic membrane (eardrum).
Mastoid part of the temporal bone
most posterior part of the temporal bone
continuous with squamous part anteriorly
articulates with parietal bone superiorly occipital bone posteriorly.
Mastoid part of the temporal bone
mastoid process on the lateral aspect, cone-shaped projection from the inferior surface mastoid notch
medial aspect of the mastoid process
Petrous part of the temporal bone lateral to the basilar part of the occipital bone
between greater wing of the sphenoid anteriorly basilar part of the occipital bone posteriorly.
foramen lacerum apex of the petrous part forms one of the boundaries of this foramen.
opening for the carotid canal large circular opening posterolateral to the foramen lacerum
Petrous part of the temporal bone
Petrous part of the temporal bone Anterior surface
1. Arcuate eminence (Eminentia arcuata) @ centre of the anterior surface. 2. Tegmen tympani anterolateral to arcuate eminence,thin bony roof of the middle ear cavity.
tegmen (covering; covering, cover, protection)
Petrous part of the temporal bone Anterior surface
3. Groove for greater petrosal nerve (Sulcus nervi petrosi majoris) anterior to tegmen tympani. 4. Groove for lesser petrosal nerve (Sulcus nervi petrosi minoris) parallel and laterally to the groove for greater petrosal nerve.
Petrous part of the temporal bone Anterior surface
6. Trigeminal impression (Impressio trigeminalis) slight depression located medially marks the location of the sensory ganglion for the trigeminal nerve [V].
Petrous part of the temporal bone Anterior surface
6. Trigeminal impression (Impressio trigeminalis)
CAROTID CANAL 5. Carotid canal (Canalis caroticus) large circular opening posterolateral from the foramen lacerum along the petrous part of the temporal bone.
INTERNAL CAROTID ARTERY
1. Internal carotid artery 2. Vertebral artery 3. Cavernous sinus 4. Carotid canal 5. Anterior cerebral artery 6. Posterior cerebral artery
Petrous part of the temporal bone
Jugular foramen large opening between the occipital bone & petrous
vein draining the brain
3 of the 12 cranial nerves pass through here (CNs 9-10-11)
Styloid process needle-shaped bone marking
projects from the lower border of the temporal bone.
anteromedial to the mastoid process point of attachment for numerous muscles and ligaments
stylomastoid foramen
Transmits the nerve for the muscles of the
face
Posterior to the base of the styloid process
Between
styloid process & mastoid process
CN VII FACIAL NERVE
median portion body two great and two small wings extending outward from the sides of the body
two pterygoid processes project from it below.
SPHENOIDAL BONE OS SPHENOIDALE
at the base of the skull in front of the temporal bones 6 basilar part of occipital bone
.
SPHENOIDAL BONE OS SPHENOıDALE
sphenoidal crests
formed by the sharp posterior borders of the lesser wings
saddle-like bony formation on the upper surface of the body of the sphenoid
Anterior & posterior clinoid processes
Clinoid means «bedpost» 4 processes (2 anterior 2 posterior) surround hypophysial fossa “bed” of the pituitary gland like the posts of a four-poster bed.
composed of three parts
1. tuberculum sellae (horn of saddle) 2. hypophysial fossa (pituitary fossa) 3. dorsum sellae (back of saddle)
Superior orbital fissure between the greater and the lesser wings Foramen rotundum posterior to medial end of the superior orbital fissure Foramen ovale posterolateral to the foramen rotundum Foramen spinosum
posterolateral to the foramen ovale
on each side of the body,4 foramina perforate the greater wings of the sphenoid
Pterygoid processes lateral medial pterygoid plates Pterygoid fossa
Optical canal Chiasmatic sulcus
Major structures passing through spinal cord
meninges & spinal cord
vertebral arteries
anterior & posterior spinal arteries
spinal accessory nerve (CN XI)
OCCIPITAL BONE OS OCCIPITALE
at the back and lower part of the cranium
foramen magnum
cranial cavity communicates with the vertebral canal
4 parts of the occipital bone arranged around the foramen magnum
Squama
Basilar part
Lateral (condylar) portions
external occipital protuberance external occipital crest descends from the protuberance toward the foramen magnum.
superior nuchal line marks the superior limit of the neck.
extends laterally from each side of the protuberance.
occipital condyles
Two large protuberances @ lateral parts of the occipital bone Vertebral column-cranium articulation here
clivus (Lat., slope) shallow depression, incline behind the dorsum sellæ
cruciate eminence divides the interior surface into four fossae
cerebral fossae cerebellar fossae
internal occipital crest Lower divison of the
cross!
internal occipital protuberance
Centre of the cross!
hypoglossal canal for the hypoglossal nerve (CN XII) superior to the anterolateral margin of the foramen magnum
superior nuchal line marks the superior limit of the neck. extends laterally from each side of the protuberance. inferior nuchal line less distinct.
ETHMOID BONE Gk, ethmos, sieve sifter, eidos, form
Light, spongy, & cubical @ anterior part of the base of the cranium Between two orbits, at the roof of the nose Contributes to each of these cavities.
4 parts 1) A horizontal cribriform plate 2) Perpendicular plate 3) Two ethmoidal labyrinths
Crista galli midline ridge
Number 3
4 parts 1) A horizontal cribriform plate 2) Perpendicular plate 3) Two ethmoidal labyrinths
shallowest
Frontal bone
E
body and lesser wings of the sphenoid bone
greater wings of the sphenoid
squamous part of the temporal bone
petrous part of the temporal bone
X
largest and deepest
Occipital bone
X: dorsum sellae
SUTURAE
form of articulation
margins of bones united by a thin layer of fibrous tissue
LAMBDOID SUTURE Parietal bones
Occipital bones
CORONAL SUTURE Frontal bones
Parietal bones
SAGITTAL SUTURE Parietal bones
coronal & sagittal sutures intersect
sagittal & lambdoidal sutures
frontal, sphenoid, parietal & temporal bones
FONTANELLES
halves of frontal bone anteriorly
parietal bones posteriorly
@ the junction of sagittal, corona & frontal sutures
Bregma
1.5 y old. Closed.
parietal bones anteriorly
occipital bones posteriorly
@ the junction of lambdoid & sagittal sutures
Lambda
1 y old. Closed.
Sphenoidal & mastoid fontanelles fuse during infancy.
less important clinically than midline fontanelles
Bone marking @ which bone Important structures passing through
-particularly cranial nerves-
A lesion here might result in…
Carotid canal Temporal Internal carotid artery and nerve plexus Problem in the anterior arterial supply of the brain; as a result; weakness (hemiplegia) and numbness in the face, and extremities on the opposite side of the body, difficulty in speech, visual loss, etc.
Foramen magnum Occipital Continuation of brain and spinal cord; vertebral arteries and nerve plexuses; roots of accessory nerve [XI]; meninges
-
Foramen ovale Sphenoid Third branch of the CN V (Trigeminal nerve): Mandibular nerve [V3]
Sensorial loss in the mandibular region of the face
Foramen rotundum Sphenoid Second branch of the CN V (Trigeminal nerve): Maxillary nerve [V2]
Sensorial loss in the maxillary region of the face
Foramen spinosum Sphenoid - - Hypoglossal canal Occipital Hypoglossal nerve [XII] and vessels Loss of movement of the tongue. Internal acoustic meatus Temporal Facial nerve [VII]; vestibulocochlear nerve [VIII] Problems in hearing, balance, or
movements of the facial (expression) muscles
Jugular foramen Temporal Internal jugular vein; glossopharyngeal nerve [IX]; vagus nerve [X]; accessory nerve [XI]
-
Optic canal Sphenoid Optic nerve (II) Problems in vision. Stylomastoid foramen Temporal Facial nerve [VII] Loss of movement of the muscles of the
face
Superior orbital fissure Sphenoid Oculomotor nerve (III) Trochlear nerve (IV) Branches of ophthalmic nerve (II) Abducens nerve (VI)
Problems in vision.