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Cranial Cavity
         By

 Dr. Noura El Tahawy
CRANIAL CAVITY

Dura Mater and Dural Folds:
1. Falx cerebri                  Hypophysis Cerebri
2. Falx cerebelli                (pituitary gland)
3. Tentorium cerebelli
4. Diaphragma sellae


   Dural Venous Sinuses:        Intracranial Part of
   1. Single sinuses            -Internal Carotid Artery
   2. Paired sinuses            -Middle Meningeal Artery



    Intra-cranial part of
    Cranial Nerves              Emissary & Diploic Veins
Boney Cranial Cavity
Roof of the cranial cavity.
Anterior cranial fossa.
Middle cranial fossa.
Posterior cranial fossa.
Cranial nerves and foramen of exit
       from cranial cavity
Cranial nerves exiting the cranial cavity.
Cranial nerves and foramen of exit from cranial cavity

I olfactory cribriform plate of ethmoid
II optic optic foramen
III oculomotor superior orbital fissure
IV trochlear superior orbital fissure
V trigeminal:
V1 ophthalmic division superior orbital fissure
V2 maxillary division foramen rotundum
V3 mandibular division foramen ovale
VI abducens superior orbital fissure
VII facial internal auditory (or acoustic) meatus
VIII vestibulocochlear internal auditory (or acoustic) meatus
IX glossopharyngeal jugular foramen
X vagus jugular foramen
XI spinal accessory foramen magnum and jugular foramen
XII hypoglossal hypoglossal foramen
2- Optic           6- Abducent
                           4- Trochlear
1- Olfactory
                                     5- Trigeminal
                    3- Occulomotor                   7- Facial




                                        8- Vestibulcochlear




                                                     9- Glossopharyngeal


                                          10- Vagus
 12- Hypoglossal 11- Accessory
Dura& Dural Folds
Cranial cavity
Arrangement of the meninges and spaces.
Dural venous
  sinuses.
Parasagittal section of the head showing the disposition of the falx cerebri and
                              tentorium cerebelli.
The cerebral dura mater




The cerebral dura mater, its reflections and major venous sinuses
Part of cranial cavity




section of the head showing the disposition of the falx cerebri, together with some of
                the dural venous sinuses and subarachnoid cisterns.
Dural reflections and venous sinuses. The midbrain
            occupies the tentorial notch.
Tentorium cerebelli




The dura mater of the floor of the cranial cavity and the superior aspect of the tentorium cerebelli.
Representation of the cavernous sinus and its venous relationships are greatly simplified and are
   shown on the left only. Note that the trochlear and abducens nerves have not been shown
Venous sinuses
 on the base of
 the skull. The
dura mater has
 been removed
  on the right
side. The inset
    indicates
where grooves
for sinuses are
seen on the dry
skull. Note: On
  the left, the
  midbrain is
   seen at the
   level of the
tentorial notch.
On the right, a
   lower level
 section shows
 the trigeminal
nerve attached
  to the pons.
Falx Cerebri




       Tentorium
        Cerebelli




        Falx Cerebelli
Trigeminal Ganglion



        Cavum Trigeminale



                      Inner Meningeal
                      Layer of the Dura




Outer Endosteal
Layer of the Dura
Arterial Supply of Meninges
    Middle meningeal artery
Dural arterial supply.
Maxillary artery

Lateral Pterygoid
     Muscle
                             Superficial Temporal
                                    artery




                          Middle meningeal artery

                     External carotid artery
Lateral pterygoid
         muscle




Middle meningeal artery
Mandibular nerve
      and
 Otic ganglion     Auriculotemporal
                        nerve




                           Middle meningeal
                                artery
Middle Meningeal Artery




Auricultemporal Nerve
Branches of
Middle Meningeal Artery
Pterygomeningeal branch




           Middle meningeal
                artery
Termination of
Middle Meningeal Artery
Anterior terminal branch
    (Frontal branch)




         Anastomosing branch



     Posterior terminal branch
         (Parietal branch)
Middle meningeal artey
Side view of skull. The circle encloses the pterion.
Frontozygomatic
      Suture

                                                        h
                                                    i nc




                                                          ch
                                                  2




                                                      2 in
                                              h
                                            nc
                                      1 .5i




                                          h
                                        inc
                                       1. 5
                         h                                     Midpoint of the zygomatic arch
                     i nc




                             1 inch
                   1

Nasion




                                                                                                Inion
Innervation of the dura mater
Dural innervation.
Veins, meninges, and dural venous sinuses.
The Diploic Veins
Dural venous sinuses
Dural venous sinuses

Single                   Paired
Superior sagittal S.     Sphenoparietal S.
Infreior sagittal S.     Cavernous S.
Straight S.              Superior petrosal S.
Intercavernous Ss.       Inferior petrosal S.
Basilar venous plexsus   Transverse S.
Occipital S.             Sigmoid S.
Coronal Section
Subarachnoid Villi
      and            Emissary Vein
  Granulations                        Endosteal Layer
                                               Meningeal
                                                 Layer




                Venous
                 Sinus


                                                           Cerebral Vein
                                         Pia

                                     Arachnoid
Single Dural Venous
       Sinuses                                     Superior Sagittal Sinus

     Inferior Sagittal Sinus




                                                                   Straight
                                                                    Sinus




       Intercavernous Sinuses




                                                             Occipital Sinus




                       Basilar Plexus of Sinuses
Paired Dural Venous Sinuses

  Sphenoparietal sinus
                                                  Inferior petrosal
                                                        sinus


  Cavernous sinus




                                                      Sigmoid
Superior petrosal                                      sinus
     sinus




Transverse sinus
Single Dural Venous Sinuses
Superior Sagittal Sinus




                    1- Superior Sagittal Sinus
Termination of Superior Sagittal Sinus
Straight sinus



                            Right
                       Transverse sinus


      Left
Transverse sinus
                   Superior Sagittal Sinus
Structures that open into the
   Superior Sagittal Sinus
Superior Sagittal Sinus




                              Vena Lacunae Lateralis




        1- Vena Lacunae Lateralis
Subarachnoid Villi and Granulations




       2- Arachnoid Villi and Granulations
Tributaries of the Superior Sagittal Sinus

       1- Superior Cerebral Veins

           2- Emissary Veins
Superior Sagittal Sinus

                            Superior
                          Cerebral Vein
Coronal Section
Subarachnoid Villi
      and            Emissary Vein
  Granulations                        Endosteal Layer
                                               Meningeal
                                                 Layer




                Venous
                 Sinus


                                                           Cerebral Vein
                                         Pia

                                     Arachnoid
Inferior Sagittal Sinus

                                       Straight Sinus


     Great Cerebral Vein




2- Inferior Sagittal Sinus
Inferior Sagittal Sinus

                                       Straight Sinus


     Great Cerebral Vein




3- The Straight Sinus
4- The Occipital Sinus




           Occipital Dural Venous Sinus
5- Intercavernous Sinuses
                            Intercavernous Sinuses
Outer Endosteal
Layer of the Dura   Inner Meningeal
                    Layer of the Dura                 Pituitary Gland




                                  Diaphragma Sellae
                                                            Intercavernous
                                                             Dural Sinuses
6- Basilar Plexus of Sinuses
                               Basilar Plexus of Sinuses
II- Paired Sinuses
Sphenoparietal sinus
                         Inferior petrosal
                               sinus


  Cavernous sinus




                             Sigmoid
Superior petrosal             sinus
     sinus




                          Transverse sinus
Small dural veins



  Sphenoparietal sinus




                              A tributary from
                           The anterior division of
                         The middle meningeal vein


1- Spenoparietal Sinus
Cavernous sinus




2- Cavernous Sinus
Cavernous Sinuses

Occulomotor Nerve




Trochlear Nerve



Ophthalmic Nerve



Maxillary Nerve




                                    Internal carotid Artery
             Abducent Nerve                   with
                                      Sympathetic Plexus
3- Superior Petrosal
    Superior Petrosal Sinus
                                         Sinus



Inferior cerebral
      veins




  Veins from
Tympanic cavity




      Superior cerebellar veins
4- Inferior Petrosal                                    Inferior Petrosal Sinus

       Sinus




       Basilar plexus of veins


                                                      Labyrinthine veins
              Inferior cerebellar
                     veins


                    Pontine veins   Medullary veins
5- Transverse Sinus
                                                                                 Posterior
                                                                                 Temporal
                                                                                  Diploic
                                                           The superior petrosal   Vein
                                                                  sinus




                                                      in   s
                                                   ve
                                             ll ar
                                        be
                                   Cere                                     Inferior cerebral
             The occipital sinus                                                  veins

                                                                          Occipital
                                                                           Diploic
                                                                            Vein


                                                                    The Transverse sinus
Sigmoid Sinus




      Communication with
   Suboccipital plexus of veins




                                  Occipital
                                   Sinus




                                               Communication with
                                                 Occipital and / or
                                              Posterior auricular veins


6- Sigmoid Sinus
Intracranial Hemorrahge

Extradural hemorrahge           Subarachnoid hemorrage
Arterial or venous              Results from leakage or rupture
Results from injury to the      of a congenital aneurysm on the
meningeal arteries or veins     circle of Willis or angioma
                                Cerebral hemorrage
  Subdural hemorrahge           Results from rupture of one of
Venous                          the intracerebral thin walled
Results from injury to the      arteries (lenticulostriate artery)
superficial superior cerebral
veins
Thank you

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