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Dural Folds

The document discusses the meninges and dural folds within the skull. It describes the layers of the meninges, including the dura mater, arachnoid layer, and pia mater. It then provides details on the dural folds, including the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sellae. It concludes with sections on the blood supply and nerve supply to the meninges and dural folds.

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267 views3 pages

Dural Folds

The document discusses the meninges and dural folds within the skull. It describes the layers of the meninges, including the dura mater, arachnoid layer, and pia mater. It then provides details on the dural folds, including the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sellae. It concludes with sections on the blood supply and nerve supply to the meninges and dural folds.

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Hello Vintunnara
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DURAL FOLDS

MENINGES

 Dura mater-thickest, toughest


o Endosteal layer
o Meningeal layer
 Arachnoid layer-csf
 Pia mater

DURA MATER

 Outer, tougher membrane covering brain


 2 layers:
o Endosteal-internal periosteum
o Inner meningeal
 2 are fused except where sinuses are located

ENDOSTEAL LAYER

 Continuous with periosteum through foramina and sutures


 With periorbital lining through superior orbital fissure
 Sheath for cranial nerves that later fuses to epineurium outside skull
 Fuses to sclera for optic nerve

MENINGEAL LAYER

 Folded onto itself to enclose sinuses


 Divides cavity into compartments that hold diff areas of brain
o Falx cerebri
o Falx cerebelli
o Tentorium cerebelli
o Diaphragma sellae

FALX CEREBRI

 Sickle shaped
 Occupies median longitudinal fissure between 2 cerebral hemispheres
 Anterior end-crista galli
 Posterior end- tentorium cerebelli
 Upper margin- superior sagittal sulcus
 Inferior margin- free
 3 sinuses:
o Superior sagittal
o Inferior sagittal
o Straight

TENTORIUM CEREBELLI

 Tent shaped
 Forms roof of posterior cranial fossa
 Free and attached margin
 Free margin u shaped ends attach to anterior clinoid process
 Tentorial notch- lodges midbrain and anterior part of superior vermis
 Attached margin-transverse sulci, parietal bone, superior part of petrous temporal, posterior clinoid process
 Holds superior petrosal and transverse sinus
 Recess for Meckel’s cave or trigeminal ganglion- trigeminal impression
 Both margins cross at apex of petrous temporal at lacerum
 Cavernous sinus anterior to this
FALX CEREBELLI

 Small sickle shaped


 Apex- foramen magnum; base – tentorium;
 Encloses occipital sinus

DIAPHRAGMA SELLAE

 Roof of hypophyseal fossa


 Tuberculum sellae to dorsum sellae

BLOOD SUPPLY

 Outer layer more vascular


 Inner layer more fibrous so less vascular
 Vault- middle meningeal artery
 Anterior cranial fossa- meningeal branches of anterior and posterior branches of ethmoidal arteries,
ophthalmic artery
 Middle cranial fossa- middle meningeal artery, internal carotid, accessory meningeal, meningeal branch of
ascending pharyngeal artery
 Posterior fossa- meningeal branches of vertebral, occipital, ascending pharyngeal artery

NERVE SUPPLY

 Sensory- CN V
 Floor- sensitive to pain
 ACF- anterior ethmoidal, maxillary nerves
 MCF- maxillary nerve anterior half mandibular and CN V ganglion
 PCF- recurrent branches of c1, c2, c3, meningeal branches of CN 9 & 10

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