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done by : C.W.T
SCALP
The skin & subcutaneous tissue that covers the cranial vault
Extent:
sup. Nuchal lines (post.)
S: Skin
thin except?? Occipital part many hair follicles & ? sabaeceous glands rich in bld. Supply
C: Connective tissue
thick, dens C.T. septa & fat lobules
rich in bld. Supply * Bld. Vessels of scalp are running within this layer
A: Aponeurosis
(flat tendon)
Epicranial aponeurosis Galea Aponeurotica strong tendinous sheet provides attachment for: occipitofrontalis m. & ?? Laterally To the temporal fascia
*1st 3 layers move together as one unit & called: Scalp proper
L: Loose C.T.
has many potential spaces sponge like layer * allows free movement of scalp proper over bone.
P: Periosteum
outer C.T. layer that surrounds the bones of calvaria firmly attached to the bone
Scalp Infections
- Pus or blood spreads easily in The loose connective tissue layer of SCALP (Danger area of scalp) - Infection or fluid in this layer (pus or bld.) cannot pass posteriorly or laterally, WHY?? Post.: nuchal lines Lat.: temporal lines - instead, Infection or fluid in this layer (pus or bld.) can spread either: anteriorly eyelids & root of nose black eye or Ecchymosis into the cranial cavity through emissary veins meninges
Dura Mater
most external part double layered membrane 2 layers: ext. periosteal layer (periosteum of calvarian bones) Int. meningeal layer - tough, thick fibrous membrane continues at F. magnum to SC
* Brain Venous Sinuses are located between periosteal & meningeal layers of dura
Dural Reflections
Foldings of internal meningeal layer between brain compartments (septa) to restrict the rotatory displacement of the brain (fxn.)
Arachnoid Mater
Thin, intermediate layer that attaches to pia mater through web-like arachnoid trabeculae Avascular layer Held against dura by pressure of CSF
Pia Mater
Very thin & delicate membrane that is highly vascularized Adheres to brain surface & follows its contours
Meningeal Spaces
Epidural Space: between dura & bone not present normally happens pathologically (as hemorrhage)
Subdural Space: between ? arachnoid mater and dura mater not present normally
Subarachnoid Space: a real space contains CSF
2 Anterior meningeal a.: From ethmoidal a. from ?? from the ethmoidal artery which is also come from the theobthalamic a. which is branch of ICC
4 Post. Meningeal a.: 2 from ascending pharyngeal a. Pass through ?? one pass through 1.hypoglossal canal and the other from the 2.ugular (at the lower part of petrous part of temporal bone). & 2 smaller branches from?? one from the vertebral a.pass through 3.foramen magnum and the fourth post meningeal a. from the occipital a. which pass through the 4.mastoid foramen.