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WorksheetsPT CNS 1
Total questions: 14
Worksheet time: 28mins
The skull
Lambdoid suture: between frontal and parietal
Coronal suture: between frontal and parietal
Bregma: intersection of coronal and sagittal suture
Sagittal suture: between 2 parietal bones
Lambda: intersection of lambdoid and sagittal suture
Foramen of skull and structure passing through
Foramen magnum: spinal cord
Foramen rotundum: mandibular division of trigeminal nerve
Foramen ovale: mandibular division of trigeminal nerve
Jugular foramen: Cranial nerve IX, X, XI
Foramen spinosum: middle meningeal artery
Cerebrum
Corona radiata is made up of projection fibres
Internal capsule contains corticonuclear fibres in its posterior limb
Corpus callosum is made up of association fibres
Posterior limb of internal capsule lies between thalamus and lentiform nucleus
Commissures fibres: connects corresponding gyri of two cerebral hemispheres
Cerebellum
Granular layer: granular cells and golgi cells
Molecular layer: stellate cells and basket cells
Globose nucleus is the largest cerebellar nuclei
Archicerebellum functions to maintain equlibrium
Midline lesion of cerebellum: truncal ataxia
Ventricles and meninges
Lateral ventricles and third ventricle are connected by interventricular foramen
Fourth ventricle: located dorsal to the pons and ventral to the cerebellum
Pia mater is the innermost meningeal layer
Dural folds include falx cerebri, falx cerebelli, tentorium cerebelli and diaphragma sellae
Floor of the fourth ventricle: inferior fovea that divide medial eminence into 3 triangles
Brainstem
Pons: transverse pontine fibers originate from pontine nucleus
Midbrain: Decussation of superior cerebellar peduncles is located at level of inferior colliculus
Midbrain: Oculomotor nucleus is located at level of inferior colliculus
Medulla oblongata: supplied by anterior and posterior spinal artery, vertebral artery
Brainstem is located at posterior cranial fossa of the skull
Basal ganglia
Corpus striatum consist of caudate nucleus and lentiform nucleus
Claustrum: Its lateral relations are extreme capsule and insular cortex
Amygdaloid body is located in the occipital lobe
Substantia nigra is situated between tegmentum and crus cerebri of midbrain
Lentiform nucleus: globus pallidus + putamen
Blood supply of CNS
Anterior cerebral artery is part of Circle of Willis
Vertebral artery converge to form basilar artery
Posterior inferior cerebellar artery arise from basilar artery
Superior cerebral vein drains into superior sagittal sinus
Thalamostriate and choroidal vein unites to form the internal cerebral vein
Spinal cord
Lower end of the spinal cord is called conus medullaris
Dorsal root carries sensory nerve fibers
Dorsolateral tract of Lissaeur is part of the grey matter
Lumbar puncture is usually performed at the lumbar cistern
Filum terminale descends and attach to the dorsal surface of the coccygeal bone
Ascending tracts
Ascending tracts include the vestibulospinal tract
Spinothalamic tracts: cell bodies of 2nd order neurons are located in substantia gelatinosa
Dorsal column tracts lesion: Loss of sensation on the same side below the lesion
Spinocerebellar tracts: cell bodies of 2nd order neurons are located in Clarke's column
Conscious sensation is made up of a series of three neurons
Descending tracts
Pyramidal tracts: all pyramidal fibers will ultimately cross to the opposite side
Corticonuclear tracts: Ends in the motor nuclear of cranial nerves in the brainstem
Corticospinal tracts: In midbrain, fibers of 1st order neurons descend through lateral 3/5th of the cerebral peduncles
Corticospinal and corticonuclear tracts influence the motor neurons for voluntary, rapid skilled movements
Extrapyramidal tract in the lateral white column is rubrospinal tract
Cranial nerves
Lesion to CN I: cause anosmia
CN II: Fibers from temporal hemiretina pass to the same side
Vestibular nerve receptor: Organ of Corti
Disturbance of cochlear nerve: cause deafness and tinnitus
Trochlear nerve supplies the superior oblique muscle
Cranial nerves
Oculomotor nerve supplies the lateral rectus muscle
Abducent nerve exits skull through superior orbital fissure (inside tendinous ring)
Accessory nerve: spinal root innervates the sternocleidomastoid and trapezius muscles
Hypoglossal nerve receives corticonuclear fibers from both hemispheres
Trigeminal nerve: V2 (maxillary nerve) exits skull via foramen rotundum
Cranial nerves with parasympathetic outflow (Clue: Go Facial Or Vacation)
Oculomotor nerve
Facial nerve
Glossopharyngeal nerve
Trigeminal nerve
Vagus nerve
