BIO210 Weekly Guide #6

 

THE SKULL;

THE HEAD

After completing this laboratory you should be able to:

 

1)   Identify the bones of the skull, as well as the major surface features (including fossae and foramina) of those bones

 

2)   Characterize skull bones as contributing to the base of the skull, calvarium, face, jaws, and/or orbits

 

3)   Identify the major muscles of the face, providing the origin, insertion, and actions of each

 

4)  Characterize human dentition in gross and microscopic anatomy

 

5)   Recognize and describe the brain ventricular structures and meninges

 

6)  Recognize the major circulatory structures of the brain and external head

 

7)  Describe the production, distribution, and reabsorption of cerebrospinal fluid.

 

 









Gross Anatomy List

Guide to Gross Anatomy Guide to Histology Guide to Physiology

 

Outline

 

I. The Skull  {FAP 7-2 to 7-4}

          A. Regions

                 cranium - floor and vault (calvarium)

                 face

                 jaws

         B. Bones - review

         C. Processes, Fossae, and Foramina       

 

 II. Dentition  {FAP 24-2}

         A. Dentition

                 incisors, canines, premolars, molars

                 deciduous vs. permanent teeeth

                 dental pattern

         B.  Tooth structure

                 dentary bones - maxillae and mandible

                 tooth development

                            

III.  Muscles of the Head  {FAP 11-5 to 11-8, Tables 11-2 to 11-4}

         A. Muscles of mastication

                 temporalis

                 masseter

                 pterygoids

         B. Muscles of facial expression

                 occipitofrontalis

                 orbicularis oculi and levator palpebrae

                 orbicularis oris, zygomatics, bucinator, depressor anguli oris

                 platysma

         C. Extrinsic muscles of the eye  {FAP 11-6, Table 11-3}

                 4 rectus muscles

                 2 oblique muscles

 

IV. External Circulation of the Head  {FAP 21-7}

         A. External carotid arteries

                 occipital arteries

                 superficial temporal arteries

                 maxillary arteries

                 facial arteries

         B. External jugular veins 

                 occipital veins

                 temporal veins

                 maxillary arteries

                 facial arteries

 

V. Arterial Circulation of the Brain {FAP 21-21}

         A. Internal carotid arteries

         B. Vertebral arteries --> Basilar artery

         C. Circle of Willis

                  anterior cerebral arteries

                  middle cerebral arteries

                  posterior cerebral arteries

                  anterior communicating artery

                  posterior communicating arteries

 

VI.    Meninges and Venous Drainage of the Brain   {FAP 21-21}

         A. 3 Meninges - histology

                  dura mater

                  arachnoid and subarachnoid space

                  pia mater

         B. Dural reflections

                  falx cerebri

                  falx cerebelli

                  tentorium cerebelli

         C. Dural sinuses

                  superior sagittal sinus

                  inferior sagittal sinus

                  straight sinus

                  sigmoid sinus

                  sinus confluens

                  transverse sinuses

                  petrosal sinuses

                  cavernous sinuses

         D. Internal jugular veins
 

VII. Cerebrospinal Fluid Circulation  {FAP 14-1, 14-2}

         A. Origin of CSF

                  choroid plexus

                         structure and locations

                  production of CSF

         B. Flow of CSF

                  lateral ventricles-->foramina of Monro-->3rd ventricle-->cerebral aqueduct-->

                      4th ventricle-->spinal cord central canal (dead end)

                               \-->foramina of Luschka & Magendie -->subarachnoid space-->                                arachnoid granulations-->dural sinuses-->internal jugular veins

                               (venous drainage)

 

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Gross Anatomy List

 

Skull:

       cranial bones:

               frontal    (= "front")

               occipital  (= "back of head")

               ethmoid  (= "sieve-like")

               sphenoid  (= "wedge-shaped")

               temporals (= "time"- where you first get gray hair)

               parietals (= "wall")

       facial bones:

               mandible (= "lower jaw")

               vomer  (= "plow")

               maxillae  (= "upper jaw")

               zygomatics  (= "cheekbone")

               nasals (= "nose")

               lacrimals  (= "tear")

               palatines  (= "roof of mouth")

               inferior nasal conchae  (= "shell")

                

Ossicles:

       malleus (= "hammer")

       incus (= "anvil")

       stapes (= "stirrup")

 

Muscles of Mastication:         Muscles of Facial Expression:     Extrinsic Eye Muscles:

    temporalis                                 occipitofrontalis                               superior rectus

    masseter                                    orbicularis oculi                               inferior rectus

    medial pterygoid                      orbicularis oris                                 medial rectus

    lateral pterygoid                       platysma                                         lateral rectus

                                                      buccinator                                     superior oblique

                                                      zygomaticus                                   inferior oblique

                                                      levator palpebrae

                                                      depressor anguli oris

 

Arteries:                                     Veins:                                Venous Sinuses:

      external carotids                          external jugulars                 sup. & inf. sagittal sinuses

           occipitals                                    occipitals                     straight sinus

           superficial temporals                    temporals                  sigmoid sinus

           maxillaries                                   maxillaries                 petrosal sinuses

           facials                                          facials                        sinus confluens

      internal carotids                            internal jugulars                 transverse sinuses

      vertebrals                                                                             cavernous sinuses

      basilar

      circle of Willis

         posterior cerebrals

         middle cerebrals

         anterior cerebrals

         anterior communicating

 

Meninges of the Brain:              Teeth:

    Dura Mater                                  Incisors

    Arachnoid Mater                         Canines

    Pia Mater                                     Premolars

                                                         Molars

 

KEY:          Know location & action (for muscles)

                   Know locations and major features (for bones)

                   Know locations and regions supplied/drained (for blood vessels)

                   Know locations and functions (for other structures)        

               Not responsible for

 

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Guide to Gross Anatomy

                       

Your texts do not treat the skull and head as a separate topic, so the background for the following will be distributed in several text locations.  Use the index notes to find applicable figures and guides.

 

Skull {FAP 6-7, Figs. 7-2 to 7-15; APL 8.1, Figs 8.4, 8.12}

 

We have already introduced the bones of the skull in Week 4.  This week you should review them with more attention to detail, specifically the bony surfaces, process, and foramina that relate to the brain, cranial nerves, and facial muscles.

 

a)     Identify the following bones and their parts on the skull (the disarticulated skull will help):

 

               Cranial bones:

 

                   frontal                                               occipital

                       gabella                                              sup. and inf. nuchal lines

                       supraorbital ridges                             occipital condyles

                       supraorbital margin                            ext. occipital protuberance      

                       frontal sinuses

                                                                             parietals

                   ethmoid                                                  superior temporal line                              

                       cribriform plate                                 

                       crista galli                                       temporals

                       perpendicular plate                             squamous portion

                       superior and middle conchae               mastoid portion 

                       ethmoidal sinuses                                mastoid process  

                                                                                 petrous portion

                   sphenoid                                                styloid process      

                       body                                                  zygomatic process 

                       greater and lesser wings

                       squamosal surface                        

                       pterygoid processes                              

                       sella turcica                                           

                       sphenoidal sinuses                                    

 

               Facial bones:

 

                  maxillae                                           mandible                                               

                      alveolar margin                                alveolar margin                                    

                      palatine process                               body

                      zygomatic process                            rami                                          

                      maxillary sinus                                  coronoid process

                                                                              condyloid process

                  zygomatics                                           mandibular notch      

                      temporal process                              mandibular angle

                      orbital process

                                                                        nasals

                  palatines

                      orbital process                           lacrimals

                      pyramidal process

                      nasal crest                                  inferior nasal conchae

 

               Ossicles (x2):  {FAP Fig. 11-6}

 

                   malleus

                   incus

                   stapes   

                   

-    Palpate the zygomatic arch.  Which bones contribute to it?

 

-    Palpate the nasion - the depression where the nasal bones meet the frontal bones.  Palpate the inion - the depression immediately below the occipital protuberance. The nasion and the inion, together with the openings of the external auditory meatuses, are reference points used to clinically position EEG electrodes.

 

-    What bone articulates with the vertebral column?

 

-    Review the locations of the paranasal sinuses.  Where does the connecting channel from each enter the nasal cavity?

 

-    What bones and related structures contribute to the hard palate?  To the nasal septum?  To the nose?

 

-    What is the collective function of the ossicles?  Within which bone of the skull do they reside?

 

b)   Identify the following sutures and associated fetal fontanels of the cranium on the adult and fetal skull models:

 

            sutures:

                midsagittal suture                                   squamosal suture                 

                coronal suture                                        lambdoidal suture

                frontal suture (fetal only)

 

            fontanels (fontanelles):   

                anterior fontanel                                    occipital fontanel

                sphenoidal (ant. lateral) fontanel             mastoid (post. lateral) fontanel

 

c)   Identify the following fossae, foramina, and fissures of the skull:

 

           Internal:                                                                 External:

                   anterior fossa                                                        supraorbital foramina

                   olfactory fossae                                                     infratemporal fossa

                   olfactory foramina of the cribriform plate                mandibular fossa

                   middle fossa                                                          orbital fossa

                   optic foramen                                                        optic foramen

                   superior orbital fissure                                            superior orbital fissure

                   foramen lacerum (carotid canal)                              inferior orbital fissure

                   foramen rotundum                                                  nasolacrimal canal

                   foramen ovale                                                        infraorbital foramina

                   posterior fossa                                                       temporal fossa

                   internal auditory meatus                                          external auditory meatus

                   jugular foramen                                                      mental foramina

                   hypoglossal canal                                                   internal nares (choanae)

                   foramen magnum                           

                      

-   What bones meet in the temporal fossae?

 

-   What bones contribute to the orbital fossae?

 

-   What bones articulate at the mandibular fossae?

 

d)   For each of the fossae, try to identify what muscle(s) attach there or what brain structure rests there.  For each of the foramina and fissures, identify what structures pass through.

   

Teeth  {FAP Figs. 21-8, 21-9}

 

The teeth (dentition) are often studied with the digestive system, however, we will learn them as part of the head.

 

a)   Identify and distinguish incisors, canines (cuspids), premolars (bicuspids), and molars (tricuspids) in the sample adult skulls and models.

 

-    What are the distinguishing features of each?  What role does each play in mastication (chewing)?

 

-    What is the "dental formula" for an adult human?  (#UI,#UC,#UP,#UM/#LI,#LC,#LP,#LM)

 

-    What is the anatomical relationship between the upper teeth and the maxillary sinuses?

 

b)   Study the emerged teeth and pre-emergent sockets in the infant skull model.

 

-    What distinguishes deciduous (primary, baby) from permanent (secondary, adult) teeth?

 

-    What is the dental formula for an infant human?  (#UI,#UC,#UP,#UM/#LI,#LC,#LP,#LM)

 

Facial Muscles   {FAP Figs.11-5 to 11-8; APL 10-1, Figs 10.2,10.3}                  

 

Facial muscles may be divided into muscles of mastication and the muscles of facial expression.

 

a)   On the models and charts locate the following muscles of mastication and give their actions:

 

                       temporalis               medial pterygoid          

                       masseter                 lateral pterygoid

 

-   Note that these muscles are innervated by the trigeminal nerve (NV), mandibular branch.

 

b)   On the models and charts study the locate the following muscles of facial expression and give their actions:

 

               occipitofrontalis       orbicularis oris             buccinator        levator palpebrae

               orbicularis oculi       zygomaticus                  platysma         depressor anguli oris

 

-    Note that these muscles are innervated by the facial nerve (NVII).

 

-    The levator palpebrae superioris raises the upper eyelid.  This is also a muscle of facial expression, although it is innervated by the oculomotor nerve (NIII).

 

b)   On the models and charts study the locate the following muscles of facial expression and give their actions:

 

               occipitofrontalis       orbicularis oris             buccinator        levator palpebrae

               orbicularis oculi       zygomaticus                  platysma         depressor anguli oris

 

-    Note that these muscles are innervated by the facial nerve (NVII).

 

-    The levator palpebrae superioris raises the upper eyelid.  This is also a muscle of facial expression, although it is innervated by the oculomotor nerve (NIII).

 

Meninges  {FAP Figs. 14-2, 14-3; APL 13-1, Fig. 13.11, 13.12}   

                                                                       

Within the skull and spinal column, the central nervous system is encased in three layers of connective tissue - the meninges.  These serve the functions of protection, support, cushioning, and access for blood vessels.

 

a)   Locate the outer dura mater on the prepared brains, models, and charts.  Try to locate the following dural reflections:

 

                       falx cerebri             falx cerebelli                 tentorium cerebelli

 

-   What cortical structures does each of these dural reflections separate?

 

-    Note that the cranial dura is two layers thick.  The outer layer is continuous with the periosteum of the inner surface of the skull.

 

b)  Locate the arachnoid membrane, the subarachnoid space, and the pia mater on the prepared brains (if possible). 

 

-    What fluid fills the subarachnoid space?  Local enlargements of this space are called cisterns (see charts).

 

 -    Note that the dura and arachnoid only follow the major fissures of the brain, while the pia closely follows all of the surface convolutions.  Blood vessels supplying and draining the brain travel in the pia.

 

Circulation of the Skull and Head 

      {FAP Figs. 12-21, 21-27; APL Figs. 13.11, 18.4, 18.5, 18.10, 18.11}

                                               

There are really two interconnected circulatory systems of the brain; one containing blood and the other containing cerebrospinal fluid (CSF).

 

a)   Study the diagrams and (bad) model of the Circle of Willis {APL Fig 18.5}.  Identify the following arteries in the prepared brains and models:

 

                  basilar                           posterior cerebrals          posterior communicatings

                  vertebrals                      middle cerebrals             anterior communicating

                  internal carotids            anterior cerebrals

 

-    What three arteries supply blood to the circle?  Describe the course each takes through the neck and how it penetrates the skull.

 

-    Branches of the basilar artery supply most of the lower brain structures.  What regions are supplied by each of the cerebral arteries?  How would you expect this anatomical specificity to manifest in behavioral and cognitive loss patterns seen following cerebrovascular accidents (CVAs), losses of blood supply (ischemias), and strokes?

 

-    Note that the communicating arteries complete the circle.  What advantage could this circular pattern convey for maintaining blood supply to all of the brain?

      

b)   Small veins which run through the pia mater all terminate in a network of venous sinuses within the dural infoldings.  Identify the following sinuses in the models and prepared brains (where possible):

 

                   superior sagittal sinus                  sigmoid sinus                petrosal sinuses

                   inferior sagittal sinus                   sinus confluens             cavernous sinuses

                   straight sinus                                transverse sinuses         internal jugular veins

      

-    Trace the sinus network to its common drainage into the internal jugular veins.  By                   what route do these veins leave the skull?

 

c)   From the diagrams in your text, locate the following external vessels on each side of the head and state which region each supplies of drains:

 

                  occipital artery and vein

                  (superficial) temporal artery and vein

                  maxillary artery and vein

                  facial artery and vein

                  external carotid artery

                  external jugular vein

 

d)   The CSF {APL Fig, 13.6} is a blood plasma filtrate that is produced from arterial blood in the choroid plexus of the ventricles, circulates through the ventricular and subarachnoid spaces, and is reabsorbed through the arachnoid granulations into the venous blood of the sinuses.  The known functions of the CSF include cushioning and nourishment.  It also provides an indirect target for monitoring chemical makeup of the blood.

 

-   We will be studying the ventricular system of the brain again with the rest of the central nervous system.  For now, identify ventricles I & II (lateral ventricles), III, and IV, as well as the cerebral aqueduct on the ventricular system model.  Identify the central canal on the spinal cord cross-section model.

 

-    Trace the possible routes a tiny droplet of CSF might take on its journey from production in the choroid plexus of a lateral ventricle to reabsorption into the superior sagittal sinus.  Note that some possible routes involve washing into and out of the "dead ends" of the central canal and subarachnoid space of the spinal cord.

      

-    The CSF is circulated principally by the pressure difference between the capillaries of  the choroid plexus and the venous sinuses , which are at subatmospheric pressure when  you are standing.  Yes, your brain really does suck.  Sorry.

 

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Guide to Histology

  

The only histology this week is the slide of an emerging tooth.   {FAP Fig. 24-8}

 

      On the emerging tooth slide, identify the following structures:

          

                 crown                            enamel organ (only in pre-emerged tooth)

                 neck                              enamel

                 root                               dentin

                 gingiva                          pulp cavity

                 periodontal ligament     root canal 

 

-     What structures are found inside a healthy pulp cavity?

 

-     What layer of the tooth is most similar to vascular, lamellar bone?

 

-     What is the function of the "enamel organ"?

 

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Guide to Physiology

  

There is no real physiological component to this week's lab. 

 

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