Dural Folds

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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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