MENINGES

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MENINGES
a protector system for SSP ( Encephalon, Cerebellum,MS) a packer membrane Consisted of 3 layer ( from outside into) Duramater Arachnoidmater/arachnoidea Piamater Duramater = pachymeninges Arachnoidea + Piamater = Leptomeninges
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DURAMATER
In cavum cranii 2 layer: o Stratum/lamina endostealis Attach tightly at bone periosteum forms cavum cranii up to foramen occipitalis magnum o Stratum/lamina meningealis layer in sticks at duramater lamina endostealis and arachnoidea In canalis vertebralis o Only 1 layered only stratum/lamina meningealis o Doesn't stick at wall in vertebra bones o Duramater Medulla spinalis only until vertebra Sacralis 3 o Hereinafter like string = PHYLUM TERMINALE EXTERNA to os. coccygealis.
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DURAMATER
There is POTENSIAL space at Cranium :
Between duramater lamina endostealis and lamina meningealis SPATIUM EPIDURALE ( contains a/v meningea + branchs of N.V) Between duramater lamina meningealis to arachnoidea SPATIUM SUBDURALE

In canalis vertebralis Spatium epidurale between duramater lamina meningealis and bone wall canalis (so=Spatium extradurale contains adipose tissue + plexus venosus vertebralis interna) like true/real space
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DURAMATER
Duramater with arachnoidea arranges in layers n.cranialis/n.spinalis when exit to each hole then attach at bone ( in each exit hole) Duramater in Cranium forms: SINE VENOSUS ( between l.endostealis and l.meningealis) 4 SEPTUM :
1. FALX CEREBRI ( between the two top hemispherium cerebri, in fissura longitudinalis cerebri) 2. TENTORIUM CEREBELLI ( dissociates lobus occipitalis cerebri and cerebellum) 3. FALX CEREBELLI ( between the two hemispherium cerebelli) 4. DIAPHRAGMA SELLAE ( above corpus sphenoidale)
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DURAMATER
SINUS VENOSUS Arranged in layers as endothel ( = vessel) Contains blood venosa It is blood flow system /venosa CNS place of having estuary veins intracranial + certain extracranial ( v.emissaria).

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KINDS OF SINES VENOSUS

1. 2. 3. 4. 5. 6. S.sagittalis superior S.sagittalis inferior S.rectus S.transversus S.occipitalis S.sigmoideus 7. S.petrosus superior 8. S.petrosus inferior 9. S.intercavernosus 10. S.cavernosus 11. S.sphenoparietalis 12. Confluens sinuum

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ARACHNOIDEA
Consisted of 2 part:
1. MEMBRANA ARACHNOIDEA ( sticks at duramater lamina meningealis) 2. TRABECULA ARACHNOIDEA - connective tissue braid to PIAMATER -located in SPATIUM SUBARACHNOIDEUM

Membrana Arachnoidea to piamater form a cavity = SPATIUM SUBARACH NOIDEUM.

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SPATIUM SUBARACHNOIDEUM
Contains: 1. Artery and vein cerebri, diencephalon, cerebelli, truncus cerebri and medulla spinalis 2. Passed by n.cranialis + radix ventralis & dorsalis 3. Trabecula arachnoidea 4. Liquor cerebrospinalis (LCS)
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ARACHNOIDEA
In certain part spatium subarachnoideum become wide CISTERNA

Kinds of cisterna :
1. 2. 3. 4. 5. 6. 7. Cisterna cerebellomedullaris/magna Cisterna pontis Cisterna interpeduncularis/basalis Cisterna chiasmatis Cisterna fossa cerebri lateralis Cisterna superior/cisterna ambiens Cisterna lumbalis

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ARACHNOIDEA
VILLI ARACHNOIDALES ( Granulatio Arachnoidales) jutty/villus formed by layer arachnoidea into sine sagittalis superior FUNCTION: place of excretion LCS from spatium subarachnoideum into blood to sine venosus

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PIAMATER
Arranges in layers surface direct of cortex cerebri, cerebellum,diencephalon, truncus cerebri & medulla spinalis
o Enter at sulcus/fissura o Follows vessel entering to sulcus/fissura forms cortex including vessel forming plexus choroideus

Piamater medulla spinalis to lateral formed 2 sheet as LIGAMENTUM DENTICULATUM to arachnoidea

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VASCULARISATION
Vascularisation of intracranial Duramater :
1. A. Meningea Anterior (branch of. a.eth.ant a.ophtalmica) 2. A. Meningea media (branch of.a.maxillaris int) 3. Rm.meningea posterior ( branch.a.vert + a.ph.asc + a.occ)

Primarily a.meningea media Venous follow the artery Duramater + piamater vasculer Arachnoidea Avasculer

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INNERVATION
INTRACRANIAL Primarily from branchs of N.V Some Of Nn.Craniales + N. Vagus inside CANALIS VERTEBRALIS
Nn. Spinales

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