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Inferior Neuroanatomy > & Skull Base > Cranial Nerves & Skull Base

INFERIOR SKULL

KEY DEFINITIONS

• Foramina are holes that allow neurovascular structures to pass through the .

• Processes serve as muscle attachment sites.

Maxilla:

• Palatine process

- Portion of the maxilla that extends posteriorly, towards the palatine.

- A small opening for neurovascular structures; its name reflects its location posterior to the incisors (the front teeth).

- The nasopalatine nerve and sphenopalatine artery (and vein) pass through the incisive foramen to serve the palate and associated structures.

• Alveolar margin (aka, ridge)

- The border of the maxilla where the upper teeth reside.

Sphenoid:

• Pterygoid process

- Gives rise to the medial and lateral pterygoid plates, which are extensions where muscles of mastication (aka, chewing) attach.

- Petrosal nerve, , and accessory meningeal artery.

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- and meningeal branch of the mandibular nerve.

Temporal bone:

• Mandibular

- Shallow depression where the (the bone of the lower ) articulates with the cranium.

• External auditory

- External opening of the .

• Styloid process

- A pointy projection for attachment of muscles.

• Mastoid process

- Larger, roughened cone-shaped projection for muscle attachment (sternocleidomastoid).

• Opening of the carotid

- Internal carotid artery enters the cranium to supply the brain via this opening.

- Lies between the styloid and mastoid processes.

- CN VII ().

Occipital bone:

- A large hole where the enters the cranium to become the .

- The brainstem, vertebral arteries, and CN XI () pass through the foramen magnum;

• Occipital

- Lie on either side of the foramen magnum; these rounded surfaces articulate with the .

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- A small opening near the foramen magnum and the .

- CN XII ()

- Extends from the posterior edge of the foramen magnum, and terminates at the external occipital protuberance

• External occipital protuberance

- A roughened elevation; it serves as a muscle attachment site and is usually larger in adult males.

• Inferior and superior

- Extend horizontally from the crest; they serve as muscle attachment sites.

• Foramen lacerum

- Lies between the occipital, sphenoid, and temporal ; it is irregularly shaped.

- Greater petrosal nerve; it is a branch of the facial nerve (CN VII).

- Lies between occipital and temporal bones; it is named for the jugular vein, which exits through this space.

- CNs IX (glossopharyngeal nerve), X (vagus), and XI (accessory), and the jugular vein

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