【正文】
The Meninges and Blood Vessels of Brain and Spinal Cord, and the Cerebrospinal Fluid 山東大學(xué)醫(yī)學(xué)院 解剖教研室 李振華 The Meninges of Brain and Spinal Cord ? The spinal cord and brain are surrounded by three membranes, the meninges. Named from the outside inward they are the dura mater, arachnoid, and pia mater. The meninges of spinal cord ? Spinal dura mater 硬脊膜 ? Spinal arachnoid mater脊髓蛛網(wǎng)膜 ? Spinal pia mater 軟脊膜 Spinal dura mater 硬脊膜 Characters ? Above, attached to circumference of foramen magnum ? Below, bees thinner at level of S2, invests filum terminale to attach at back of coccyx Epidural space 硬膜外隙 ? Position: lies between spinal dura mater and periosteum of vertebral canal ? Contents: a quantity of loose connective tissue, fat, lymphatic vessels and vertebral venous plexus, the spinal nerves on each side pass through the epidural space which is applicable for block anesthesia Subdural space硬膜下隙 Spinal arachnoid mater 脊髓蛛網(wǎng)膜 Characters ? A thin, delicate, tubular membran loosely investing spinal cord ? Above, it is continuous with cerebral arachnoid mater Subarachnoid space 蛛網(wǎng)膜下隙 ? Position: lies between pia and arachnoid maters containing cerebrospinal fluid ? Terminal cistern 終池 : the largest part of subarachnoid space extending from termination of spinal cord to level of S2, where it is occupied by nerves of cauda equina, so it is the best site for a lumbar puncture Lumbar spinal puncture (spinal tap) Spinal pia mater 軟脊膜 ? A delicate vascular membrane that closely invests the spinal c