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Chapter 332
The Dura Mater
The Meninges
The central organs of the nervous system are inclosed in three meninges or membranes. From without inward these are: (1) the dura mater, (2) the arachnoidea, and (3) the pia mater.
The dura mater is a dense resistant membrane of white fibrous tissue; in the fresh state it is bluish-white in color. On account of the difference in its arrangement within the cranium from that in the spinal canal it is customary to describe it as consisting of two parts, cerebral and spinal; these portions are continuous with each other at the foramen magnum.
The cerebral dura mater (Dura mater encephali) is adherent to the interior of the cranium, and may be regarded as forming an internal periosteum for the bones here as well as being an envelope of the brain. Its outer surface is connected with the bony wall of the cranial cavity by numerous fine fibrous strands and by blood-vessels; hence it appears rough in many places when separated from the wall. The degree of adhesion varies greatly at different points. It is most firmly attached at the various projections, e. g., the internal sagittal crest, the tentorium osseum, the petrosal crest; also at the base and the foramen magnum. Before the sutures are closed the dura is connected with the sutural ligaments and through them is continuous with the external periosteum. The cranial nerves receive sheaths from the dura, which is thus continuous without the cranium with the epineurium and periosteum. Along the roof and sides (except as noted above) the adhesion is relatively slight, and lymph-spaces are said to exist between the dura and the bone. The internal surface of the dura is smooth and glistening, since it is lined by endothelium and is moistened by a fluid resembling lymph; it forms the outer boundary of the subdural space. In accordance with its double function the dura is composed of two layers, which are, however, intimately adherent to each other in most places in the adult. The venous sinuses are channels between the two layers and are lined by endothelium. They have been described with the other vessels.
Several folds or septa are given off from the inner surface of the dura; these project into the cavity between the gross subdivisions of the brain. These septa are: (1) the falx cerebri; (2) the tentorium cerebelli; and (3) the diaphragma sellæ.
The falx cerebri is a sickle-shaped median partition which projects downward in the great longitudinal fissure between the cerebral hemispheres. It is attached above to the internal sagittal crest, in front to the crista galli, and behind to the tentorium osseum. Its superior border is convex and separates into two layers which inclose the superior longitudinal sinus. Its lower border is concave and lies over the corpus callosum. The falx is thick above, but much thinner below, and in some places cribriform.
In the horse the posterior part of the falx cerebri does not extend to the corpus callosum, and hence the hemispheres are here in contact and adherent to each other over a small area. In the ox and pig the falx does not descend so far as in the horse, while in the dog it completely separates the hemispheres.
The tentorium cerebelli is a crescentic transverse fold which separates the cerebellum from the posterior poles of the cerebral hemispheres. It is attached above to the tentorium osseum and laterally to the petrosal crests. Its lower border is thin, concave, and free; it forms the upper and lateral boundaries of an opening (Incisura tentorii) which incloses the mid-brain.
The diaphragma sellæ is a small circular fold which roofs over the sella turcica and the pituitary body. It is perforated centrally by an opening (Foramen diaphragmatis) for the infundibulum.
The falx cerebelli, a sickle-shaped fold which projects into the median notch between the cerebellar hemispheres in man, is not present in the domesticated animals. There is instead merely a slight thickening of the dura.
The spinal dura mater (Dura mater spinalis) forms a tube around the spinal cord from the foramen magnum to the second or third segment of the sacrum. It is separated from the periosteum of the spinal canal by a considerable epidural space (Cavum epidurale) which is occupied by fatty connective tissue and veins. It is held in position chiefly by the sheaths which it furnishes to the roots of the spinal nerves, and in its anterior part by two ligaments; the latter connect it with the inferior atlanto-occipital membrane and with the odontoid process. It is large in proportion to its contents, but its diameter is not uniform. It is largest in the atlas, small in the thoracic region, and becomes very small in its terminal part, where it incloses the delicate filum terminale of the spinal cord.
The subdural space (Cavum subdurale) is the cavity between the inner surface of the dura mater and the arachnoidea. It is a mere capillary space which contains just sufficient fluid to moisten its surfaces; this fluid is usually regarded as lymph, which is replenished by filtration through the walls of the blood-vessels. The space is in communication with the lymph-paths of the nerve-sheaths.