Blood Supply to Cerebral Hemispheres and Deep Structures Flashcards Preview

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Flashcards in Blood Supply to Cerebral Hemispheres and Deep Structures Deck (41)
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1

What supplies the basilar artery

The vertebral arteries (posterior)

2

What bifurcates to create the posterior cerebral arteries?

The basilar artery

3

Identify the components of the Circle of Willis. What two systems does it join?

Joins anterior system and vertebral system Base = posterior cerebral artery Sides = Anterior communicating artery Top = middle cerebral and anterior cerebral arteries

4

What supplies the middle and anterior cerebral arteries?

The internal carotid arteries

5

What does the posterior communicating artery connect

The posterior cerebral arteries to the internal carotid system

6

What is the perfusion territory of the posterior cerebral artery (and its branches)?

1) Portions of the midbrain (overlaps laterally with superior cerebellar artery) 2) Medial surface of occipital and temporal lobes 3) Inferior temporal lobe 4) lateral temporal and occipital lobes

7

What structure is perfused by deep branches of the PCA?

The thalamus

8

What is the perfusion area of the MCA?

-Frontal and parietal cortex above lateral fissure -A small portion of the inferior frontal lobes (more laterally than the (ACA) -Basal ganglia and insula via lenticulostriate arterial branches

9

Which regions are supplied by the lenticulostriate (MCA) arteries?

Basal ganglia Insula

10

What is supplied by the ACA

-Most of the medial surface of the frontal and parietal lobes -Most of the inferior surface of the frontal lobes (more medially than the MCA) -1-2cm of the lateral surface of the frontal and parietal lobes (everything that the MCA misses)

11

Where does the ACA rest relevant to the CC?

anteriorly and dorsally

12

What are the two branches off the internal carotid artery?

1) MCA 2) anterior choroidal arteries

13

What structures are supplied by anterior choroidal arteries?

Portions of: GP putamen, tail of caudate, posterior limb of IC, hippocampus

14

What is the destination of choroidal arteries?

Choroid plexus in lateral ventricle

15

What are choroidal arteries vulnerable to?

Increases in blood pressure (narrow compared to internal carotid)

16

Which areas (shaded) are supplied by the anterior choroidal arteries?

-hippocampus (orange)

-inf horn of lateral ventricle (blue)

- GPi (green)

- Posterior limb of IC (brown)

17

Name the artery that corresponds to each perfusion area

Green - ACA

Blue - MCA

Yellow - PCA

18

What is a watershed area?

The area where two perfusion areas come together (e.g, ACA-MCA; MCA-PCA)

- Vulnerable to drops in blood pressure and arterial occlusion

19

What supplies the putamen?

Mostly MCA, some anterior by ACA

20

What supplies the caudate?

ACA, MCA, and PCA

21

What supplies the thalamus?

PCA

22

Name the vessel that supplies each area

23

Which artery supplies portions of the caudal and rostral medulla?

Vertebral

24

Which vessel perfuses each area (horizontal through mid-thalamus)

25

What supplies the vertebral arteries?

Subclavian arteries

26

Which artery supplies these regions

Vertebral

27

What are the three main branches of the vertebral artery

  1. Anterior spinal artery
  2. Posterior spinal arteries (2)
  3. Posterior inferior cerebellar arteries (PICAs)

28

Where do the branches of the vertebral artery form to create the basilar artery?

Pontomedullay junction

29

What is the perfusion area of the anterior spinal artery in the medulla?

Medial (rostral and caudal)

30

What is the perfusion area of the posterior spinal arteries in the medulla?