Cerebral vasculature Flashcards
(18 cards)
the brain weighs %?
% cardiac output
% body O2 consumption
% of Liver glucose
weighs 2 %
uses 10-20%
used 20%
uses 66%
very vulnerable if blood supply is impaired
what supplies the brain with blood
common carotid
vertebral artery
in what sequence does the blood leave the brain
cerebral veins > venous sinuses in the dura mater > internal jugular vein
describe an Extradural hemorrhage
Trauma, immediate clinical effects
arterial and high pressure
describe a subdural hameorrhage
Trauma delayed clinical effects, venous and low pressure
describe a subarachnoid hemorrhage
ruptured aneurysms
describe an intracerebral hemorrhage
spontaneous hypertensive
what is a stroke ?
It is a cerebrovascular accident (CVA)
A rapidly developing focal disturbance to brain function of presumed vascular origin and lasts more then 24 hours
what two types of stroke is there?
thromboembolic 85% or a hemorrhage 15 %
what is a transient ischaemic attack
A rapidly developing focal disturbance to brain function of presumed vascular origin that completely resolves in 24 hours
what is an infarction
degenerative changes that occur to tissue following occlusion of an artery
what is cerebral ischemia
Lack of sufficient blood supply to nervous tissue that results in permanent damage if not restored quickly
what is thrombosis
formation of a blood clot (thrombus)
Embolism
plugging a small vessel by material carried from a larger vessel e.g Thrmobi from the heart or atherosclerotic debris from the internal carotid
what are the risks for a stroke
Old age
smoking
diabetes
hypertension
cardiac disease
what are the symptoms of a stroke in the anterior cerebral artery?
Paralysis of contralateral structures
(leg>arm face)
Abulia: disturbance of intellect judgment and executive function
loss of appropriate social behavior
middle cerebral artery symptoms
classic stroke
contralateral hemiplegia (arm>leg)
contralateral hemisensory deficits
hemianopia
posterior cerebral artery symptoms
homonymous hemianopia
visual agnosia