Flashcards in CNS Arterial Supply Deck (37)
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1
Basilar artery bifurcates into _____ at midbrain.
2 PCAs
2
Before it bifurcates the Basilar artery gives off ____ & ____
AICA & SCA
3
What does AICA supply?
Anterior portions of inferior cerebellum, like flocculus & caudal pons
4
What does SCA supply?
Supplies superior cerebellum, caudal midbrain, rostral pons
5
What does does the Vertebral-Basiliar system supply?
Brainstem & cerebellum
6
Vertebral arteries run along lateral medulla & fuse to basilar artery at _____
pons
7
Prior to fusing with the basilar artery each gives rise to ...
Posterior spinal artery, anterior spinal artery, PICA
8
What does the posterior spinal artery supply?
posterior 1/3 of spinal cord
9
What do the anterior spinal arteries supply?
They join in the midline resulting in a single artery that supplies anterior 2/3 of spinal cord
10
The circle of willis connects ___ & ___, via _____
IC & Vertebral-Basiliar system, via Pcomm
11
What connects the right and left sides of the circle of willis?
Acomm
12
What is the path of Pcomm?
It passes posteriorly, inferior to the optic tract towards the cerebral peduncle and joins PCA, which is part of the vertebral system
13
What is the path of the internal carotid arteries?
Ascends neck, traverses petrous temporal bone, goes thru cavernous sinus, ophthalmic artery branches off as IC enters subarachnoid space, then IC travels along the optic chasm
14
IC bifurcates into ___ & ____
Middle & Anterior Cerebral Arteries
15
Prior to the bifurcation of the IC it gives off ____ & _____
anterior chorodial artery & Pcomm
16
___ ___ artery is long & thin, and clinically significant in strokes
anterior choroidal artery
17
What does the anterior choroidal artery supply?
optic tract, choroid plexis in temporal horn of lateral ventricle, internal capsule, thalamus, hippocampus, sometimes cerebral peduncle
18
_______ run laterally into lateral sulcus & divides into many branches
Middle cerebral artery
19
What is the path of the anterior cerebral artery?
It runs medially and enters the longitudinal fissure, then it arches posteriorly & follows corpus callosum
20
What does the anterior cerebral artery supply?
medial parts of frontal and parietal lobes
21
What connects the 2 anterior cerebral arteries?
the anterior communicating branch
22
What are lenticulostriate arteries?
Perforating arteries from MCA
23
Perforating arteries are numerous around what structures?
optic chiasm, between cerebral peduncles, anterior & posterior perforated substance
24
What do perforating arteries supply?
basal ganglia, thalamus, & internal capsule
25
Perforating arteries arise from ____ at the _____
all arteries, at the base of the brain
26
True or false: Perforating arteries can be involved in strokes & cause neurologic deficits out of proportion to their size.
True
27
Which two pairs of vessels supply much of the brain & spinal cord?
internal carotid arteries, vertebral arteries
28
Define blood-brain barrier
Anatomic & physiologic barrier that controls movement of materials from extracellular fluid of body to extracellular fluid of brain
29
The blood-brain barrier includes . . .
arachnoid, endothelial tight junctions & lack of pinocytic vesicles
30