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Yr 2 Nervous System - Anatomy > Week 1 Dry > Flashcards

Flashcards in Week 1 Dry Deck (37)
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1

Describe the circle of willis?

Basilar artery formed from vertebral arteries.
It connects to the ICAs via the post. communicating artery.

Post cerebral comes off basilar/post communicating

Middle cerebral comes off ICA

Ant cerebral comes off ICA and are joined to eachother by ant communicating

2

What arteryies come off the vertebral and basilar arteries?

Post inf cerebellar and Ant spinal arteries come off the vertebral arteries

Ant Inf, Labyrinthine and sup cerebellar come off the basilar (in that order)

3

Where do the vertebral arteries arise?

Subclavians

4

Which part of the brainstem is the basilar artery most close to?

Pons

5

Which surface of the brain is supplied by which cerebral arteru?

Ant - Superior/medial, runs in the longitudinal fissure

Middle - Most of Lateral, runs in the sylvian fissure

Posterior - Posterior, runs in calcarine fissure

6

What cerebral artery supplies Primary motor cortex?

Ant and middle

7

What cerebral artery supplies Primary sensory cortex?

Ant & Middle

8

What cerebral artery supplies Primary Visual Cortex?

Post

9

What cerebral artery supplies Primary Auditory Cortex?

Middle

10

What cerebral artery supplies the area of olfaction?

Middle

11

Which cranial nerve & major Art are closely related to the sup cerebellar artery and how?
Why is this relevant clinically?

Oculomotor & Post Cerebral artery both run just above the Superior Cerebellar Art.

Aneurysms are common here causing III nerve palsy


12

What pieces of nervous tissue are involved in controlling blood supply to the brain?

Carotid Sinus - Detects pressure in ICA
Carotid Body - Detects Anoxia in ICA
Sympathetic motor nerves also form a plexus around the ICA

13

What nerves do the Carotid sinus and body connect to?

Both have sensory fibres in the glossopharyngeal nerve
Carotid sinus also uses Vagus

14

Where do intracranial veins drain to?

Dural venous sinuses between the periocranium and cranial dura

15

List the important Dural venous sinuses?

Opthalmic Veins -> Cavernous sinus -> IJV
Sup/Inf Petrosal Sinuses -> IJV

Also Inf sagittal -> Straight sinus (joins with Sup sagittal) -> Confluence of sinuses -> Transverse sinus -> Sigmoid sinus -> IJV

16

What are the important connection between veins outside and inside the cranium, and why?

# Sup Opthalmic Vein is continuous with the facial vein outside and cavernous sinus inside.
# Emissary veins are continuous with dural sinuses -> Diploe of bone -> veins of scalp
# Inf Petrosal Sinus are connected left-right by the basilar sinus

All of these are potential routes of intracranial infection

17

What is the 2 most important grooves in the skull base due to arteries?

Carotid groove one either side of the sella turcica

Groove for middle meningeal artery just lateral to foramen spinosum

18

What drains into the cavernous sinus?

- Opthalmic Veins
- Superficial and middle cerebral veins
- Sphenoparietal veins

19

What neurovascular structures pass through the cavernous sinus?

- ICA
- Cr Nerves III, IV, V2, V3 & 6
- Cr Nerve II passes just behind the cavernous sinus medially

20

How does Cavernous Sinus Thrombosis occur and what does it cause?

CST results from infection spreading from the nose, sinuses, ears or teeth.
The sinus thromboses causing oedema & blood to back up
So your eyes bulge and you get cranial nerve palsies of II, III, IV, V2/3 & VI

21

Explain the blood supply of the Spinal Cord??

You have 1 anterior and 2 posterior spinal arteries which give of multiple segmental spinal arteries

22

What arteries form the anterior spinal artery?

The two vertebral arteries give off branches which become the Ant Spinal Art, just before they form basilar artery.

23

What arteries form the posterior spinal arteries?

Branches of the post inf cerebellar art

24

Explain the venous drainage of the spinal cord?

Ant & Post spinal veins drain into the Internal vertebral (epidural) venous plexus.

In turn the Internal Vertebral Venous Plexus communicates with its external counterpart outside the vertebral canal.

Then it reaches up into the cranium and drains into the intracranial venous sinsues

25

What are the important Dural folds?

Falx Cerebri
Tentorium Cerebelli
Falx Cerebelli
Diaphragma Selli

26

What does the falx cerebri attach to?

Anteriorly --- Crista Galli & Frontal Crest
Posteriorly --- Tentorium Cerebelli

27

What dural sinuses run within and along the falx cerebri?

Inf Saggital Sinus runs within the upper border of the falx cerebri

Sup Sagittal Sinus runs along the upper border of the falx cerebri

28

Where does the tentorium cerebelli attach?

Ant/Post Clinoid processes of the sphenoid bones

29

How does the straight sinus relate to the dural folds?

IT runs along where the falx cerebri joins the tentorium cerebelli

30

Where does the middle meningeal artery come from?

The maxillary Art through the foramen spinosum