Blood Supply of the Brain Flashcards
What is the name of the cerebral blood supply system for posterior circulation?
vertebro-basilar system
What is the name of the cerebral blood supply system for anterior circulation?
internal carotid arterial system
Which cerebral artery is continuous with the external carotid artery?
middle meningeal artery
Which lobe(s) or structure(s) does the internal carotid arterial system supply?
frontal, parietal, temporal lobes
Which lobe(s) or structure(s) does the vertebro-basilar system supply?
occipital lobe, cerebellum, brainstem, upper cord
Where do the 2 arterial systems of the CNS anastomose?
circle of willis
What percentage of people have a functioning circle of willis?
30%
Is it advantageous to have a functioning circle of willis? Why or why not?
advantageous b/c when brain bleed occurs, blood can still circulate (less likely to be fatal)
Which arteries does the circle of willis comprise of?
- middle cerebral artery
- posterior communicating artery
- posterior cerebral artery
- anterior cerebral artery
- anterior communicating artery
List the arteries in the vertebrobasilar system.
- vertebral artery
- basilar artery
- posterior inferior cerebellar artery (PICA)
- posterior spinal arteries
- anterior spinal artery
- anterior inferior cerebellar artery (AICA)
(7. Labyrinthine artery) - pontine arteries
- superior cerebellar artery
- posterior cerebral artery (PCA)
List the arteries of the internal carotid arterial supply.
- internal carotid artery
- middle cerebral artery (MCA)
- anterior choroidal artery
- anterior cerebral artery (ACA)
- medial striate
- posterior communicating artery
- anterior communicating artery
What is another name for the medial striate?
Recurrent artery of Heubner
Which artery is continuous with the internal carotid artery?
middle cerebral artery (MCA)
List the branches of the middle cerebral artery.
- central artery
- posterior parietal artery
- angular branch
- temporal branches
Which two structures deep in the brain does the middle cerebral artery supply?
basal ganglia and thalamus
Which parts of the body does the middle cerebral artery supply on the primary motor and somatosensory cortices?
trunk, arms, face, hands
(note: NOT legs and feet)
Which major blood vessel supplies the lateral part of the cerebral hemisphere?
middle cerebral artery
Which major cerebral blood vessel is the most common area for infarcts and anuerysms?
middle cerebral artery (MCA)
What parts of the brain does the middle cerebral artery supply?
- thalamus
- basal ganglia
- sensory and motor strip of the upper body (hands, face, trunk, arms)
Which artery supplies the paracentral lobule?
callosomarginal artery
List the branches of the anterior cerebral artery.
callosomarginal artery
Which major blood vessel supplies the sensory motor strip of the lower body?
anterior cerebral artery (ACA)
What is the second most common major blood vessel where infarcts and aneurysms can occur?
anterior cerebral artery (ACA)
What parts of the brain does the posterior cerebral artery supply?
- primary visual cortex
- large part of the temporal lobe
What is the term for necrotic brain tissue?
infarct
What disease is cerebrovascular disease often due to?
atherosclerotic disease
What are the 2 types of infarct? What is the difference?
ischemic: due to blockage
hemorrhagic: due to rupture
Most strokes are:
a) ischemic
b) hemorrhagic
a) ischemic
How does hemorrhagic stroke cause damage?
brain leaks blood/ruptures –> pressure on brain cells damages them
What are the 2 main types of hemorrhage?
intracerebral: in the brain
subarachnoid: in subarachnoid space
How does a hemorrhagic stroke lead to coma?
pressure on brainstem
What will spinal tap show if there is a subarachnoid hemorrhage?
blood in CSF
Where do epidural hemorrhages occur?
middle meningeal artery and vein
Where do subdural hemorrhages occur?
bridging veins (superficial cerebral veins)
Where do subarachnoid hemorrhages occur?
aneurysms usually at the base of the brain
Where do intracerebral hemorrhages occur?
central (perforating) arteries
What are the main after effects of stroke?
- partial paralysis
- aphasia
- depression
- cognitive decline
- epileptic fits