Blood Supply to Cerebral Hemispheres and Deep Structures Flashcards

1
Q

What supplies the basilar artery

A

The vertebral arteries (posterior)

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2
Q

What bifurcates to create the posterior cerebral arteries?

A

The basilar artery

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3
Q

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

A

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

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4
Q

What supplies the middle and anterior cerebral arteries?

A

The internal carotid arteries

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5
Q

What does the posterior communicating artery connect

A

The posterior cerebral arteries to the internal carotid system

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6
Q

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

A

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

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7
Q

What structure is perfused by deep branches of the PCA?

A

The thalamus

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8
Q

What is the perfusion area of the MCA?

A

-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

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9
Q

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

A

Basal ganglia Insula

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10
Q

What is supplied by the ACA

A

-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)

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11
Q

Where does the ACA rest relevant to the CC?

A

anteriorly and dorsally

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12
Q

What are the two branches off the internal carotid artery?

A

1) MCA 2) anterior choroidal arteries

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13
Q

What structures are supplied by anterior choroidal arteries?

A

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

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14
Q

What is the destination of choroidal arteries?

A

Choroid plexus in lateral ventricle

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15
Q

What are choroidal arteries vulnerable to?

A

Increases in blood pressure (narrow compared to internal carotid)

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16
Q

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

A
  • hippocampus (orange)
  • inf horn of lateral ventricle (blue)
  • GPi (green)
  • Posterior limb of IC (brown)
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17
Q

Name the artery that corresponds to each perfusion area

A

Green - ACA

Blue - MCA

Yellow - PCA

18
Q

What is a watershed area?

A

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

  • Vulnerable to drops in blood pressure and arterial occlusion
19
Q

What supplies the putamen?

A

Mostly MCA, some anterior by ACA

20
Q

What supplies the caudate?

A

ACA, MCA, and PCA

21
Q

What supplies the thalamus?

A

PCA

22
Q

Name the vessel that supplies each area

A
23
Q

Which artery supplies portions of the caudal and rostral medulla?

A

Vertebral

24
Q

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

A
25
Q

What supplies the vertebral arteries?

A

Subclavian arteries

26
Q

Which artery supplies these regions

A

Vertebral

27
Q

What are the three main branches of the vertebral artery

A
  1. Anterior spinal artery
  2. Posterior spinal arteries (2)
  3. Posterior inferior cerebellar arteries (PICAs)
28
Q

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

A

Pontomedullay junction

29
Q

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

A

Medial (rostral and caudal)

30
Q

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

A
31
Q

What supplies the lateral ROSTRAL medulla?

A

PICAs (posterior inferior cerebellar arteries)

32
Q

Which artery supplies most of the pons?

A

Basilar

33
Q

Which two arteries does the basilar artery branch into at the level of the pons?

A

1) Superior cerebellar arteries
2) AICAs (anterior inferior cerebellar arteries)

34
Q

What do the superior cerebellar arteries supply?

A

Portions of midbrain, rostral pons and cerebellum

  • Lateral midbrain
  • Dorso-lateral pons
35
Q

What do AICAs supply?

A

-small portion of the caudal pons and the middle cerebellar peduncles

36
Q

Which arteries does the basilar artery bifurcate into at the level of the midbrain?

A

Posterior cerebral arteries

37
Q

What is the circle of willis

A

Site where the posterior vertebral-basilar system and internal carotid system anastamose

38
Q

What does the superior cerebellar

A
39
Q
A
40
Q

Name these arteries

A

1) Vertebral; 2) Common Carotid; (*) Basilar; 3) External carotid; 4) internal carotid; 5) MCA; 6) ACA

41
Q
A