blood supply to the brain :) Flashcards

1
Q

cranial meninges layer

A

dura mater
arachnoid mater
pia mater

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2
Q

dura mater

A

outer

tough and fiberous

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3
Q

arachnoid mater

A

projections

spiderweb like

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4
Q

pia mater

A

delicate and fine layer

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5
Q

what does inflammation of the meninges lead to

A

meningitis

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6
Q

what are the cranial meninges continuous with

A

spinal meninges

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7
Q

what does the dura mater consist of

A
endosteal layer
- outer
- bound to cranium
meningeal layer
- inner layer
- in contact with arachnoid mater
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8
Q

what are dural folds

A

inner layer reflects off at certain points

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9
Q

dural folds

A

falx cerebri
tentorum cerebelli
fall cerebelli

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10
Q

falx cerebri

A

anterior ot posterior of skull

between cerebral hemispheres

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11
Q

tentorum cerebelli

A

extends between cerebral hemisphere and celebellum

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12
Q

falx cerebelli

A

underneath tentorium cerebellli

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13
Q

space between the arachnoid and Pia mater

A

subarachnoid space

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14
Q

describe the arachnoid mayer

A

translucent layer that covers brain
provides a smooth surface
fibres from arachnoid to Pia maer

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15
Q

describe pia mater

A

thin layer adhered to brain extending into every fold of the brain

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16
Q

extradural space

A

potential (i.e. not in normal anatomy) space between dura mater and crainium

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17
Q

what are embedded in the outer dura mater

A

meningeal arteries

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18
Q

what does rupture of the meningeal arteries lead to

A

bleeding into the extradural space
increased intercranial pressure
pressure forces brain down, brainstem herniates into foramen magnum
respiratory arrest and cardiac arrest

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19
Q

what is found in the subarachnoid space

A

cerebrospinal fluid

arteries/veins to and from brain

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20
Q

what is cerebrospinal fluid

A

filtrate of blood plasma

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21
Q

what is the subarachnoid space

A

real (i.e. in normal anatomy)space between the arachnoid and Pia mater

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22
Q

how long does a subarachnoid haemorrhage take to spread

A

24-48hrs

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23
Q

what are the spaces between the dural folds called

A

venous sinuses (important in venous drainage of veins)

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24
Q

where do veins empty into

A

venous sinuses

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25
where do the venous sinuses drain into
ito internal jugular veins
26
what drain into the venous sinuses
superficial and deep veins drain into sinuses through emissary veins passing through the skull
27
what do emissary veins allow
potential spread of infection as they run through small forimina
28
theories of small forimina in the skull??
helps cool blood around the brain | allows blood to pass from Venus sinuses outside the cranium to reduce cranial pressure
29
where do venous sinuses connect with superficial and deep veins through
orbit pterygoid venous plexus pharyngeal venous plexus emissary veins
30
where is arterial supply of the brain fro
internal carotid arteries | vertebral artiereis
31
what are vertebral arteries branches of
subclavian arteries
32
internal carotid arteries course
goes to underside of cranium through carotid canal then to the brain
33
course of vertebral arteries
through transverse foramina then through foramen magnum | run either side of medulla, join at pons to form bacillary artiery.
34
what is the ancillary artier formed from
vertebral arteries
35
what does the bacillary artier give off
short medullary and pontine arteries (supply pons and medulla)
36
what does the common carotid artery bifurcate into
internal and external carotid arteries
37
what type of artieies are the branches of bacillary artery and the internal carotid arties
true end artuers | one artery supplies a specific area where there is no other blood supply
38
where do the cerebellar artieres arise from
vertebrobasilar system
39
what do the cerebellar arteries supply
cerebellum | lateral aspects of the brainstem
40
what does damage to cerebellar arteries results in
``` cerebellar ataxia (jerky pattern) cranial nerve signs and symptoms (depends on the level of brainstem that is affected CN9 10 11 12) ```
41
What causes lateral medullary syndrome
blockage of posterior inferior cerebellar artery or vertebral artier
42
symptoms of lateral medullary syndrome
cerebellar ataxia damage to nuclei of CN IX damage to nuclei of CN X
43
what does damage of CN IX lead to
dysphagia | no sensation to pharynx
44
damage of CN X lead to
no sensation/motor to larynx no motor to pharynx so no cough reflex, dysphagia, dysphonia
45
what does the bacillary artery divide into
posterior cerebral arteries
46
what do the internal carotid arteries divide into
anterior cerebral artery | middle cerebral artery
47
what do the an/midd/post cerebral artieries supply
hemisphere
48
what does the anterior cerebral artier supply
thin strip on saggital part | majority of inner surface of brain
49
what does the middle cerebral artery supply
parietal (leg area of motor/sensory cortex) | temporal
50
what does the posterior cerebral artery supply
occipital (i.e. visual cortex) | underneath
51
what is brocas area linked to
speech motor area | unable to speak what they are thinking
52
wernikes area
interpretation and understanding of speed | speech makes no sense but can speak
53
what supplies brocas/wernikes area
middle cerebral arteriy
54
what can disease/damage to arteries supplying the brain lead to
stroke
55
types of stroke
ischemic stroke | haemorrhagic stroke
56
what causes an ischemic stroke
due to a blood clot that blocks the flow of blood
57
what causes a haemorrhage stroke
burst blood vessel (aneurysm) or due to drama (tearing) leading to blood leaking into the tissue
58
effects of isemic stroke
brain function lost were blood supply is germanely absent
59
effects of harmorrhagic stroke
short term effects worse | mass of hematoma decreases over time, function may return
60
where does the brain receive blood supply from
vertebral bacilar artery | carotid arteries
61
circle of willis
internal carotid arteries and vertebasilar system joined via communicating arteries - cn act as alternative blood supply if blood vessels damaged
62
what do the anterior communicating artieries join t
the two sides of the carotid arteries
63
what do the posterior communicating arteries join
cerebral and bacillary artieries