Blood Supply, Venous Drainage and Cranial Nerves Flashcards

1
Q

what are the main 2 sources of blood supply to the brain

A

vertebral and internal carotid artery

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2
Q

what is the pathway of the vertebral artery

A

subclavian - vertebral - transverse foramina of C1-C6 - foramen magnum and cranial cavity

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3
Q

what forms the basilar artery

A

left and right vertebral arteries

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4
Q

what supplies the anterior and middle parts of brain

A

internal carotid artery

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5
Q

what does the external carotid artery supply

A

the meninges via the middle meningeal artery

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6
Q

where does the middle meningeal artery run

A

between the bone and the dura at the pterion

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7
Q

what does the circle of willis supply

A

anterior, middle and posterior brain

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8
Q

where does the circle of willis lie

A

around the optic chiasm and pituitary stalk

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9
Q

where does the basilar artery lie

A

over the pons

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10
Q

what do the posterior cerebral arteries supply

A

posterior brain (occipital lobe)

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11
Q

what do the posterior communicating arteries do

A

communicate with anterior and middle part of circulation in circle of willis

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12
Q

what does the middle cerebral artery supply

A

the internal capsule via small lenticular striate arteries, temporal lobe, parietal lobe, frontal lobe

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13
Q

what do the anterior cerebral arteries supply

A

medial side of the cranial hemisphere and anterior part of brain

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14
Q

if there is a stroke in the anterior cerebral artery supplying the front of the brain, what is affected

A

lower limbs, personality, cant identify objects

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15
Q

if there is a stroke in the middle cerebral artery supplying the temporal, parietal and frontal lobe and internal capsule, what is affected

A

brocas and wernickes (aphasia), face and upper limb

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16
Q

if there is a stroke in the posterior cerebral artery supplying the occipital lobe what is affected

A

vision, memory

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17
Q

what are dural venous sinuses

A

spaces between perisosteal and meningeal layers of dura mater

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18
Q

what occurs in the dural venous sinuses

A

venous drainage and CSF resorption

19
Q

once the CSF circulates in the ventricles, what happens to it

A

goes into subarachnoid space, absorbed through arachnoid granulations and then into superior sagittal sinus

20
Q

what are the main sinuses

A

superior sagittal sinus, sigmoid sinus, cavernous sinus, transverse sinus

21
Q

where does the superior sagittal sinus run

A

in the falx cerebelli to the back where the falx meets the tentorium cerebelli

22
Q

where does the superior sagittal sinus split at the posterior aspect of the brain

A

at the conference of sinuses into left and right transverse sinus

23
Q

where does the transverse sinus run

A

within the tentorium cerebelli and along the base of the skull to drain into the jugular foramen

24
Q

where does all venous drainage go

A

into the IJV

25
where does the cavernous sinus run
beside the sellae turcica
26
why is the blood supply slow in the cavernous sinus
because there are lots of small channels
27
how does a cavernous sinus thrombosis happen
because the slow blood supply gives the bacteria spread from the danger zone time to multiply
28
what does a cavernous sinus thrombosis cause
fever and swollen eyes
29
what causes a cavernous sinus thrombosis
injury/infection of the face/upper teeth
30
why does an epidural haematoma occur
due to rupture of the middle meningeal artery at pterion, associated with fracture/trauma
31
which type of haematoma would loss of consciousness be quick and why
epidural haematoma - anterior bleed
32
what is a subdural haematoma associated with
age as tissues are less sturdy and if there is a fall it can be strong enough to rupture the brains blood vessels
33
how long does it take to develop symptoms of a subdural haematoma and why
a few weeks as it is a slow bleed because it is venous
34
what happens in a subarachnoid haemorrhage
one of the arteries within the circle of willis ruptures
35
what is a subarachnoid haemorrhage associated with
aneurysm
36
where do subarachnoid haemorrhages occur
where the junction between arteries is - where the arterial wall is weaker so an aneurysm can easily burst in subarachnoid space
37
where do the olfactory and optic nerves come from
forebrain
38
what are the 5 main functions that a cranial nerve could have
motor fibres to voluntary muscle motor fibres to involuntary muscle general sensation visceral sensation special sensation
39
what does the spinal accessory nerve innervate
SCM and trapqezius
40
what cranial nerve passes through the nose
1 (olfactory)
41
what cranial nerve passes to the orbit
optic, occulomotor, trochlear, trigeminal ophthalmic, abducens
42
what cranial nerve passes to the front of the face
trigeminal maxillary
43
what cranial nerve passes through the base of the skull
trigeminal mandibular, facial, glossopharyngeal, vagus, accessory, hypoglossal
44
where does the circle of willis lie
around the optic chiasm and pituitary stalk