Blood vessels of head and neck Flashcards

1
Q

What are the three main blood vessels that supply the head?

A

Internal carotid arteries x2 (brain and eyes)
External carotid arteries x 2 (extracranial structures)
Vertebral arteries x2 (brain)

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2
Q

What do the subclavian arteries terminate into?

A

they become continuous with the axillary arteries

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3
Q

At what point do the subclavian arteries terminate?

A

terminate at the external margin of the 1st rib (then are continuous with axillary arteries)

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4
Q

What are the major collateral branches of the subclavian arteries?

A

vertebral

internal thoracic

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5
Q

What are the four parts of the vertebral artery?

A

cervical part - arisal off subclavian to C1
vertebral part - C1 to C6
suboccipital part - ascends between the atlas and framen magnum
intracranial part - from foramen magnum into the cranial cavity

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6
Q

Describe the course of the vertebral artery

A

each courses through the transverse foramen of C6 to C1 vertebrae

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7
Q

What is the origin of the vertebral arteries?

A

arise from the first part of the subclavian artery

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8
Q

When does the vertebral artery terminate?

A

vertebral arteries unite within the cranial cavity to form the basilar artery

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9
Q

Where do the common carotid arteries arise?

A

R- from brachiocephalic artery

L- from aortic arch

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10
Q

Describe the course of the common carotid arteries

A

each ascends posterolateral to the trachea and larynx

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11
Q

At what vertebral level does the common carotid artery bifurcate?

A

bifurcates at C3/4 intervertebral disc into the internal and external carotid arteries
at superior border of thyroid cartilage (C3/C4)

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12
Q

What are the collateral branches of the common carotid arteries?

A

there are no collateral branches

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13
Q

What is the difference in location and diameter of the internal and external carotid arteries?

A

internal- wider diameter and is posterolateral to the external

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14
Q

What is the carotid sinus?

A

dilation of the most proximal part of the internal carotid artery
contains baroreceptors in its walls (for pressure detection)

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15
Q

What are the collateral branches of the external carotid arteries and what do they supply?

A

collateral- numerous branches that supply thyroid gland and all parts of the head except the brain and eyes

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16
Q

What are the terminal branches of the external carotid arteries and what do they supply?

A

terminal- middle meningeal artery is a collateral branch of maxillary artery

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17
Q

From which arteries does the middle meningeal artery branch off?

A

it is a collateral branch of the maxillary artery, of the external carotid artery

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18
Q

What do the middle meningeal arteries supply?

A

cranial bones and dura

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19
Q

Where does the middle meningeal artery enter the cranial cavity?

A

through the foramen spinosum

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20
Q

At what point does the middle meningeal artery divide into anterior and posterior branches?

A

at pterion

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21
Q

What are the four parts of the internal carotid artery?

A

cervical part
petrous part
cavernous part
cerebral part

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22
Q

Which parts of the internal carotid artery are inside the cranium?

A
petrous part (carotid canal of petrous part of temporal bone)
cavernous part (carotid groove of the body of the sphenoid bone)
cerebral part (inferior surface of the brain)
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23
Q

What is the carotid siphon?

A

U-shaped portion of the internal carotid artery
Formed partially by cavernous part and partially by cerebral part
opthalmic artery is a branch of the carotid siphon

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24
Q

What artery does the opthalmic artery branch off?

A

carotid siphon region of the internal carotid artery

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25
Q

What are the main arteries of the brain?

A

internal carotid arteries

vertebral arteries

26
Q

Within the brain, what arteries do the internal carotid arteries contribute to?

A

anterior cerebral arteries
middle cerebral arteries
posterior communicating arteries

27
Q

Within the brain, what arteries do the vertebral arteries contribute to?

A

basilar artery

posterior cerebral arteries

28
Q

The Left and Right vertebral arteries form a union which is called ________?

A

the basilar artery

29
Q

What does the basilar artery terminally divide into?

A

the left and right posterior cerebral arteries

30
Q

What artery branches off the left and right posterior cerebral arteries?

A

L & R posterior communicating artery

31
Q

What arteries link the posterior and anterior cerebral arteries to form the ring of vessels known as the circle of willis?

A

the anterior and posterior communicating arteries

32
Q

What is the percentage of people in which all components of the circle of willis are present and have a normal diameter?

A

18%

33
Q

What is the middle cerebral artery?

A

paired; largest terminal branch of the internal carotid artery

34
Q

What is the anterior cerebral artery?

A

paired; smallest terminal branch of the internal carotid artery

35
Q

What is the anterior communicating artery?

A

single; courses between the right and left anterior cerebral arteries

36
Q

What is the basilar artery?

A

single; courses across the ventral surface of the pons; terminally divides into the right and left posterior cerebral arteries

37
Q

What are the posterior communicating arteries?

A

paired; branch of the cerebral part of the internal carotid artery; anastomoses with the posterior cerebral artery

38
Q

What are the three veins that drain the head?

A

internal jugular veins x2
external jugular veins x2
vertebral venous plexus

39
Q

Which three sinuses drain into the confluence of sinuses?

A

superior sagittal sinus
occipital sinus
straight sinus

40
Q

From the confluence of sinus, where does the venous blood drain to?

A

L&R transverse sinuses
then to the sigmoid sinus
the to internal jugular vein

41
Q

Describe the passage of venous blood from the great cerebral vein & inferior sagittal sinus to the internal jugular veins

A
great cerebral vein & inferior sagittal sinus
straight sinus
confluence of sinuses
L&R transverse sinuses
sigmoid sinus
internal jugular vein
42
Q

Where are the cavernous venous sinuses located and where do they drain into?

A

either side of the sella turcica; drains into the petrosal sinuses

43
Q

Describe the passage of venous blood from the cavernous sinus to the internal jugular veins (via the superior petrosal sinus)

A
cavernous sinus
superior petrosal sinus
transverse sinus
sigmoid sinus
internal jugular veins
44
Q

Describe the passage of venous blood from the cavernous sinus to the internal jugular veins (via the inferior petrosal sinus)

A

cavernous sinus
inferior petrosal sinus
sigmoid sinus
internal jugular veins

45
Q

What are the superior petrosal sinuses?

A

they extend within the lateral margins of the tentorium cerebelli along the petrous ridge of the temporal bone
drain into the sigmoid sinus

46
Q

What are the sigmoid venous sinuses?

A

each sinus is a continuation of a transverse sinus and drains into an internal jugular vein

47
Q

Where do the transverse venous sinuses originate?

A

at the confluence of sinuses

48
Q

What are the venous sinuses within the dura mater?

A
superior sagittal sinus
inferior sagittal sinus
straight sinus
transverse sinuses
sigmoid sinuses
cavernous sinuses
inferior and superior petrosal sinuses
49
Q

What is the origin of the internal jugular veins?

A

continuation of the sigmoid venous sinus in the jugular foramen

50
Q

Where do the internal jugular veins terminate?

A

each unites (confluence) with subclavian vein to form a brachiocephalic vein

51
Q

What is the location of the internal jugular veins?

A

each vein lies posterolateral to the common carotid artery and internal carotid artery
lies within the carotid sheath

52
Q

Where do the internal jugular veins course?

A

each vein descends within the carotid sheath

unites with the subclavian vein to form the brachiocephalic vein

53
Q

What are the left and right vertebral veins?

A

each vertebral vein is formed by a plexus of small veins that surround the vertebral part of the vertebral artery
(within the transverse foramen of the cervical vertebrae)
each drains into the subclavian

54
Q

What are the superficial veins of the neck?

A

external jugular veins x2

55
Q

What are the external jugular veins?

A

drain most of the scalp and face
course superficial to the sternocleidomastoid
commonly drain into the subclavian vein
course through the superficial fascia

56
Q

What is the origin of the external jugular veins?

A

begin near the origin of the sternocleidomastoid muscle

then descends across the sternocleidomastoid muscles

57
Q

What is the origin of the subclavian veins?

A

each is a continuation of an axillary vein at the external edge of the 1st rib

58
Q

Where do the subclavian veins course?

A

course anterior to the subclavian artery

59
Q

What are the major tributaries of the subclavian veins?

A

external jugular veins

vertebral vein plexus (L&R vertebral vein)

60
Q

Where do the subclavian veins terminate?

A

confluence with the internal jugular vein to form the brachiocephalic vein

61
Q

What does ipsilateral mean?

A

belonging to/ occurring on the same side of the body