Brain Vascular supply Flashcards

1
Q

what artery branches come off the internal carotid artery?

A

ophthalmic
anterior cerebral
middle cerebral

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2
Q

what artery branches come off the vertebral artery

A

posterior inferior cerebellar artery (PICA)
Anterior spinal artery
the two vertebral arteries meet and make the basilar artery

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3
Q

what branches come off the basilar artery?

A

Anterior inferior cerebellar artery (AICA)
Superior cerebellar artery (SCA)
Posterior cerebral

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4
Q

what are the arteries that make up the circle of willis?

A
anterior communicating
anterior cerebral
Internal carotid artery
posterior communicating 
posterior cerebral
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5
Q

how do you test the midbrain activity? and what cranial nerves are tested?

A

pupillary light reflex
CN II optic receives the light input
CNIII visceral motor of the pupillary constrictors

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6
Q

how do you test the pons activity? and what cranial nerves are tested?

A

corneal reflex
CN V1 senses the cornea
CN VII causes the motor reflex of orbicularis oculi to close the eye

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7
Q

how do you test the medulla activity? and what cranial nerves are tested?

A

gag reflex
CN IX senses the posterior of the pharynx
CN X causes motor function to the pharynx

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8
Q

what is the arterial supply of the midbrain (mesencephalon)

A

basilar artery

posterior cerebral artery(chorodial branches)

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9
Q

arterial supply of the pons (metencephalon)

A

basilar artery almost all of it
anterior inferior cerebellar artery
some superior cerebellar in rostral dorsal pons

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10
Q

medulla vascular supply

A

anterior spinal artery(vertebral artery extensions)
vertebral artery
PICA

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11
Q

if the middle cerebral artery is blocked what functions can be compromised?

A

speech if on dominant side, sensory, motor, and hearing

on contralateral side of blockage

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12
Q

if the anterior cerebral artery is blocked what functions can be compromised?

A

motor and sensory of lower limbs (longitudinal fissure)

on contra lateral side of blockage

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13
Q

if the posterior cerebral artery is blocked what functions can be compromised?

A

vision

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14
Q

the confluence of sinuses is the meeting of what three dural vein sinuses?

A

superior sagital
straight sinus
and transverse sinus

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15
Q

what five important things run through the cavernous sinus?

A

ICA

CN III, IV,V,VI

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16
Q

how is it possible for a direct route of infection to get into the brain? also what about clots?

A

veinous blood from the maxillary vein or some other facial vein can enter the pterygoid plexus and then travel up the angular vein through the superior orbital fissure in the superior ophthalmic vein and directly into the cavernous sinus
-slow blood flow of veins can also causes a close and can possibly travel to the brain resulting in a stroke

17
Q

what is the first cranial nerve to be affected by cavernous sinus thrombosis?

A

CN VI

will also affect CN II, III,IV,V, and pituitary gland

18
Q

what are the cranial meninges?

A

Dura
arachnoid
Pia

19
Q

what veins drain the scalp and enter the skull and then enter the sinuses?

A

Parietal emissary vein to the superior sagittal sinus

Occipital emissary vein to the confluence of sinuses

20
Q

what dura surround the veinous sinuses?

A

between the periosteum of skull and the meningeal dura

21
Q

what does a torn middle meningeal artery lead to?

A

epidural hematoma
usually a skull fracture near the foramen spinosum
Lenticular in shape(biconvex)

22
Q

in a subdural hematoma between what two maters of the brain?

A

dura and arachnoid

23
Q

in a subarachniod aneurysm where will blood flow and what is the typical cause?

A

blood pools between the pia and arachnoid
will fill the sulci
causes by a rupture of arteries typically where there is a tight curve in the route of the artery

24
Q

what is a stroke referred to as?

A

a cerebrovascular accident where blood has stopped flowing to a particular area of the cerebral parenchyma