Cerebral vascular

Question 1

Broca’s area?

Answer 1

inferior frontal gyrus anterior to articulatory areas of primary motor cortex

Question 2

Wernicke’s area?

Answer 2

superior temporal gyrus adjacent to primary auditory cortex

Question 3

What fissure for visual cortex?

Answer 3

Calcarine in occipital lobe

Question 4

Arteries that vertebrals come from?

Answer 4

subclavian

Question 5

vertebrals travel in what foramina?

Answer 5

in transverse processes of cervical vertebrae, then up in foramen magnum to form basilar

Question 6

Bone that cervical ICA enters?

Answer 6

temporal

Question 7

course of ICA? (4 steps)

Answer 7

1. cervical segment up
2. petrous segment in temporal bone
3. S shaped turn in cavernous
4. Supraclinoid/intracranial: along anterior clinoid process, pierces dura

Question 8

Branches of ICA? (5)

Answer 8

1. ophthalmic
2. pcomm
3. anterior choroidal
4. ACA
5. MCA

Question 9

What artery comes off the ACA to supply head of caudate, anterior putamen, GP, IC?

Answer 9

recurrent artery of Huebner

Question 10

WHat causes alexia without agraphia?

Answer 10

lesion of left occipital cortex and splenium of corpus callosum

Question 11

Name the artery involved in the clinical syndrome:

contralat face/arm weakness, nonfluent aphasia, face/arm cortical sensory loss

Answer 11

superior left MCA

Question 12

Name the artery involved in the clinical syndrome: fluent aphasia, right VF deficit, right face/arm sensory loss

Answer 12

left inferior MCA

Question 13

Name the artery involved in the clinical syndrome: right pure motor hemiparesis, +/- aphasia, cortical deficits

Answer 13

deep left MCA

Question 14

Which way is gaze preference in large MCA stroke

Answer 14

Toward the infarct, from involvement of hemicortical areas driving eyes to opposite side

Question 15

Name the artery involved in the clinical syndrome: profound left hemineglect, left VFD, right gaze preference

Answer 15

Right MCA inferior division

Question 16

left PCA stroke involving splenium of corpus callosum causes what?

Answer 16

alexia without agraphia

Question 17

% of people with stroke within 48hrs and 3 months after TIA?

Answer 17

15% in first 3 mos, 1/2 of those in first 2 days

Question 18

Thalamic supply involved when you get a pure sensory lacunar stroke?

Answer 18

thalamoperforator branches of PCA

Question 19

What is in the cavernous sinus?

Answer 19

ICA, CN 3, 4, V1, V2, VI

Question 20

What drains the cavernous sinus?

Answer 20

superior petrosal sinus into transverse sinus

inferior petrosal sinus into IJV

Question 21

what is an empty delta sign?

Answer 21

superior sagittal sinus triangular region on axial CT and MRI images, doesn’t fill w/ contrast when there is a thrombosis

Question 22

Involves CN 5, 9, 10, 11, SNS

What vessels

Answer 22

Lateral medullary syndrome

Vert or PICA