Lecture 19 + 20 (Blood Supply) Flashcards
Arterial systems
- Common carotid artery (thick)
- Vertebral artery (thin)
Common carotid
- internal carotid artery
- external carotid artery
Internal carotid
Enter cranium through carotid canal of temporal bone, through dura mater and into arachnoid at base of brain
- Ophthalmic artery
- Anterior choroidal artery
- Anterior cerebral artery (ACA)
- Middle cerebral artery (MCA)
Vertebral-basilar system
Branches supply blood to spinal cord, brainstem and cerebellum
Basilar artery
- Supplies brainstem and cerebellum
- Distal blood flow to thalami and medial temporal and parietal lobes
Circle of Willis (CoW)
Found around optic chiasma and pituitary gland
- 2 internal carotid arteries (ICAs)
- horizontal segments of anterior cerebral arteries (ACAs)
- anterior communicating artery (ACommA)
- 2 posterior communicating arteries (PCommAs)
- horizontal segments of both posterior cerebral arteries (PCAs)
- basilar artery (BA)
Vessels arise from the CoW
- anterior cerebral arteries (ACAs)
- middle cerebral arteries (MCAs)
- posterior cerebral arteries (PCAs)
Anterior cerebral arteries (ACA)
- Pre- and supplementary motor cortex
- M1 and S1 relating to lower limbs
- Cingulate gyrus
- Anterior 2/3 of corpus callosum
Middle cerebral artery (MCA)
- Pre- and supplementary motor cortex
- M1 and S1 relating to upper limbs, head and face
- Broca area
- Primary auditory area
- Wernicke area
Posterior cerebral artery (PCA)
- Primary and association visual cortex
- Inferior temporal gyrus
- Limbic structures, uncus, hippocampus
Blood supply to the brainstem
Range of vessels
Blood supply cerebellum
Top: superior branch basilar artery (SCA)
Middle: caudal branch of basilar artery (AICA)
Bottom: branch of vertebral artery (PICA)
Pontine branches
Blood route
Heart - Aorta - Large artery - Small artery - Arteriole - Capillaries - Venule - Vein - Vena Cava (Superior for brain route) - Heart
Cerebrovascular disorder
- Cerebrovascular accidents (CVAs) or strokes
– ischaemic (85%) (block in blood flow)
– haemorrhagic (15%) (break in blood vessel) - Aneurysm
Thrombosis
Obstruction blood vessel caused by locally forming blood clot