Lecture 4 - Venous Drainage & Cerebrum Flashcards
What is the venous drainage of the brain?
- Fine veins (brain)
- Pial venous plexuses
- Cerebral veins
- Dural venus sinuses (also receives blood from
emissary veins -scalp veins) - internal jugular vein
- heart
Describe the venous sinuses (4)
Areas which exist between two layer of dura mater
Receives venous blood and CSF from the brain and scalp
5 sinuses that drain superior & deep structures
1 sinus that drains the inferior structures
What venous sinuses drain superior & deep structures?
1) Superior sagittal sinus
2) Inferior sagittal sinus
3) Straight sinus
4) Transverse sinus
5) Sigmoid sinus
Describe the superior sagittal sinus
The superior sagittal sinus carries blood back posteriorly and joins the transverse sinus (right). It lies along the superior margin of the falx cerebri and the arachnoid villi drain CSF into it.
Describe the inferior sagittal sinus
The inferior sagittal sinus carries blood posteriorly in the brain and joins with the straight sinus. This sinus lies along the inferior margin of the falx cerebri.
Describe the straight sinus
The straight sinus is located within the tentorium cerebelli. It receives from the inferior sagittal sinus and then joins with the left transverse sinus.
Describe the transverse sinus?
The transverse sinus lies posteriorly in the brain and is continuous with the straight sinus on the left and with the superior sagittal sinus on the right.
Describe the sigmoid sinus
The sigmoid sinus is a forward continuation of the transverse sinus and open ups into the internal jugular vein.
What sinus drains inferior structures in the brain?
Cavernous Sinus
Describe the cavernous sinus
The cavernous sinus is located lateral to the pituitary gland and it is linked with venous channels. From here, the cavernous sinus drains into the superior (transverse sinus) and inferior petrosal (internal jugular) sinuses.
What is the general function of the frontal lobe? (5)
The frontal lobe allows for voluntary motor functions and contains areas which are essential for language, planning, mood/personality, social judgement, and smell.
Describe the precentral gyrus
Primary (somatic) motor cortex
Allows us to have skilled voluntary movements of skeltal muscle and precise motor control
Motor innervation of the body is contralateral
Each pyramidal neuron projects its axon to the spinal cord
How can the prefrontal gyrus be disrupted or damaged?
This area can become damaged from the occlusion of a branch in either the anterior cerebral artery or middle cerebral artery
What happens if the anterior cerebral artery to the precentral gyrus is blocked?
If the anterior cerebral artery is blocked, we can have contralateral hemiplegia with greatest effects in the lower limb
What happens if the middle cerebral artery to the precentral gyrus is blocked?
If the middle cerebral artery is blocked, we can have contralateral hemiplegia which has severe effects in the upper limb and face.
Describe the premotor cortex (5)
Located anteriorly to the precentral gyrus
Made up of supplementary and cingulate motor areas
Receive inputs from many other cortical areas and the thalamus
Controls learned motor skills, coordinating movement, and planning movement
Contribute to the corticospinal tract
What % of axons does the primary motor cortex supply to the corticospinal tract?
30%