Neural Vascularization Chapter 7 Flashcards
The brain needs what in order to function properly ?
- Oxygen
2. Oxygenated blood
What is the % of oxygen the brain consumes?
- 20% - 30%
What do the arteries of the brain do?
- Bring oxygenated blood to the brain
What are the four major players of the artery system?
- heart
- aorta
- carotid artery system
- vertebral / basilar artery system
What are the 2 main arteries ?
- Subclavian
2. Common Carotid
Where do Subclavian and Common Carotid branch from?
- Aortic Arch
What does the carotid artery system feed?
- Oxygenated blood to the brain
Where does the carotid artery system branch from?
- Left and right Common Carotid
What does Left and right Common Carotid branch to?
- internal
2. external
What does the internal Common Carotid feed?
- Blood to the brain
What does the external Common Carotid feed?
- Blood to the face, eyes, nasal, and oral cavity
The vertebral / basilar artery system branches off from ?
- Left and right Subclavian
The vertebral / basilar artery system feeds?
- brain stem
What are the two systems for the artery ?
- vertebral / basilar artery system
2. carotid internal artery system
Which system is the posterior route?
- vertebral / basilar artery system
Which system is the anterior route?
- carotid internal artery system
vertebral / basilar artery system is providing blood to the… ?
- midbrain
- pons
- medulla
What is the artery located in the midbrain?
- posterior cerebral artery
what is the artery located in the pons?
- basilar artery
what is the artery located in the medulla?
- vertebral artery
where does the vertebral artery branch from?
- Left and right Subclavian
Where is the vertebral artery located?
- medulla
What does the vertebral artery feed?
- Brainstem and medulla
How many vertebral artery are there?
- left and right = 2
Left vertebral artery + Right vertebral artery =
Basilar Artery
What are the two arteries that branches off the vertebral artery ?
- Posterior inferior cerebellar artery
2. anterior spinal artery
Posterior inferior cerebellar artery is also known as?
- PICA
What does PICA feed?
- posterior cerebellum and medulla
What makes the Basilar Artery ?
Left vertebral artery + Right vertebral artery
Where is the Basilar Artery located?
- level of the pons
What does the Basilar Artery feed?
- Pons
What are three arteries that branch off the Basilar Artery ?
- Anterior/Inferior Cerebellar Artery
- Superior Cerebellar Artery
- Posterior Cerebral Artery
Anterior/Inferior Cerebellar Artery is also known as?
- AICA
What does AICA feed?
- anterior part of the cerebellum
Superior Cerebellar Artery is also known as ?
- SCA
What does SCA feed?
1.Cerebellum
Posterior Cerebral Artery is also known as ?
- PCA
PCA feeds?
- Midbrain
- medial lateral - occipital
- medial inferior lateral - temporal
How many PCA are there ?
- two
What happens at the PCA ?
- splits into two
Anterior Spinal Artery is branching from?
- vertebral artery
Anterior Spinal Artery is feeding ?
- spinal cord
Where is the internal carotid system located?
- lateral side close to the optic chiasm
What are the two important branches of internal carotid system?
- Middel Cerebral Artery
2. Anterior Cerebral Artery
Middel Cerebral Artery also known as?
- MCA
Anterior Cerebral Artery also known as ?
- ACA
What does the MCA feed?
- lateral surfaces of the brain (language areas)
- frontal
- parietal
- temporal
What does ACA feed?
- Frontal lobe
What are the two important small communicative artery?
- Posterior communicating artery
2. anterior communication artery
Posterior communicating artery connects?
- PCA
Anterior communication artery connects ?
- ACA
What is the main artery feeding cerebellum?
- PICA
What is the difference between an artery and nerve?
- arteries are tube like ( have a hole)
2. Nerves not like a tube ( no hole)
What are subcortical structures ?
structures inside the brain
- basal ganglia
- thalamus / hypothalamus
What is the main purpose of the circle of Willis ?
- providing balance in the blood pressure / flow in the brain
What happens if there is a clot or blockage in the arteries of the brain ?
- Willis circle will compensate making sure the blood flow /pressure is balanced
what structures make up Willis circle?
- PCA
- Internal carotid artery
- Posterior communicating
- anterior communicating
- anterior cerebral atrery
What is the main purpose of Venous Drainage System?
- waste removal system
What does the Venous Drainage System consist of?
- veins
2. dural sinuses
Where are sinuses?
- Where the dura matter is separated
How does the Venous Drainage System work?
- small veins take deoxygenated blood / CSF to bigger veins
- Cerebral veins
- superficial veins
- deep veins
- Sinuses
- Jugular viens
- heart
What are the “bigger veins” called in the Venous Drainage System ?
- Cerebral veins
What are the 2 veins that come off of the Cerebral veins ?
- Superficial
2. Deep
In the Venous Drainage System what do the superficial veins do?
- collects deoxygenated blood from the surface of the cortex
In the Venous Drainage System what do the deep veins do?
- collects deoxygenated blood from subcortical areas
- basal ganglia
- gray matter
After the deep and superficial veins collect deoxygenated blood what happens?
- empty deoxygenated blood into sinuses
After the deoxygenated blood into sinuses in Venous Drainage System what happens?
- goes to the internal jugular veins
After the After the deoxygenated blood into jugular veins of the Venous Drainage System what happens?
- gets brought back to the heart
What is the first and last destination of the Venous Drainage System?
- small veins take deoxygenated blood / CSF to bigger veins
- Jugular veins or heart
What is a pathology that happens in the vascular system?
- Cerebral vascular accidents
Cerebral vascular accidents also known as?
- CVA
2. stroke
What is CVA ?
- sudden damage by decreasing / suspending oxygenated blood / glucose to the brain, due to an or disturbance of the brains vesicle or interruption of the brain blood supply
What can a stroke impact?
- movement
- speech
- sensory
- language
What are the two main Cerebral vascular accidents?
- ischemic
2. hemorrhage
How much more often is a ischemic ?
- 80% or more
What happens when there is an ischemic stroke ?
- loss of blood flow to the brain due to blockage
What are the 3 types of ischemic strokes?
- Thrombosis of Cerebral artery
- Embolism of the brain
- Transient ischemic attack
What happens during Thrombosis of Cerebral artery stroke ?
- clot in the artery
2. interrupting the flow of blood to brain
what happens during Embolism of the brain stoke ?
- when blood clot / unsolved mass (solid liquid gas ) presents in the blood vesicles blocking the arteries
What happens during Transient ischemic attack ?
- Artery of the brain temporally blocked - clot
2. resolves in hours or minutes
Transient ischemic attack also known as ?
TIA
Transient ischemic attack could be a warning for?
- an other stroke to come
What are the two types of TIA?
- Carotid
2. Vertebrobasilar
What happens in Carotid TIA ?
- Unilateral weakness limbs
- motor / sensory of face
- homonymous and hemianopsia
- transient consular blindness
why is there transient consular blindness in Carotid TIA?
- ophthalmic artery
what are the effects in the Vertebrobasilar TIA ?
- bilateral weakness
- motor / sensory disturbance
- gait ataxia
What does gait ataxia mean?
- walking imbalance
what blockage is happening in the Vertebrobasilar TIA?
- arteries feeding the cerebellum
- PICA
- SCA
- AICA
What are three impacts from Vertebrobasilar TIA a SLP/ AUD would look at?
- dysphagia
- Dysarthria
- dizziness / tinnitus
What part of the brain stem is dysphagia ?
- pons
what part of the brain stem deals with dizziness / tinnitus ?
- medulla
What does an ischemic stroke look like on a CT scan ?
- the color is darker
why does the darker color show up darker on a scan ?
- not getting enough oxygenated blood
how does one diagnosed a stroke ?
- MRI - in depth
2. CT - faster
what is the % of hemorrhagic strokes?
- 20 -15 %
what are the 3 types of hemorrhagic strokes?
- intra - axial
- external axial
- aneurysm
what happens in the intra - axial ?
inside of the brain tissue
artery ruptured
blood related in to the brain tissue
what happens in the external axial ?
out side of brain tissue blood accumulated in - subdural -epidural -subarachnoid
where does an aneurysm happen?
- where arteries are splitting because its thinner
2. could lead to hem ridge it artery is ruptured
Why is hemorrhagic stokes so devastating ?
- damage to the brain tissue
- hight inter cranial pressure
- could lead to death
epidural external axial on a CT scan is ?
- in one place
subdural external axial on a CT scan is ?
- not in a specific place
Dead infract ?
dying outside of brain
black
Necrotic ?
- cells of brain tissue dying because not getting enough o2 blood