NEUROANATOMY - Cerebral Blood Supply Flashcards

1
Q

What is the course of the internal carotid artery?

A

picture

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2
Q

Which hole does the internal carotid artery go through?

A

Foramen lacerum

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3
Q

Where does the ophthalmic artery arise and start from?

A

Arises from medial aspect of ICA and starts medial to anterior clinoid process

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4
Q

What is the route of the ophthalmic artery?

A

picture

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5
Q

What are the branches of the ophthalmic artery?

A

picture

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6
Q

Where does the central retinal artery arise from? When does it change course?

A
  1. First branch of ophthalmic artery

2.Changes course 10-15mm inferiorly optic tract, pierces the optic nerve sheaths superiorly (dura, arachnoid pia) and travels within optic nerve and reaches retina

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7
Q

What is the course of the extraocular part of the central retinal artery?

A

Enters retina through lamina cribrosa and opening of sclera into optic cup.

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8
Q

What does the central retinal artery supply?

A

The inner 6 layers of the retina

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9
Q

What are the structures lateral to the ophthalmic artery as it enters the lateral component of the orbit? (4) What branch does it give here?

A
  1. Ciliary Ganglion
  2. III nerve
  3. VI nerve
  4. Lateral rectus

Gives a lacrimal branch –> lacrimal artery
Lacrimal artery gives branch lateral palpebral artery which supplies lateral side of eyelids

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10
Q

What branches does the ophthalmic artery give in the lateral compartment of the orbit? (2)

A

Gives a lacrimal branch –> lacrimal artery
Lacrimal artery gives branch lateral palpebral artery which supplies lateral side of eyelids

Recurrent meningeal artery –> travels in lateral SOF and anastamoses with middle meningeal artery (branch of external carotid artery)

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11
Q

What structures accompany the ophthalmic artery as it travels above the optic nerve in the medial compartment of the orbit? (2)

A
  1. Superior ophthalmic vein
  2. Nasociliary nerve
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12
Q

What branches does the ophthalmic artery give off in the medial compartment of the orbit?

A

Posterior ciliary artery –> divides into lateral and medial posterior ciliary arteries.

the long posterior ciliary arteries travel in the suprachoroidal space and reach ciliary body and form the major anastamosis

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13
Q

Where do the posterior ciliary arteries arise from?

A

Arise as two trunks from ophthalmic artery and divide into 10-20 branches

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14
Q

What do the short posterior ciliary arteries do?

A

Pierce sclera and supply choroid in segmental manner
Some branches form anastamotic ring around optic disc –> circle of Zinn-Haller

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15
Q

Which branch of the ophthalmic artery travels above the optic nerve and just superior to the LPS and superior rectus just below orbital roof and exits at the supraorbital notch?

A

Supraorbital artery (accompanied with supraorbital nerve)

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16
Q

Which branches of the supraorbital artery branch off just superior to optic nerve?

A

MUSCULAR ARTERIES
1. Medial muscular artery - MR, IR, IO
2. Lateral muscular artery - SR, LPS, LR, SO
These further subdivide into anterior ciliary arteries

17
Q

How many anterior ciliary arteries are there? Where do they arise from?

A
  1. 7 in number, 2 for each recti, one for LR
  2. Muscular branches of the ophthalmic artery
18
Q

What arteries are involved in the major arterial circle? Where do they start?

A

Anterior ciliary artery (70%) and long posterior ciliary artery (30%)
Pierces sclera 4mm from limbus

19
Q

What happens at the major arterial circle?

A

Several branches run radially into the iris as iris vessels which anastamose at the pupillary margin which This forms the minor arterial circle

20
Q

What arterial branches are formed from the ophthalmic artery at the medial compartment of the orbit?

A

Anterior ethmodial artery –> anterior ethmoidal foramen —-> nose
Posterior ethmoidal artery –> posterior ethmoidal foramen —-> nose

21
Q

What are the terminal branches at the level of the superior oblique of the ophthalmic artery? (2)

A
  1. Dorsal Nasal - gives off medial palpebral artery (anastamoses with lateral palpebral artery from lacrimal artery —> superior and inferior marginal arcade)
  2. Supratrochlear -
22
Q

Where are the ampullae of the vortex veins visible?

A

8-9mm from the ora serrata

23
Q

Where do the vortex veins drain into?

A

Superior vortex - superior ophthalmic vein
Inferior vortex - inferior ophthalmic vein

24
Q

What is the anterior portion of the optic radiation supplied by?

A

anterior choroidal artery