Neurovascular Flashcards
where does ACA supply
corpus callosum
anterior internal capsule
part of caudate nucleus
where does MCA supply
majority of lateral hemispheres, internal capsule, basal ganglia
where does the vertebral artery supply
posterior inferior cerebellar hemispheres
where does the basilar artery supply
pons
superior and anterior cerebellar hemispheres
where does PCA supply
occipital cortex and thalamus
where do superficial and deep veins drain to
dural venous sinuses
superficial to SSS and deep to straight sinus
what do dural venous sinuses contain allowing resorption of CSF
arachnoid granulations
describe the passage of venous blood from superior sagittal sinus
terminates at confluence of sinuses, drains to right/left transverse sinuses and to IJV
what is an arteriovenous malformation
tangle of arteries and veins with one or more fistulas to create shunt without capiillary bed
presentation of AVM
headache focal neuro deficit general or partial seizure haemorrhage asymptomatic
investigation of AVM?
Catheter angiography
CTA can be used in emergency
management of AVM
surgical
stereotactic radiosurgery
endovascular coiling
observation
what is a SAH
extravasation of blood in SA space between pia and arachnoid mater
cause of SAH
trauma
ruptures berry aneurysm
presentation of SAH
worst ever sudden onset headache neck stiffness and photophobia 3rd nerve palsy in PCA aneurysm confusion, seizure, LOC vitreous haemorrhage