Neurovascular Flashcards

1
Q

where does ACA supply

A

corpus callosum
anterior internal capsule
part of caudate nucleus

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2
Q

where does MCA supply

A

majority of lateral hemispheres, internal capsule, basal ganglia

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3
Q

where does the vertebral artery supply

A

posterior inferior cerebellar hemispheres

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4
Q

where does the basilar artery supply

A

pons

superior and anterior cerebellar hemispheres

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5
Q

where does PCA supply

A

occipital cortex and thalamus

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6
Q

where do superficial and deep veins drain to

A

dural venous sinuses

superficial to SSS and deep to straight sinus

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7
Q

what do dural venous sinuses contain allowing resorption of CSF

A

arachnoid granulations

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8
Q

describe the passage of venous blood from superior sagittal sinus

A

terminates at confluence of sinuses, drains to right/left transverse sinuses and to IJV

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9
Q

what is an arteriovenous malformation

A

tangle of arteries and veins with one or more fistulas to create shunt without capiillary bed

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10
Q

presentation of AVM

A
headache 
focal neuro deficit 
general or partial seizure 
haemorrhage 
asymptomatic
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11
Q

investigation of AVM?

A

Catheter angiography

CTA can be used in emergency

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12
Q

management of AVM

A

surgical
stereotactic radiosurgery
endovascular coiling
observation

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13
Q

what is a SAH

A

extravasation of blood in SA space between pia and arachnoid mater

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14
Q

cause of SAH

A

trauma

ruptures berry aneurysm

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15
Q

presentation of SAH

A
worst ever sudden onset headache 
neck stiffness and photophobia 
3rd nerve palsy in PCA aneurysm 
confusion, seizure, LOC 
vitreous haemorrhage
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16
Q

investigation of SAH

A

CT
CTA to locate abnormality
If CT normal consider delay in presentation, LP will have xanthochromia

17
Q

complications of SAH

A
vasospasm
rebleed
hydrocephalus 
seizure
hyponatraemia
18
Q

what is a cavernous malformation

A

vascular lesions encompassing sinusoidal spaces

19
Q

clinical features cavernous malformation

A

seizure
progressive neuro deficit
haemorrhage

20
Q

investigation of cavernous malformation

A

CT acutely

T2 MRI gold standard - popcorn appearance with ring of hypointensity

21
Q

treatment of cavernous malformation

A

observation

excision