S1: Blood supply - Structure and Angiogram IDs

Question 1

Answer 1

vertebral artery

Question 2

D

Answer 2

Posterior Spinal a.

Question 3

Answer 3

Anterior spinal a.

provides - ventral 2/3 of spinal cord

medial medulla

branch in spinal cord -

1. paralysis
2. loss of pain and temp below stroke

branch in medulla

1. contralateral sesnory loss and paresis
2. ipsilateral tongue paralysis

Question 4

7

what does this supply?

what are some sx?

Answer 4

PICA

supplies:

1. cerebellum
2. cerbellar cortex
3. dorsolateral medulla and pons
   sx: Wallenburg’s syndrome: vertigo, loss of balance, ipsilateral “cerebellar signs”, loss of facial pain sensation, hoarseness

Question 5

9?

what does this supply?

what are sx of stroke here?

Answer 5

Basilar artery

branches supply 1. the pons 2. anterior medulla

sx: paralysis and loss of sensation in the face, body and limbs; can also affect eye movements and cause diplopia

Question 6

4?

what does this supply?

what are sx of stroke here?

Answer 6

Anterior Inferior Cerebellar

supplies -

1. inferior surface of cerebellar cortex
2. dorsolateral pons

sx – ipsilateral cerebellar signs, facial paralysis, ipsilateral hearing loss, loss of pain and temp over face ispilaterally

Question 7

3?

Answer 7

Pontine branches

Question 8

2?

what does this supply?

what are sx of stroke here?

Answer 8

superior cerebellar a.

supplies – 

1. superior surface of cerebellum
2. dorsolateral corner of rostral pons

sx – ipsilateral cerebellar signs, contralateral pain and temperature loss, Horner’s

Question 9

supplies?

stroke sx?

Answer 9

posterior cerebral a.

supplies – occipital lobe, medial portions of parietal and temporal lobes, anterior & posterior midbrain, crus cerebri, posterior thalamus

stroke sx - if unilateral: blindness in the visual field contralateral to the affected side, alexia (left side).

if bilateral as with “top of the basilar” occlusion: bilateral blindness, memory loss, somatosensory loss, coma & death

Question 10

supplies?

stroke sx?

Answer 10

posterior communicating

supplies – anterior midbrain, crus cerebri, thalamus

stroke sx – contralateral paresis, coma & death

Question 11

Answer 11

ICA

Question 12

Answer 12

ACA

supplies – medial surface of parietal and frontal lobes

sx - contralateral paralysis and sensory loss in leg and foot; sometimes, apraxia

Question 13

supplies

Answer 13

MCA

supplies –

1. lateral part of cerebral hemispheres
2. insula

stroke sx - contralateral apralysis and sensory loss

apraxia

aphasia

partial blindness

Question 14

Answer 14

Anterior Communicating Artery

Question 15

Answer 15

lenticulostriate

Question 16

Answer 16

ACA

Question 17

Answer 17

opthalamic artery

Question 18

Answer 18

MCA

Question 19

Answer 19

MCA

Question 20

Answer 20

opthalamic

Question 21

Answer 21

lenticulostriate

Question 22

Answer 22

anterior cerebral

Question 23

Answer 23

PCA

Question 24

Answer 24

Superior cerebellar

superior surface of cerebellum

dorsolateral corner of rostral pons

Question 25

Answer 25

PICA

Question 26

Answer 26

left vertebral

Question 27

Answer 27

basilar

Question 28

Answer 28

AICA inferior cerebellum, dorsolateral pons and medulla

Question 29

Answer 29

PCA

Question 30

Answer 30

AICA

Question 31

Answer 31

PICA

Question 32

Answer 32

Veretebral