Unit 4: Blood Supply Of The Spinal Cord And Brain Pg 145 - 152 Flashcards

1
Q

Brain is _% of body weight

A

2

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2
Q

Brain requires _% cardiac output

A

17

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3
Q

Brain consumes _% oxygen used by entire body

A

20

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4
Q

30 seconds without blood in the brain =

A

Metabolism is altered

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5
Q

60 seconds without blood in the brain =

A

Neuronal function may cease

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6
Q

5 minutes without blood in the brain =

A

Cerebral infarction may occur

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7
Q

Ischemia, if untreated, can do what to the brain

A

Soften and liquefy (liquefactive necrosis)

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8
Q

A condition with an abrupt onset of neurological deficits caused by ischemia or hemorrhage in brain tissue as a result of vascular disease

A

Stroke

Causes of vascular lesion: arterial occlusion, cerebral arterial hemorrhage, aneurysm

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9
Q

Paired arteries found along most of the length of the spinal cord

A

Posterior spinal arteries

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10
Q

Posterior spinal arteries exit cranial vault through what foramen?

A

Foramen magnum

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12
Q

Generally unpaired arteries found along most of the length of the spinal cord

A

Anterior spinal artery

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13
Q

From the arterial vasa corona, branches are given off to supply the cord:

A

Sulcus branches — enter v-m fissure and supply deep cord areas

Penetrating branches — supply peripheral parts of the cord and deep parts of the spinal cord

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14
Q

Spinal arteries supply small branches into the pia that form the ___ around the spinal cord

A

Arterial vasa corona

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15
Q

Blood of anterior spinal origin supplies 2/3 of anterior cord, including grey matter areas:

A

Ventral horn
Lateral horn
Intermediate zone

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16
Q

Blood of anterior spinal origin supplies 2/3 of anterior cord, including white matter areas:

A

Ventral funiculus

Lateral funiculus

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17
Q

Blood of posterior spinal arteries supply the posterior 1/3 of the cord including which gray and white matter areas?

A

Most of dorsal horn

Dorsal funiculus

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18
Q

Segmental arteries (e.g., vertebral, intercostal, lumbar) give rise to

A

Spinal branches of segmental arteries

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19
Q

Spinal branches of segmental arteries enter vertebral canal through what?

A

IVF

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20
Q

Spinal branches of segmental arteries give off dorsal and ventral branches called:

A

Anterior radicular arteries and posterior radicular arteries

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21
Q

Anterior and posterior radicular arteries travel along:

A

Associated rootlets fo spinal nerves (either anterior/ventral or dorsal/posterior)

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22
Q

Radicular arteries are small and supply

A

Nerve rootlets

23
Q

Some radicular arteries are large and anastomoses with

A

Anterior or posterior spinal arteries

Note: 9-12 anterior radicular arteries join the anterior spinal artery

Note: 14 total posterior radicular arteries join the posterior spinal arteries

24
Q

Most large radicular arteries are in what parts of the spinal cord

A

Lower cervical, lower thoracic and upper lumbar

25
Q

Vertebral arteries give rise to 3 branches:

A

Anterior spinal artery (medially)

Posterior spinal arteries (medial and inferiorly)

Posterior Inferior Cerebellar Artery — or PICA (superiorly and laterally)

26
Q

PICA supplies what part of the cerebellum and what part of the medulla?

A

Posterior-inferior cerebellum

Medullary branches to dorsolateral medulla

27
Q

Occlusion of PICA (or vertebral artery or medullary branches of PICA) can result in

A

Lateral medullary syndrome aka Wallenberg’s syndrome (review pg. 45 of note packet)

28
Q

Branches of the basilar artery from inferior to superior:

A

Anterior inferior cerebellar artery — AICA

Internal auditory artery = labyrinthine artery

Pontine arteries (supply basilar pons)

Superior cerebellar arteries

CN III

Posterior cerebral arteries

Posterior communicating arteries (vertical, communicate with internal carotid aa)

29
Q

What artery travels through internal acoustic meats to supply auditory and vestibular receptors of the inner ear?

A

Internal auditory artery

30
Q

Occlusion of Internal auditory artery?

A

Deafness on affected side and vestibular dysfunction

31
Q

Pontine arteries supply

A

Basilar pons

32
Q

Superior cerebellar arteries supply

A

Superior surface cerebellum and SCPs

33
Q

Posterior cerebral arteries are terminal branches of

A

Basilar artery

34
Q

What artery passes around midbrain, superior to the tentorium cerebellum and along the medial and inferior surface of the temporal and occipital lobes?

Note: recall from gross II that the tentorium cerebelli is the shallow tent-like shape of the faux cerebri. The tentorium cerebelli intervenes between occipital lobes and cerebellum.

A

Posterior cerebral arteries

35
Q

Posterior cerebral arteries supply what structures:

A

Base of cerebral peduncle

36
Q

Occlusion of base of cerebral peduncle leads to

A

Posterior thalamus

Tectum of midbrain

Posterior corpus callous

Inferior surface of temporal lobe including hippocampus

Medial and inferior surface of the occipital lobe

A strip of temporal and occipital cortex along the lateral surface

37
Q

Lesion of the primary visual cortex leads to

A

Cortical blindness on contralateral side

Contralateral homonymous heminopsia

38
Q

Posterior communicating arteries connects what 2 arteries?

A

Posterior cerebral artery and internal carotid artery

39
Q

What arteries traverse the cavernous sinuses and approach the brain just lateral to the optic chiasm?

A

Internal carotid arteries

40
Q

Internal carotid arteries branches include:

A

Hypophyseal branches

Opthalmic artery

Anterior choroid always artery

Anterior cerebral artery

Middle cerebral artery

41
Q

What artery supplies corpus callous, Cingular gyrus, cortex of medial surface parietal lobes, medial and inferior surface of the frontal lobe including the olfactory bulbs and tracts

A

Anterior cerebral artery

42
Q

Occlusion of Anterior cerebral artery results in

A

Deficits in contra lower extremity:
— loss of somatosensation
— spastic paralysis of contra lower extremity
— urinary incontinence

43
Q

What artery travels along optic tract?

A

Anterior choroidal artery

44
Q

What artery supplies uncut, amygdala, optic tract, some hippocampus, some LGB of thalamus?

A

Anterior choroidal artery

45
Q

The middle cerebral artery enters the lateral sulcus to give rise to:

A

Lenticulostriate arteries

46
Q

Lenticulostriate arteries supply:

A

Corpus striatum

Much of internal capsule

47
Q

Occlusion of internal capsule

A

Various sensory and motor disturbances

48
Q

The middle cerebral artery supplies functional areas that include:

A

▫ auditory cortex (primary and associative)
▫ primary motor - except for lower extremity and trunk
▫ premotor - including frontal eye field (FEF)
▫ primary somatosensory except for lower extremity and
trunk
▫ in the dominant hemisphere - sensory and motor
language centers

49
Q

Occlusion of middle cerebral artery can result in:

A

— slight decrease in hearing in both ears
— spastic paralysis of contralateral upper extremities and
muscles of facial expression on contralateral ½ face (and maybe tongue)
— loss of voluntary gaze to the contralateral side
— loss of somatosensation of contralateral upper extremity and
contralateral face

50
Q

What arteries make up the cerebral arterial circle of Willis?

A
— anterior communicating artery
— anterior cerebral arteries
— internal carotid arteries
— posterior communicating arteries
— posterior cerebral arteries
51
Q

What is the clinical significance of the cerebral arterial circle of Willis?

A

With occlusion of one ore more arteries in the circle, there may be some alteration of blood flow from one of the anastomosing vessels