Vascular, including BBB Flashcards
Which of the following veins is formed by fusion of the septal and thalamostriate veins?
Internal cerebral vein
Which of the following structures of the brain is supplied by the recurrent Heubner’s artery?
Head of the caudate
Anterior limb of internal capsule
Medial GP
Anterior hypothalamus
Uncinate fasciculus
Note: bilateral infarct - akinetic mutism
Which of the following structures is supplied predominantly by extradural branches of the ICA?
Meninges of tentorium, clivus
Which of the following structures is indicated by the arrows in the dissection shown?
https://abnsstorage.blob.core.windows.net/myabns/primary_exam_resource/images/thumbnails/130167.jpg
Inferior petrosal sinus
Which of the following structures is indicated by the arrow in the photograph shown?
https://abnsstorage.blob.core.windows.net/myabns/primary_exam_resource/images/thumbnails/130164.jpg
Anterior choroidal artery
Which of the following sets represents the proximal to distal order of vessels as they arise from the aortic arch?
Brachiocephalic trunk
Left common carotid
Left subclavian
Which of the following is the primary source of the venous blood carried from the inferior petrosal sinus to the internal jugular vein?
Cavernous sinus
Which of the following is the most proximal segment of the PICA that may be sacrificed with little risk of neurological compromise?
Telovelotonsillar
Which of the following is the most common primitive/persistent fetal intracranial artery in adults?
Persistent trigeminal artery
Which of the following is the main function of occludin and claudin?
Endothelial tight junctions
Which of the following arteries supplies the descending spinal nucleus of the trigeminal nerve?
PICA
Which of the following arteries is indicated by the arrows in the cadaveric dissection photograph shown?
https://abnsstorage.blob.core.windows.net/myabns/primary_exam_resource/images/130168.jpg
Superior cerebellar artery
Which of the following arteries arises from the cavernous segment of the ICA?
MHT
1. Inferior hypophyseal
2. Marginal tentorial (italian)
3. Lateral tentorial artery
Inferolateral trunk
Capsular arteries of McConnell
Which of the following arterial branches usually supply low-flow carotid cavernous fistulas?
Internal maxillary artery
Which of the following arises from the ICA below the level of the petrolingual ligament and supplies blood to a large glomus jugulare tumor?
Caroticotympanic artery
Which artery of the following branches of the ECA provides blood supply to the lower cranial nerves?
Ascending pharyngeal
The recurrent artery of Heubner most frequently arises from the …
A2 segment, just distal to AComm
The pituitary gland is supplied by branches of which of the following arteries?
ICA
MHT - inferior hypophyseal
Superior hypophyseal artery
Capsular artery of McConnell
The persistent trigeminal artery connects the basilar artery with which of the following arteries?
Cavernous ICA to basilar artery
The persistent hypoglossal artery is a connection between the basilar artery and which of the following arteries?
Cervical ICA to basilar artery
The lenticulostriate arteries enter which of the following structures immediately after originating from the MCA?
Anterior perforated substance
The internal auditory artery most often arises from which of the following arteries?
AICA
The inferior hypophyseal artery arises from which of the following …
MHT (branch of cavernous ICA)
The blood brain barrier effectively prevents the passage of which of the following into the brain?
Gadolinium
The artery that appears to be the primary contributor to the tumor “blush” illustrated on the lateral carotid angiogram also typically supplies blood to which of the following brain structures?
Anterior choroidal artery supplies
-posterior limb internal capsule
-lateral thalamus (LGN)
-optic tract
The arrow on the sagittal MRI is pointing to which of the following structures?
Internal cerebral vein
Anterior choroidal artery supplies blood to which of the following structures?
Anterior choroidal artery supplies
-posterior limb internal capsule
-lateral thalamus (LGN)
-optic tract
-lateral cerebral peduncle
-GPi
-tail of caudate
-HP/amygdala
The anterior choroidal artery most likely supplies which of the following structures?
Anterior choroidal artery supplies
-posterior limb internal capsule
-lateral thalamus (LGN)
-optic tract
-lateral cerebral peduncle
-GPi
-tail of caudate
-HP/amygdala
Perforators off of which of the following arteries provide the blood supply to the STN?
PCA perforators
The posterior choroidal arteries, like the inferolateral, arise from the P2 segment of the posterior cerebral artery and are made up of a number of branches. One to 2 medially placed branches arise adjacent to the origins of the posterior communicating artery (ie, at the distal P1 or proximal P2 segment of the posterior cerebral artery). These supply the subthalamic nucleus and midbrain
Occlusion of which of the arteries shown in the frontotemporal operative exposure would result in an infarct localized to the anterior limb of the internal capsule?
C. Recurrent artery of heubner
In the angiogram shown, which of the following vascular structures appears to be abnoramlly dilated?
MHT
In 95% of the population, the vertebral artery enters the foramen transversarium at which of the following cervical levels?
C6
From which of the following arteries does the tentorial artery originate?
MHT
From proximal to distal, which of the following is the most common order of the ICA branches?
Ophthalmic
PComm
Anterior choroidal
ACA
MCA
During a retrosigmoid approach for a small vestibular schwannoma, which of the following arteries is at greatest risk for injury?
AICA
A patient undergoes clipping of an Acomm artery aneurysm. The patient awakes slowly from anesthesia and has a mild contralateral hemiparesis. Which of the following vessels indicated by the arrow is the most likely cause of such an injury?
The recurrent artery of Heubner
A patient undergoes a right pterional craniotomy for clipping of an aneurysm. A post-op CT scan is shown. This finding is most likely related to injury of which of the following structures?
The recurrent artery of Heubner
A patient undergoes a left pterional craniotomy for aneurysm clipping. The aneurysm clip occludes the small vessel indicated in the image shown. Which of the following areas will appear infarcted on CT scan?
The recurrent artery of Heubner
-head of the caudate nucleus
-medial portion of globus pallidus
-anterior limb of the internal capsule
-anterior hypothalamus
-nucleus accumbens
-parts of the uncinate fasciculus
-diagonal band of Broca
-basal nucleus of Meynert
An MVD is performed through a SOC on a 65-yo male with right V3 trigeminal neuralgia. Which of the following venous structures is seen in the middle of the operative field during the approach to the trigeminal nerve in the image shown?
Superior petrosal vein
A 65-yo woman is evaluated after undergoing intracranial ACA bypass and trapping of a fusiform AComm artery aneurysm. Post-op MRI reveals diffusion restriction in bilateral anterior internal capsules. This patient is most likely to have which of the following neurological deficits?
Akinetic mutism (bilateral recurrent artery of heubner stroke)
A 59-yo man is evaluated for right sided hemisensory loss. Physical examination shows no additional abnormalities. Which of the following vessels is most likely occluded?
PCA (medial and lateral choroid arteries)
A 56-yo man undergoes surgical clipping of a left PComm artery aneurysm. The patient awakens with a contralateral hemiparesis and contralateral visual field loss. Compromise of which of the following vessels is implicated in the patient’s new deficit?
Anterior choroidal artery
A 50-yo woman has mild left hemiparesis on awakening after undergoing clipping of an unruptured intracranial aneurysm. Post-op CT shows an infarct involving the head of the right caudate nucleus, the anterior limb of the right internal capsule and the anterior right putamen. Which of the following arteries was occluded?
Recurrent artery of Heubner
A 48yo woman presents for a diagnostic angiogram and is found to have bilateral hypoplastic vertebral arteries. An angiogram (Fig 1) and CT scan (fig 2) are shown. Through which of the following arteries is the posterior circulation being supplied?
Persistent hypoglossal artery
A 45-yo woman is evaluated because of a debilitating pulsatile tinnitus and worsening headaches. In the lateral R common carotid angiogram shown, the arrows indicate branches of which of the following feeding arteries to this high-risk dural AV fistula?
Occipital artery
Transcranial branches of the occipital artery are seen supplying this transverse-sigmoid sinus dural
arteriovenous fistula
A 45-yo man with a presumed left sided glomus jugulare tumor (paraganglioma) undergoes preoperative angio and embolization before surgical resection. The lateral projection left common carotid angio (Fig A) and dedicated ECA angio (Fig B) are shown. Which of the following arteries is indicated by the arrow in both images?
Ascending pharyngeal artery
A 37-yo man undergoes surgery for a right PComm artery aneurysm. Post-op he is fully awake and alert and is following commands, but there is a dense hemiparesis involving the left face, arm, and leg as well as a left visual field cut. Which of the following blood vessels was most likely compromised during the surgery?
Anterior choroidal artery
A 28-yo woman with aqueductal stenosis is undergoing ETV. Which of the following veins is indicated by the arrow in the intra-op image shown?
Septal vein
A 25-yo man is evaluated because of a 1 month history of headache and unsteady gait. An MRI and CT scan are shown. This patient’s abnormality is most likely in which of the following vascular distributions?
Posterior cerebral artery (sp branch is posterior choroidal artery)
Which of the following vessels provides the blood supply to the posterior limb of the internal capsule?
Anterior choroidal artery
The rostral medulla predominantly receives blood from which of the following arteries?
Vertebral artery
The majority of the blood supply to the midbrain is provided by which of the following arteries?
PCA
An angiogram and MR image of the brain are shown. Which of the following vessels supplies the posterior circulation in this patient?
Persistent hypoglossal artery
Aortic arch classification is based on the distance from the origin of which of the following arteries to the top of the aortic arch?
Innominate artery
The internal carotid artery as it penetrates the dura is located …
?Roof of cavernous sinus to become supraclinoid portion
Which of the following is the branch of the supraclinoid carotid artery that originates either as a single trunk or a number of small vessels and irrigates a variable area that may include parts of the temporal lobe, the visual system, the internal capsule, basal ganglia, and midbrain?
Anterior choroidal artery
