week 2 components of intracranial vault Flashcards
1
Q
components of the intracranial vault
A
- brain 80-85%
- blood 5-10%
- CSF 10-15%
2
Q
arteries that supply blood to the brain
A
- B/L carotid arteries
- B/L vertebral arteries
3
Q
left carotid artery arises from
A
aortic arch
4
Q
right carotid artery arises from
A
innominate artery
5
Q
internal carotid artery enters where and supply what
A
- enters base of the skull
- supplies circle of Willis and eye via ophthalmic artery
- ultimately bifurcates into the anterior and middle cerebral arteries
6
Q
external carotid artery where in the skull
A
remains superficial to the skull
7
Q
flow of blood through the brain (anterior and posterior)
A
- posterior circulation – aorta > subclavian > vertebral > basilar > posterior structures and cervical spinal cord
- anterior circulation – aorta > carotid > internal carotid > circle of willis > cerebral hemispheres
8
Q
venous system drainage flow
A
- venous blood drains into the venous sinuses which lie between the layers of the dura mater and drain into the internal jugular vein
9
Q
venous system
A
- sinuses are valveless
- blood can flow back and forth
- pressure within them is negative (air embolism)
- little influence by the autonomic nervous system
10
Q
meninges 3 layers
A
- covers the brain and spinal cord
- dura mater
- arachnoid mater
- pia mater
11
Q
pia mater
A
- anchored to the brain by astrocytes which form the BBB
- allows for passage and transport of small molecules, lipophilic molecules, passive transport of glucose, active transport of amino acids
-prevents large molecules (dopamine) and charged (ionized) molecules
12
Q
arachnoid mater
A
- CSF circulates in the subarachnoid space (between arachnoid and pia mater)
- contains the blood supply to the brain
13
Q
dura mater
A
- consists of the outer ( endosteal layer) and inner (meningeal layer)
- dural sinuses are between these layers
- drains CSF
14
Q
epidural hematoma
A
- bleeding between skull and dura mater
- does not cross suture line
- arterial blood (meningeal arteries)
- fast onset of bleeding
15
Q
subdural hematoma
A
- bleeding between dura and arachnoid mater
- venous blood
- usually from tears in bridging veins
- slower onset
16
Q
subarachnoid hemorrhage
A
- SAH is a neurological emergency
- hemorrhage in the subarachnoid space (between arachnoid membrane and the pia mater)
- less common but an important cause of stroke
- usually from ruptured cerebral aneurysm