Blumenfeld Neuroanatomy 10: Cerebral Hemispheres And Vascular Supply

Front 1

4 segments of the ICA (after Gibo)

Back 1

cervical
petrous
cavernous
supraclinoid

Front 2

Bouthillier's ICA segmentation adds ___ segment between ___ and ___ segments

it also replaces ___ with ___ (3)

Back 2

lacerum

petrous

cavernous

supraclinoid

clinoid

ophthalmic

PComm

Front 3

___ marks the entry of the ICA into the cavernous sinus

Back 3

petrolingual ligament

Front 4

after leaving cavernous sinus, ICA goes through ___

Back 4

proximal dural ring

Front 5

ICA becomes subdural and then ___ after going through ___

Back 5

subarachnoid

distal dural ring

Front 6

clinoid segment of ICA corresponds to ___

Back 6

transition area between proximal and distal dural rings

Front 7

in 90% of cases, ophthalmic a. arises ___ly

clinical implication is ___

Back 7

distal to distal dural ring

ophthalmic a. aneurysms are subarachnoid, so if they rupture they cause SAH

Front 8

cavernous ICA includes ___

Back 8

carotid siphon

Front 9

5 branches of supraclinoid ICA

Back 9

ophthalmic
PComm
anterior choroidal

ACA
MCA

Front 10

2 branches of ACA

Back 10

pericallosal
callosomarginal

Front 11

pericallosal a. runs along ___
callosomarginal runs along ___

Back 11

corpus callosum
cingulate sulcus

Front 12

basal ganglia and internal capsule are perfused by ___ branches of ___ (3)

Back 12

penetrating
ACA
MCA
PCA

Front 13

___ is the main penetrating branch of ACA

Back 13

recurrent a. of Heubner

Front 14

recurrent a. of Heubner perfuses parts of ___ (4)

Back 14

head of caudate
ant. putamen
GP
internal capsule

Front 15

anterior choroidal perfuses parts of ___ (4)

Back 15

GP
putamen
thalamus
posterior limb of internal capsule

Front 16

penetrating branches of MCA are called ___

Back 16

lenticulostriate a.s

Front 17

lenticulostriate a.s perfuse ___ (4)

Back 17

caudate body
internal capsule
putamen
GP

Front 18

penetrating branches of PCA are called ___ or ___ a.s

Back 18

thalamoperferator
thalamogeniculate

Front 19

L MCA superior branch occlusion presents with ___ (3) and sometimes ___ (2)

Back 19

Broca’s aphasia
R face weakness
R arm weakness
R face cortical hypesthesia
R arm cortical hypesthesia

Front 20

L MCA inferior branch occlusion presents with ___ (2) and sometimes ___

Back 20

Wernicke’s aphasia
R hemianopia
R face cortical hypesthesia
R arm cortical hypesthesia

Front 21

L MCA deep branch occlusion presents with ___

Back 21

R pure motor hemiparesis

Front 22

R MCA superior branch occlusion presents with ___ (2) and possibly ___

Back 22

L face weakness
L arm weakness
L hemineglect

Front 23

R MCA inferior branch occlusion presents with ___ and possibly ___ (4)

Back 23

severe L hemineglect
L field cut
L sensory deficit
L motor neglect with strength intact
R gaze preference

Front 24

R MCA deep branch occlusion presents with ___

Back 24

L pure motor hemiparesis

Front 25

L ACA occlusion presents with ___ (2) and possibly ___ (2)

Back 25

R leg weakness
R leg cortical hypesthesia
frontal release signs
transcortical aphasia

Front 26

R ACA occlusion presents with ___ (2) and possibly

Back 26

L leg weakness
L leg cortical hypesthesia
frontal release signs
L hemineglect

Front 27

L PCA occlusion presents with ___ and possibly ___ (4)

Back 27

R homonymous hemianopia
alexia without agraphia
aphasia
R hemisensory loss
R hemiparesis

Front 28

alexia without agraphia occurs from ___ infarction

Back 28

splenium of corpus callosum

Front 29

infarction of L thalamus can result from ___ and cause ___ (3)

Back 29

aphasia
R hemisensory loss
R hemiparesis

Front 30

occlusion of R PCA presents with ___ and possibly ___ (2) if it involves ___ (2)

Back 30

L homonymous hemianopia
L hemisensory loss
L hemiparesis
thalamus
internal capsule

Front 31

frontal lobe sx associated with ACA occlusion

Back 31

apraxia
abulia
grasp reflex
incontinence

Front 32

ACA occlusion involving SMA can cause ___

Back 32

alien hand syndrome

Front 33

alien hand syndrome means ___

Back 33

semiautomatic involuntary movements

Front 34

dominant ACA occlusion can present with ___

Back 34

transcortical motor aphasia

Front 35

in transcortical motor aphasia ___ is impaired but ___ (2) is intact

Back 35

speech production
language comprehension
repetition

Front 36

5 lacunar syndromes idoof

Back 36

pure motor hemiparesis or dysarthria hemiparesis
ataxic hemiparesis
dysarthria/clumsy hand
pure sensory
sensorimotor

Front 37

pure motor hemiparesis localizes to ___ (4)

Back 37

corona radiata
posterior limb of internal capsule
basis pedunculi
basis pontis

Front 38

posterior limb of internal capsule is perfused by ___ (3)

Back 38

lenticulostriate a.s
ant choroidal a.
perforating branches of PCA

Front 39

ventral pons is perfused by ___

Back 39

ventral penetrating branches of basilar a.

Front 40

corona radiata is perfused by ___

Back 40

MCA

Front 41

cerebral peduncle is perfused by ___

Back 41

PCA

Front 42

ataxic hemiparesis localizes to ___ (4)

Back 42

corona radiata
post limb of internal capsule
basis pedunculi
basis pontis

Front 43

pure sensory stroke localizes to ___

Back 43

VPLN

Front 44

VPLN is perfused by ___

Back 44

PCA thalamoperforator branches

Front 45

sensorimotor stroke localizes to ____ and one of ___ (2)

Back 45

posterior limb of internal capsule
VPLN
thalamic somatosensory radiation

Front 46

headache occurs in ___% of ischemic stroke
it is usually ___lateral to infarct

Back 46

25-30
ipsi

Front 47

carotid stenosis is associated with infarctions in ___ (3) territories

Back 47

MCA
ACA
ophthalmic a.

Front 48

2 kinds of intracranial venous drainage

Back 48

superficial
deep

Front 49

superficial intracranial veins drain into ___ (2)
deep veins drain into ___

Back 49

SSS
cavernous sinus
GVG

Front 50

cavernous sinus drains into ___ (2)

Back 50

transverse sinus
internal jugular

Front 51

cavernous sinus drains into transverse sinus via ___

Back 51

superior petrosal sinus

Front 52

cavernous sinus drains into internal jugular via ___

Back 52

inferior petrosal sinus

Front 53

___ vein runs in sylvian fissure

Back 53

deep middle cerebral

Front 54

deep middle cerebral vein joins ___ to become ___

Back 54

anterior cerebral vein
basal vein of Rosenthal

Front 55

basal v. of Rosenthal joins ___ (2) to become ___

Back 55

internal cerebral veins
contralateral basal v. of Rosenthal
GVG

Front 56

veins running over convexity of brain are called ___

Back 56

cortical veins

Front 57

cortical vein running over sylvian fissure is ___

Back 57

superficial middle cerebral vein

Front 58

superficial MCV drains into ___

Back 58

cavernous sinus

Front 59

___ connects superficial MCV with SSS
___ connects it with transverse sinus

Back 59

superior anastomotic vein of Trolard
inferior anatomotic vein of Labbe

Front 60

homonymous hemianopia without other deficits localizes to ___

Back 60

1' visual cortex

Front 61

if carotid doppler shows no flow, ___ is indicated

Back 61

angiogram to distinguish stenosis from occlusion