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59 Cards in this Set
- Front
- Back
main artery supplying the spinal cord |
vertebral |
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parts of the vertebral artery that supply the spinal cord |
anterior spinal, posterior spinal, segmental contributions from spinal arteries, radiculomedullary artery of Adamkiewicz |
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main artery supplying the medulla |
vertebral |
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parts of the vertebral artery that supply the medulla |
vertebral, anterior spinal, posterior spinal, posterior inferior cerebellar arteries |
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main artery supplying the pons |
basilar artery |
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parts of the basilar artery that supply the pons |
basilar, paramedian, and short circumferential; anterior inferior cerebellar; superior cerebellar arteries |
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main artery supplying the midbrain |
basilar |
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parts of the basilar artery that supply the midbrain |
superior cerebellar, posterior cerebral arteries |
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what important structures are supplied by the anterior spinal artery in the spinal cord? |
ventral horn cells, axial descending motor systems, fasciculus gracilis and cuneatus, anterior commissure |
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what would cutting off blood supply of the anterior spinal artery in the ventral horn cells of the spinal cord cause? |
fasciculations, diminished DTRs, weakness in muscles innervated by the damaged ventral horn cells |
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what would cutting off blood supply of the anterior spinal artery in the axial descending motor systems of the spinal cord cause? |
poor control of trunk musculature below the level of the lesion |
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what would cutting off blood supply of the anterior spinal artery in the fasciculus gracilis/cuneatus of the spinal cord cause? |
partial diminution of touch and proprioception from levels below the area of lesion |
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what would cutting off blood supply of the anterior spinal artery in the anterior commissure of the spinal cord cause? |
loss of pain and temperature from both sides of the body in dermatomes innervated by the lesioned segments of spinal cord |
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what important structures are supplied by the posterior spinal artery in the spinal cord? |
anterolateral system, fasciculus gracilis and cuneatus, lateral corticospinal tract |
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what would cutting off blood supply of the posterior spinal artery in the anterolateral system of the spinal cord cause? |
both: loss of pain and temperature from all levels below the injury, unilateral: opposite side below the level of lesion |
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what would cutting off blood supply of the posterior spinal artery in the dorsal column system of the spinal cord cause? |
both: partial diminution of touch and proprioception below the level of the lesion, unilateral: same side below the level of lesion |
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what would cutting off blood supply of the posterior spinal artery in the lateral cortiospinal tract of the spinal cord cause? |
both: paralysis/weakness of extremity muscles below the level of the lesion, unilateral: same side paralysis/weakness, increased DTRs in affected muscles |
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what important structures are supplied by the anterior spinal artery in the lower medulla |
pyramids, pyramidal decussation, spinal accessory nucleus |
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what would cutting off blood supply of the anterior spinal artery in the pyramids of the lower medulla cause? |
paralysis/weakness in the musculature of the extremities on the opposite side from the lesion, elevated DTRs |
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what would cutting off blood supply of the anterior spinal artery in the pyramidal decussation of the lower medulla cause? |
paralysis/weakness in all four extremities, elevated DTRs |
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what would cutting off blood supply of the anterior spinal artery in the spinal accessory nucleus of the lower medulla cause? |
weakness in the sternocleidomastoid and trapezius muscles on the same side as the lesion, fasciculations, diminished DTRs |
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what important structures are supplied by the vertebral artery in the lower medulla |
anterolateral system, dorsal spinocerebellar pathway, spinal trigeminal nucleus |
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what would cutting off blood supply of the vertebral artery in the anterolateral system of the lower medulla cause? |
loss of pain and temperature fro the extremities and trunk on the opposite side of the lesion |
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what would cutting off blood supply of the vertebral artery in the dorsal spinocerebellar pathway of the lower medulla cause? |
intention tremor and ataxia of the lower extremity on the same side as the lesion |
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what would cutting off blood supply of the vertebral artery in the spinal trigeminal nucleus of the lower medulla cause? |
partial loss of pain and temperature from the face on the same side of the lesion |
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what important structures are supplied by the posterior spinal artery in the lower medulla |
fasciculus gracilis, fasciculus cuneatus, spinal trigeminal nucleus |
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what would cutting off blood supply of the posterior spinal artery in the fasciculus gracilis of the lower medulla cause? |
loss of touch and conscious proprioception from the LE and trunk on the same side as the lesion |
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what would cutting off blood supply of the posterior spinal artery in the fasciculus cuneatus of the lower medulla cause? |
loss of touch and conscious proprioception from UE and trunk on same side as the lesion, intention tremor and ataxia in UE on same side as the lesion |
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what would cutting off blood supply of the posterior spinal artery in the spinal trigeminal nucleus of the lower medulla cause? |
partial loss of pain and temperature from the face on the same side of the lesion |
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what important structures are supplied by the anterior spinal artery in the middle medulla |
pyramids, medial lemniscus, decussation of the medial lemniscus |
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what would cutting off blood supply of the anterior spinal artery in the pyramids of the middle medulla cause? |
paralysis/weakness in the musculature of the extremities on the opposite side from the lesion, elevated DTRs |
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what would cutting off blood supply of the anterior spinal artery in the medial lemniscus of the middle medulla cause? |
loss of touch and proprioception from the extremities/trunk opposite of the side of the lesion |
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what would cutting off blood supply of the anterior spinal artery in the decussation of the medial lemniscus of the middle medulla cause? |
loss of touch and proprioception from all four extremities and the trunk |
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what important structures are supplied by the vertebral artery in the middle medulla |
anterolateral system, dorsospinocerebellar pathway, spinal trigeminal nucleus, nucleus ambiguus |
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what would cutting off blood supply of the vertebral artery in the anterolateral system of the middle medulla cause? |
loss of pain and temperature from the extremities and trunk on the opposite side of the lesion |
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what would cutting off blood supply of the vertebral artery in the dorsal spinocerebellar pathway of the middle medulla cause? |
intention tremor and ataxia confined to the LE on the same side as the lesion |
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what would cutting off blood supply of the vertebral artery in the spinal trigeminal nucleus of the middle medulla cause? |
partial loss of pain and temperature from the face on the same side as the lesion |
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what would cutting off blood supply of the vertebral artery in the nucleus amiguus of the middle medulla cause? |
diminished strength in the laryngeal and pharyngeal muscles same side of the throat as the lesion, hoarseness, difficulty swallowing, diminished gag reflex, drooping palate towards side of the lesion |
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what important structures are supplied by the posterior spinal artery in the middle medulla |
fasciculus gracilis, fasciculus cuneatus |
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what would cutting off blood supply of the posterior spinal artery in the fasciculus gracilis of the middle medulla cause? |
loss of touch and proprioception from the LE and trunk on the same side of the body as the lesion |
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what would cutting off blood supply of the posterior spinal artery in the fasciculus cuneatus of the middle medulla cause? |
loss of touch and proprioception from the UE and trunk on the same side of the body as the lesion, intention tremor and limb ataxia UE same side as lesion |
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what important structures are supplied by the anterior spinal artery in the upper medulla |
pyramids, medial lemniscus, medial longitudinal fasciculus, hypoglossal nucleus |
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what would cutting off blood supply of the anterior spinal artery in the medial longitudinal fasciculus of the upper medulla cause? |
central nystagmus |
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what would cutting off blood supply of the anterior spinal artery in the hypoglossal nucleus of the upper medulla cause? |
weakness of the tongue muscles on the same side as the lesion, tongue will deviate towards the side of the damage |
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what important structures are supplied by the vertebral artery in the upper medulla |
inferior olives |
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what would cutting off blood supply of the vertebral artery in the inferior olives of the upper medulla cause? |
a possibility of diminished motor learning |
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what important structures are supplied by the posterior inferior cerebellar artery in the upper medulla |
nucleus ambiguus, spinal trigeminal nucleus and tract, anterolarteral system, solitary nucleus, vestibular nuclei, inferior cerebellar peduncle, descending axons from the hypothalamus, cochlear nuclei |
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what would cutting off blood supply of the posterior inferior cerebellar artery in the solitary nucleus of the upper medulla cause? |
loss of taste on the same of the tongue side as the lesion |
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what would cutting off blood supply of the posterior inferior cerebellar artery in the vestibular nuclei of the upper medulla cause? |
dizziness, vertigo, central nystagmus |
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what would cutting off blood supply of the posterior inferior cerebellar artery in the inferior cerebellar peduncle of the upper medulla cause? |
limb ataxia and intention tremor in UE and LE on the side of the lesion |
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what would cutting off blood supply of the posterior inferior cerebellar artery in the descending axons from the hypothalamus of the upper medulla cause? |
sympathetic damage to the face on the same side of the lesion (pseudoptosis, miosis, inability to sweat, and chronic flushing of the face) AKA HORNER'S SYNDROME |
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what disorder would damage to the posterior inferior cerebellar artery cause? |
Wallenberg's syndrome |
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what would cutting off blood supply of the posterior inferior cerebellar artery in the cochlear nuclei of the upper medulla cause? |
sensorineural hearing loss on the same side as the lesion |
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what important structures are supplied by the paramedian and short circumferential branches of the basilar artery in the lower pons |
corticospinal and corticobulbar fibers, pontine fibers and the middle cerebellar peduncle, facial nerve, abducens nerve |
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what would cutting off blood supply of the paramedian and short circumferential branches of the basilar artery in the corticospinal/corticobulbar fibers of the lower pons cause? |
spinal: paralysis/weakness in the musculature of the extremities on the opposite side of the lesion, elevated DTRs; bulbar: deviation towards the side of weakness |
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what would cutting off blood supply of the paramedian and short circumferential branches of the basilar artery in the potine fibers/middle cerebellar peduncles of the lower pons cause? |
intention tremor, limb ataxia, disdiadochokinesia, or hypermetria on the same side as the lesion |
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what would cutting off blood supply of the paramedian and short circumferential branches of the basilar artery in the facial nerve of the lower pons cause? |
facial paralysis on the same side as the lesion |
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what would cutting off blood supply of the paramedian and short circumferential branches of the basilar artery in the abducens nerve of the lower pons cause? |
paralysis of the abducens nerve on the same side as the lesion |
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what disorder does damage to the the paramedian and short circumferential branches of the basilar artery the lower pons cause? |
Millard Gubler syndrome |