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66 Cards in this Set

  • Front
  • Back
Approximately what percentage of the body's total oxygen does the brain use?
~20%
Which Arteries are the Major Blood Supply to Brain? Approximately what percentage of the Brain's Blood Supply does each one give?
-Internal Carotid Arteries - ~80%
-Vertebral Arteries - ~20%
In general, what areas of the Brain does the Carotid System Supply?
Anterior Circulation
What Arteries, in general, are the source of the Posterior Circulation?
Vertebral Arteries
What Structures do we see in between the Circle of Willis?
-Optic Chiasm
-Infundiblum
-Mamillary Bodies
What Arteries form the Circle of Willis?
-Anterior Communicating Arteries
-Anterior Cerebral Arteries
-Posterior Communicating Arteries
-Posterior Cerebral Arteries
What Branches off the Circle of Willis?
-Middle Cerebral Artery
-Posterior Cerebral Artery
Which Artery runs in the Lateral Sulcus?
Middle Cerebral Artery
If we Inject dye into the Vertebral Artery, what type of blood will the dye be in 2 seconds? 7 Seconds?
-Arterial Phase
-Phoenix Suns - Venous Phase
If Blood the a region of the brain is blocked, is that region fucked? Why or why not?
-Not necessarily
-There may be Collateral Circulation
What are the 2 Types of Arteries in the Brain? What's the difference between them?
-Cortical (Circumferential) Branches - Supplies External Brain Structures
-Central (Penetrating) Branches - Small - Penetrates Ventral Surface to Supply Internal Brain Structures
What types of Branches supply External Brain Structures?
Cortical (Circumferential) Branches
What types of Branches supply Internal Brain Structures?
Central (Penetrating) Branches
What are some of the Structures that Central (Penetrating) Branches Supply?
-Thalamus
-Hypothalamus
-Basal Ganglia
-Internal Capsule
-Choroid Plexus
What are the 3 main branches of the Internal Carotid Arteries?
-Anterior Cerebral Artery
-Middle Cerebral Artery
-Anterior Choroidal Artery
What Arteries Supply the Anterior Hippocampus and Posterior Limb of the Internal Capsule?
Anterior Choroidal Arteries
Interruption of which artery might cause paralysis of Legs and Feet? What else may result?
Anterior Cerebral Artery
-Difficulty in Prefrontal Lobe Functions of Cognitive Thinking, Judgement, Motor Initiation, and Self Monitoring
What Structures do the Middle Cerebral Arteries Supply?
-Cortex and White Matter of Hemispheric Convexity (2/3 of entire Lateral Surface of Brain
-All 4 Lobes and Insula
What is the Insular Cortex responsible for?
-Assocation Cortex
-Emotion
-Conscious Perception of yourself
Penetrating Branches of which Arteries supply parts of the Basal Ganglia, Internal Capsule, and Diencephalon?
Middle Cerebral Artery
What general region of the brain does the Anterior Cerebral Artery Supply?
Medial Frontal Perfusion
What general region of the brain does the Middle Cerebral Artery Supply?
Lateral Perfusion
What general region of the brain does the Posterior Cerebral Artery Supply?
Posterior Medial Perfusion, Cerebellum
Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Legs?
Anterior Cerebral Artery
Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Arms and Hands?
Middle Cerebral Artery
Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Head?
-Somatosensory - Anterior Cerebral Artery
-Motor - Middle Cerebral Artery
Occlusion, Ischemia, or other problems with which Artery would lead to Somatosensory and/or Motor deficiency of the Face?
Middle Cerebral Artery
Problems with the Anterior Cerebral Artery might lead to issues with ____ in the Somatosensory and Motor Homunculi.
Legs and Somatosensory of the Head
Problems with the Middle Cerebral Artery might lead to issues with ____ in the Somatosensory and Motor Homunculi.
Arms, Hands, Face, and Motor of the Head
What forms the Basilar Artery?
Vertebral Arteries
What supplies the Brainstem and Cerebellum?
Basilar Artery
Which Arteries branch off the Basilar Artery?
-Posterior Inferior Cerebellar (sometimes)
-Anterior Inferior Cerebellar Arteries
-Superior Cerebellar
-Posterior Cerebral Arteries
Which Arteries Supply all of the following?
-Anterior Inferior Surface and Underlying White Matter of the Cerebellum
-Upper Medulla
-Lower Pontine Areas
Anterior Inferior Cerebellar Arteries
Which Arteries Supply all of the following?
-Pons
-Middle Cerebellar Peduncle
-Floor of the 4th Ventricle
Pontine Arteries
Which Arteries run along the Dorsal Surface of the Cerebellum?
Superior Cerebellar Arteries
What Arteries curve around the Midbrain and reach out to the Posterior Cerebral Hemispheres?
Posterior Cerebral Arteries
Which areas of the Brain do the Posterior Cerebral Arteries Supply?
Surface Branches:
-Cortex and White Matter of Medial Occipital Lobes
-Inferior Temporal Lobes
-Posterior CC
Penetrating Branches
-Parts of the Thalamus
-Parts of the Midbrain
What Artery supplies the Ventral 2/3 of the Spinal Cord?
Anterior Spinal Artery
Which Arteries supply the Dorsolateral Surface of the SC?
Posterior SPinal Arteries
Where do the Cerebral Veins Drain into?
Internal Jugular Vein
Trace Venous Blood Flow from the Superior Sagittal Sinus.
-Superior Sagittal Sinus
-Transverse Sinus
-Sigmoid Sinus
-Internal Jugular Vein
Trace Venous Blood Flow from the Inferior Sagittal Sinus.
-Inferior Sagittal Sinus
-Straight Sinus
-Transverse Sinus
-Sigmoid Sinus
-Internal Jugular Vein
Trace Venous Blood Flow from the Cavernous Sinus.
-Cavernous Sinus
-Sigmoid Sinus
-Internal Jugular Vein
What is a Stroke?
-Loss of Perfusion to a Vascular Territory of the Brain
-Results in Ischemia
-Corresponding Loss of Neurologic Function
What are some Biochemical components of an Ischemic Stroke?
-Hypoxia
-Insufficiency of Metabolic Substrates
-Accumulation of Metabolic Wastes
What are somethings that could cause an Ischemic Stroke?
-Vascular Insufficiency
-Ahteroslcerosis
-Thromobosis
-Embolism
-Compression and Hypotension
-Hemorrhage
What percent of Strokes are Ischemic? Hemorrhagic?
-Due to a clot or occlusion - 80%
-Due to rupture - 20%
What is a Lacunar Infarct? What are some predisposing conditions?
-Occlusion of a small, penetrating artery that provides blood to the deep parts of the brain
-Hypertension
-Diabetes
What are Arteriovenous Malformations?
Tangled mass of Arteries and Veins
What is the Monro-Kellie Doctrine?
Intracranial Mass is gonna cause some shit to move
What is Cerebral Perfusion Pressure equal to? What is its Normal Range?
-CPP = MAP - ICP (Intracranial Pressure)
-80-100 mm Hg
What might Low Cerebral Perfusion Pressure (CPP) lead to?
Inadequate Brain Tissue Oxygenation and shit
What might cause a Herniation of the Brain?
Increased Intracranial Volume or Pressure
What are the 2 classes of Brain Herniations?
-Supratentorial
-Infratentorial
What do the Internal Carotid Arteries travel through to get to the brain?
-Carotid Canal at the Base of the Skull
-Carotid Siphon
-Cavernous Sinus
Which Artery is directed medially above the Optic Nerve and ascends in the Longitudinal Fissure?
Anterior Cerebral Artery
Which Artery runs in the Lateral Sulcus?
Middle Cerebral Artery
What is the Major Source of Energy for the Brain? How is this source taken up?
-Aerobic Oxidation of Glucose
-Across the BBB using ATP
How does the brain get energy during starvation?
-Ketone Muthafuckin' Bodies
How does the Brain get Large Neutral AAs? Why do we need them? What is unique about their entry
-Just like Glucose: Transported across the BBB
-Needed for NTs
-Compete for Entry with each other
How does the Brain get Small Neutral AAs?
Synthesizes them
How does the Brain get Basic AAs?
Actively Transported across the BBB
How does the Brain get Acidic AAs?
Actively Transported across the BBB
Occlusion of which Arteries could result in Medial Medullary Syndrome?
-Anterior Spinal Artery (Branches)
-Basilar Artery (Paramedian Branches)
Occlusion of which Arteries could result in Lateral Medullary Syndrome (Wallenberg's Syndrome)?
-Posterior Inferior Cerebellar Artery
-Vertebral Artery
What is another name for Wallenberg's Syndrome? What could cause this?
-Lateral Medullary Syndrom
-Occlusion of: Posterior Inferior Cerebellar Artery or Vertebral Artery