NA 12-  Blood Supply in the Brain

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Questions and Answers

The internal carotid artery exits the skull through the optic canal.

False (B)

The abducens nerve runs along the lateral wall of the cavernous sinus.

True (A)

The ophthalmic artery passes through the superior orbital fissure along with the oculomotor, abducens, and cochlear nerves.

False (B)

The transverse sinus drains directly into the internal jugular vein.

<p>False (B)</p> Signup and view all the answers

The hypophysis is surrounded by vessels that are connected to nerves like the abducens and trochlear.

<p>True (A)</p> Signup and view all the answers

The mandibular nerve exits the skull through the oval foramen after immediately abandoning the course of other cranial nerves.

<p>True (A)</p> Signup and view all the answers

The superficial and deep venous systems of the face have no direct connection between them.

<p>False (B)</p> Signup and view all the answers

The facial veins connect to the cavernous sinus, increasing the risk of infection spread.

<p>True (A)</p> Signup and view all the answers

The internal carotid artery does not have any branches until it enters the skull.

<p>True (A)</p> Signup and view all the answers

The subclavian artery originates from the cervical region and contributes to the anterior circulation.

<p>False (B)</p> Signup and view all the answers

The common carotid artery bifurcates into the internal and external carotid arteries at the level of the cricoid cartilage in the neck.

<p>True (A)</p> Signup and view all the answers

The subclavian artery contributes to the vascular supply of the posterior circulation by entering the occipital foramen.

<p>True (A)</p> Signup and view all the answers

The internal carotid artery and the subclavian artery are the only arteries that contribute to the blood supply of the cerebral hemisphere and brainstem.

<p>True (A)</p> Signup and view all the answers

Both the anterior and posterior circulations are connected by anastomoses, forming the circle of Willis.

<p>True (A)</p> Signup and view all the answers

The internal carotid artery does not branch in the cervical region but does branch in the lateral pharyngeal spaces.

<p>True (A)</p> Signup and view all the answers

The anterior circulation is supplied solely by the internal carotid artery.

<p>True (A)</p> Signup and view all the answers

The subclavian artery travels through the foramina of the transverse processes of the cervical vertebrae C6 to C1.

<p>True (A)</p> Signup and view all the answers

The internal jugular vein, the vagus nerve, and the internal carotid artery all travel together within the carotid sheath.

<p>True (A)</p> Signup and view all the answers

The inferior sagittal sinus, unlike the superior sagittal sinus, converges with the straight sinus into the confluence of the sinuses.

<p>False (B)</p> Signup and view all the answers

The straight sinus traverses the great cerebral vein.

<p>True (A)</p> Signup and view all the answers

The sinus of the dura mater, also known as the dural sinus, is involved in the circulation of cerebrospinal fluid (CSF).

<p>True (A)</p> Signup and view all the answers

The petrous sinus, which collects venous blood from the petrous bone, directly flows into the transverse sinus.

<p>True (A)</p> Signup and view all the answers

The occipital sinus can be paired and is located at the level of the occipital protuberance.

<p>True (A)</p> Signup and view all the answers

The transverse sinus is a paired sinus situated in the posterior cranial fossa and receives venous blood from the petrous bone.

<p>True (A)</p> Signup and view all the answers

The venous drainage of the cerebral hemispheres is handled by the sinus of the dura mater.

<p>True (A)</p> Signup and view all the answers

The confluence of the sinuses is a major point where multiple sinuses converge, including the superior sagittal sinus, the straight sinus, and the transverse sinus.

<p>True (A)</p> Signup and view all the answers

The dural sinuses play a crucial role in the reabsorption of cerebrospinal fluid (CSF).

<p>True (A)</p> Signup and view all the answers

The superior sagittal sinus runs along the inferior aspect of the falx cerebri.

<p>False (B)</p> Signup and view all the answers

The anterior communicating artery is a single vessel that connects the two anterior cerebral arteries.

<p>True (A)</p> Signup and view all the answers

The posterior cerebral artery originates from the internal carotid artery.

<p>False (B)</p> Signup and view all the answers

The middle cerebral artery moves anteriorly and forms the anterior cerebral artery.

<p>False (B)</p> Signup and view all the answers

The circle of Willis is primarily responsible for ensuring blood flow to the hindbrain.

<p>False (B)</p> Signup and view all the answers

The anterior cerebral artery is located close to the midline, running parallel to its contralateral counterpart.

<p>True (A)</p> Signup and view all the answers

The anterior meningeal artery is a branch of the internal carotid artery.

<p>False (B)</p> Signup and view all the answers

The middle meningeal artery enters the skull through the foramen ovale.

<p>False (B)</p> Signup and view all the answers

The Willis' circle is a network of veins that drain blood from the brain.

<p>False (B)</p> Signup and view all the answers

The posterior meningeal artery arises from the external carotid artery.

<p>True (A)</p> Signup and view all the answers

The dural sinuses are located between the dura mater and the arachnoid mater.

<p>False (B)</p> Signup and view all the answers

The venous drainage of the brain is directly connected to the venous drainage of the face.

<p>False (B)</p> Signup and view all the answers

The cerebrospinal fluid (CSF) circulates solely within the subarachnoid space.

<p>False (B)</p> Signup and view all the answers

The meningeal artery supplies blood to the brain tissue itself.

<p>False (B)</p> Signup and view all the answers

The ethmoidal artery is a branch of the internal maxillary artery.

<p>False (B)</p> Signup and view all the answers

The venous drainage of the brain is entirely independent of the venous drainage of the face.

<p>False (B)</p> Signup and view all the answers

Flashcards

Cavernous Sinus

A cavity at the base of the skull filled with venous blood.

Internal Carotid Artery

Major artery supplying blood to the brain.

Ophthalmic Artery

Branch of the internal carotid artery entering the orbit.

Abducens Nerve

Cranial nerve responsible for lateral eye movement.

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Venous Drainage

Process by which veins transport deoxygenated blood away from the brain.

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Anastomosis

Connection between two vascular structures allowing blood flow.

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Pterygoid Muscles

Muscles involved in chewing that are near venous drainage paths.

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Facial Veins

Veins draining blood from the face that can lead to the cavernous sinus.

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Common Carotid Artery

Divides into internal and external carotid arteries at the neck.

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Subclavian Artery

Artery starting in the neck that supplies the posterior circulation.

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Posterior Circulation

Blood supply to the back part of the brain.

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Anterior Circulation

Blood supply to the front part of the brain provided by the internal carotid artery.

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Circle of Willis

A circle of arteries that connects anterior and posterior circulation.

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Cervical Segments

Part of the internal carotid artery located in the neck.

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Lateral Pharyngeal Spaces

Area where the internal carotid enters the face compartment.

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Temporal Bone

Bone that the internal carotid artery goes towards after the pharyngeal spaces.

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Sinus of the dura mater

Blood-filled spaces in the dura mater that allow CSF reabsorption.

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Arachnoid granulations

Small protrusions that assist in reabsorbing CSF into the venous system.

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Superior sagittal sinus

A large sinus along the midsagittal plane at the superior aspect of the falx.

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Inferior sagittal sinus

A smaller sinus parallel to the superior sagittal sinus on the inferior aspect of the falx.

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Confluence of sinuses

The junction where several sinuses meet at the occipital prominence.

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Straight sinus

A sinus formed by the convergence of the inferior sagittal sinus and great cerebral vein.

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Transverse sinus

Sinus running horizontally, receiving venous blood from the petrous sinus.

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Occipital sinus

A paired sinus located at the back of the head near the confluence.

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Cerebral falx

A sickle-shaped fold of the dura mater that separates the cerebral hemispheres.

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Middle Cerebral Artery

Major artery that moves anteriorly and anterolaterally from the internal carotid artery.

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Anterior Communicating Artery

Single artery that connects the anterior cerebral arteries across the midline.

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Posterior Communicating Arteries

Two arteries that connect internal carotid arteries to the posterior cerebral arteries.

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Basilar Trunk

Arterial structure that supplies blood to the posterior part of the brain.

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Willis Circle

A circulatory anastomosis at the base of the brain supplying blood.

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Meningeal Arteries

Arteries supplying nutrients and oxygen to the meningeal sheaths.

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Anterior Meningeal Artery

Artery from the ethmoidal bone for anterior meningeal supply.

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Middle Meningeal Artery

The main artery supplying the meninges, from the internal maxillary artery.

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Posterior Meningeal Artery

Artery arising from the neck, supplying the posterior aspect of the meninges.

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Sinuses of Dura Mater

Venous channels within the dura mater facilitating brain drainage.

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Cerebrospinal Fluid (CSF)

Fluid surrounding the brain that provides cushioning and protection.

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Plexus

Complex networks of veins or arteries, particularly in the skull.

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Study Notes

Arterial Blood Supply

  • Two main arteries supply the cerebral hemispheres and brainstem: the internal carotid artery and the subclavian artery
  • The internal carotid artery is a branch of the common carotid artery, branching at the level of the cricoid cartilage
  • It enters the skull and contributes to the anterior circulation
  • The subclavian artery participates in the posterior circulation, branching from the neck into the foramina of the cervical vertebrae
  • It forms an angle of 90° and merges with its contralateral counterpart

Internal Carotid Artery

  • Initially, it doesn't branch in the neck region
  • Enters the face compartment, traveling toward the temporal bone in an S-shaped path
  • Enters the posteroinferior surface of the pyramids, exiting near their anterosuperior surface
  • Travels close to the structures within the pyramids and the Eustachian tube (a continuation of the tympanic cavity)
  • The artery is surrounded by a sympathetic plexus (carotid plexus), which contains postganglionic fibers
  • The internal carotid artery passes through the cavernous sinus, a space containing a network of connective tissue
  • The internal carotid artery has close proximity to cranial nerve VI (abducens) within the cavernous sinus
  • It can be affected by infections from the adjacent venous system
  • No branches until it enters the cranial cavity

Subclavian Artery

  • Arises from the neck
  • Enters the foramina of the transverse processes of the cervical vertebrae (C6 to C1)
  • Moves posteriorly
  • Forms a 90° angle, converging with its contralateral counterpart

Vertebrobasilar Circulation

  • The vertebral arteries converge to form the basilar artery
  • Collateral branches vascularize the spinal cord and brain stem
  • The basilar artery branches to form the posterior inferior cerebellar arteries and posterior cerebral arteries
  • Branches of the posterior circulation participate in the circle of Willis

Circle of Willis

  • An interconnected network of arteries at the base of the brain
  • The internal carotid and vertebral arteries contribute to the circle of Willis
  • The circle of Willis provides alternate pathways for blood flow if one blood vessel is obstructed

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NA12- Brain Blood Supply PDF

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