Blood Supply and Arterial Occlusions in the CNS
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Questions and Answers

Which of the following is a feature of Alzheimer's Disease?

  • Memory loss (correct)
  • Joint pain
  • Muscle weakness
  • Headache
  • What is the cause of Amyotrophic Lateral Sclerosis (ALS)?

  • Glutamate excitotoxicity (correct)
  • Decreased reuptake by astrocytes
  • Antibodies attacking myelin in the PNS
  • Autoimmune attack on myelin in the CNS
  • What is the main population affected by Multiple Sclerosis (MS)?

  • Women aged 20-40 (correct)
  • Men aged 40-60
  • Elderly individuals over the age of 70
  • Children under the age of 10
  • What is the hallmark symptom of Guillain-Barre Syndrome (GBS)?

    <p>Muscle weakness</p> Signup and view all the answers

    Which type of obstructive hydrocephalus is most commonly caused by a blockage in the ventricular system?

    <p>Acquired</p> Signup and view all the answers

    Which age group is most likely to experience normal pressure hydrocephalus (NPH)?

    <p>Old adults</p> Signup and view all the answers

    Which symptom is commonly observed in infants with hydrocephalus?

    <p>Sun-setting eyes</p> Signup and view all the answers

    Which imaging technique is commonly used to diagnose acute intracerebral hemorrhage causing mass effect due to increased intracranial pressure (ICP)?

    <p>CT scan</p> Signup and view all the answers

    Which area of the brain is primarily responsible for impaired comprehension in Wernicke's Aphasia?

    <p>BA 22</p> Signup and view all the answers

    What is the main symptom of Gerstmann Syndrome?

    <p>Agraphia, alexia, finger agnosia, R-L discrimination issues</p> Signup and view all the answers

    Which area of the brain is damaged in Apraxia?

    <p>BA 5, 7 (SPL)</p> Signup and view all the answers

    What is the main symptom of Homonymous hemianopia?

    <p>Eyes deviate towards side of lesion</p> Signup and view all the answers

    Which of the following is a symptom of UMN syndrome?

    <p>Flaccid contralateral paralysis</p> Signup and view all the answers

    Which tract is responsible for voluntary movement and muscle tone and has efferents from the reticular formation in the pons and medulla?

    <p>Reticulospinal tract</p> Signup and view all the answers

    Which of the following is a characteristic of LMN syndrome?

    <p>Severe atrophy</p> Signup and view all the answers

    Which tract is responsible for postural change in response to visual stimulus and has efferents from the superior colliculus in the midbrain?

    <p>Tectospinal tract</p> Signup and view all the answers

    Which of the following is a symptom of Arnold-Chiari malformation type II?

    <p>Truncal ataxia</p> Signup and view all the answers

    What is the characteristic trait of myasthenia gravis?

    <p>Severe muscle weakness</p> Signup and view all the answers

    Which statement is true about cystic fibrosis?

    <p>It affects the normal secretion in the lungs and pancreas.</p> Signup and view all the answers

    What is the key feature of an epidural hematoma?

    <p>Biconvex shape</p> Signup and view all the answers

    Which imaging technique is suitable for time-sensitive cases such as skull fractures and trauma?

    <p>CT scan</p> Signup and view all the answers

    Which artery supplies the retina and its rupture can result in ipsilateral loss of vision?

    <p>Ophthalmic artery</p> Signup and view all the answers

    Which artery supplies the frontal and parietal lobes and the corpus callosum?

    <p>Anterior cerebral artery</p> Signup and view all the answers

    Which artery supplies the lateral aspects of the cortex, including the temporal, frontal, and parietal lobes?

    <p>Middle cerebral artery</p> Signup and view all the answers

    Which tract is responsible for unconscious proprioception of the body and legs, and terminates in the vermal region of the anterior lobe of the cerebellum?

    <p>Posterior spinocerebellar tract</p> Signup and view all the answers

    What is the effect of damage to the dorsal column-medial lemniscal pathway?

    <p>Ipsilateral loss of touch/vibration/conscious proprioception at and below the level of the lesion</p> Signup and view all the answers

    What is the clinical feature of a lesion in the spinothalamic tract?

    <p>Loss of pain and temperature contralateral to the lesion starting at about 1-2 levels below the lesion</p> Signup and view all the answers

    What is the cause of central cord syndrome?

    <p>Block of anterior spinal artery</p> Signup and view all the answers

    What is the effect of a large lesion in the anterior cord?

    <p>Bilateral loss of spinothalamic, corticospinal, and dorsal column-medial lemniscal pathways without sacral sparing</p> Signup and view all the answers

    What are the symptoms of spinal cord injury?

    <p>Spasticity, pain, exaggerated reflexes, loss/altered sensation, loss of bowel/bladder/sexual control, respiratory issues, and weakness</p> Signup and view all the answers

    Study Notes

    Summary of Blood Supply and Arterial Occlusions in the CNS

    • MRI is used for detailed imaging of the brain, while CT scans are quicker and cheaper and are used for time-sensitive cases such as skull fractures and trauma.
    • MRI is not suitable for patients with pacemakers.
    • The carotid siphon is an area where aneurysms often form in the anterior and posterior communicating arteries due to its S-shape.
    • The middle meningeal artery is the primary blood supply to the dura, and its rupture can cause an epidural hematoma.
    • The ophthalmic artery supplies the retina, and its rupture can result in ipsilateral loss of vision.
    • The anterior communicating artery supplies the optic areas, and its occlusion can lead to visual deficits.
    • The anterior choroidal artery, medial striate artery, and lenticulostriate artery are branches of the internal carotid artery that supply the internal capsule.
    • The anterior cerebral artery travels rostrally through the interhemispheric fissure and supplies various structures, including the frontal and parietal lobes and the corpus callosum.
    • Occlusion of the anterior cerebral artery can cause the ACA syndrome, resulting in contralateral paralysis and sensory loss of the lower extremities.
    • The middle cerebral artery travels along the lateral sulcus and supplies the lateral aspects of the cortex, including the temporal, frontal, and parietal lobes.
    • Occlusion of the middle cerebral artery can cause the MCA syndrome, resulting in contralateral hemiparesis, hemisensory loss in the upper extremities, facial weakness, hemianopia, and aphasia.
    • The posterior cerebral artery arises from the terminal bifurcation of the basilar artery and supplies the occipital lobe and posteromedial temporal lobe.
    • Occlusion of the posterior cerebral artery can cause the PCA syndrome, resulting in contralateral homonymous hemianopia with macular sparing, contralateral hemisensory loss, and occipital and thalamic damage.

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    Test your knowledge on blood supply and arterial occlusions in the central nervous system. Learn about the key arteries, their functions, and the potential consequences of their occlusion.

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