Ninja Nerd - Circulatory System | Circle of Willis: Ischemic Strokes
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Questions and Answers

What is the main effect of ischemia on the body?

  • Increased oxygen demand only
  • Decreased oxygen supply to tissues and increased oxygen demand (correct)
  • Increased oxygen supply to tissues
  • Decreased oxygen demand
  • Which arteries supplies the primary motor cortex and primary somatosensory cortex?

  • Anterior Cerebral Artery and Posterior Cerebral Artery
  • Posterior Cerebral Artery and Middle Cerebral Artery
  • Anterior Cerebral Artery and Middle Cerebral Artery (correct)
  • Neither of the choices
  • What is the effect of occlusion of the Posterior Cerebral Artery?

  • Contralateral loss of sensation and motor control in the upper body
  • Contralateral homonymous hemianopia (correct)
  • Locked-in syndrome
  • Lateral pontine syndrome
  • What is the effect of occlusion of the Basilar Artery?

    <p>Locked-in syndrome</p> Signup and view all the answers

    What is the effect of occlusion of the Anterior Inferior Cerebellar Artery?

    <p>Lateral pontine syndrome</p> Signup and view all the answers

    What is the effect of occlusion of the Anterior Spinal Artery?

    <p>Medial medullary syndrome</p> Signup and view all the answers

    What is the effect of occlusion of the Posterior Inferior Cerebellar Artery?

    <p>Poor coordination, muscle tone, and balance</p> Signup and view all the answers

    What is the most common site for Berry aneurysms?

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

    What is the cause of Berry aneurysms?

    <p>Chronic hypertension or connective tissue disorders</p> Signup and view all the answers

    What is the effect of ruptured Berry aneurysms?

    <p>Subarachnoid hemorrhage</p> Signup and view all the answers

    Study Notes

    Cerebrovascular Accidents

    • Ischemia: decreased oxygen supply to tissues and increased oxygen demand
    • Can lead to detrimental effects on the body

    Clinical Implications of Vessel Occlusion

    Anterior Cerebral Artery

    • Supplies primary motor cortex and primary somatosensory cortex
    • Occlusion leads to contralateral loss of sensation and motor control in the lower body

    Middle Cerebral Artery

    • Supplies primary motor cortex and primary somatosensory cortex
    • Occlusion leads to contralateral loss of sensation and motor control in the upper body (face and upper limbs)
    • Can also lead to Broca's aphasia (inability to produce speech) if Broca's area is damaged

    Posterior Cerebral Artery

    • Supplies the occipital lobe, which is important for vision
    • Occlusion leads to contralateral homonymous hemianopia (loss of visual field)

    Basilar Artery

    • Occlusion can produce locked-in syndrome, resulting in quadriplegia and preserved vertical eye movements

    Anterior Inferior Cerebellar Artery

    • Occlusion leads to lateral pontine syndrome
    • Can cause facial nerve palsy, vertigo, and hearing loss
    • Can also affect the vestibular nuclei, leading to balance and coordination problems

    Anterior Spinal Artery

    • Occlusion produces medial medullary syndrome
    • Can cause hypoglossal nerve palsy, contralateral hemiplegia, and contralateral loss of touch, pressure, and vibration sensations

    Posterior Inferior Cerebellar Artery

    • Occlusion affects the cerebellum, leading to poor coordination, muscle tone, and balance
    • Can also cause vagus nerve palsy, leading to dysphagia and a negative gag reflex
    • Can also cause Horner's syndrome (ptosis, miosis, and anhydrosis)

    Aneurysms

    • Berry aneurysms or saccular aneurysms can occur in the Circle of Willis
    • Caused by chronic hypertension or connective tissue disorders
    • Can rupture, leading to subarachnoid hemorrhage
    • Most common sites:
      • Anterior communicating artery (40%)
      • Middle cerebral artery (34%)
      • Internal carotid artery (20%)
      • Vasila artery (4%)

    Cerebrovascular Accidents

    • Ischemia results in decreased oxygen supply to tissues and increased oxygen demand, leading to detrimental effects on the body

    Clinical Implications of Vessel Occlusion

    Anterior Cerebral Artery

    • Supplies primary motor cortex and primary somatosensory cortex
    • Occlusion leads to contralateral loss of sensation and motor control in the lower body

    Middle Cerebral Artery

    • Supplies primary motor cortex and primary somatosensory cortex
    • Occlusion leads to contralateral loss of sensation and motor control in the upper body (face and upper limbs)
    • Damage to Broca's area can cause Broca's aphasia (inability to produce speech)

    Posterior Cerebral Artery

    • Supplies the occipital lobe, essential for vision
    • Occlusion leads to contralateral homonymous hemianopia (loss of visual field)

    Basilar Artery

    • Occlusion can produce locked-in syndrome, resulting in quadriplegia and preserved vertical eye movements

    Anterior Inferior Cerebellar Artery

    • Occlusion leads to lateral pontine syndrome
    • Can cause facial nerve palsy, vertigo, and hearing loss
    • Affects the vestibular nuclei, leading to balance and coordination problems

    Anterior Spinal Artery

    • Occlusion produces medial medullary syndrome
    • Can cause hypoglossal nerve palsy, contralateral hemiplegia, and contralateral loss of touch, pressure, and vibration sensations

    Posterior Inferior Cerebellar Artery

    • Occlusion affects the cerebellum, leading to poor coordination, muscle tone, and balance
    • Can cause vagus nerve palsy, leading to dysphagia and a negative gag reflex
    • Can also cause Horner's syndrome (ptosis, miosis, and anhydrosis)

    Aneurysms

    • Berry aneurysms or saccular aneurysms occur in the Circle of Willis
    • Caused by chronic hypertension or connective tissue disorders
    • Rupture leads to subarachnoid hemorrhage
    • Most common sites:
      • Anterior communicating artery (40%)
      • Middle cerebral artery (34%)
      • Internal carotid artery (20%)
      • Vasilis artery (4%)

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    Description

    Learn about the clinical implications of vessel occlusion, including the effects of ischemia on the body and the specific consequences of occlusion in the anterior and middle cerebral arteries.

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