Podcast
Questions and Answers
What is the primary function of the occipital lobe?
What is the primary function of the occipital lobe?
- Processing sensory information from the skin
- Regulating emotions and behavior
- Interpreting and understanding visual information (correct)
- Controlling movement and coordination
Which of the following brain regions is NOT directly involved in processing sensory information from the body?
Which of the following brain regions is NOT directly involved in processing sensory information from the body?
- Primary Somatosensory Cortex
- Auditory Cortex (correct)
- Frontal Lobe (correct)
- Parietal Lobe
What is the primary role of the insular lobe?
What is the primary role of the insular lobe?
- Regulating sleep and wake cycles
- Controlling voluntary movement
- Integrating sensory and emotional information, particularly interoception (correct)
- Processing auditory information
Which lobe is primarily associated with understanding language, memory formation, and emotion regulation?
Which lobe is primarily associated with understanding language, memory formation, and emotion regulation?
What is the primary function of the Circle of Willis?
What is the primary function of the Circle of Willis?
What is the name of the area responsible for speech production and articulation?
What is the name of the area responsible for speech production and articulation?
Damage to which area of the brain can lead to difficulty with language comprehension, often resulting in fluent but meaningless speech?
Damage to which area of the brain can lead to difficulty with language comprehension, often resulting in fluent but meaningless speech?
What is the name of the largest dural venous sinus in the human brain?
What is the name of the largest dural venous sinus in the human brain?
Which of the following is NOT a main component of the Circle of Willis?
Which of the following is NOT a main component of the Circle of Willis?
Damage to the insular lobe can result in which of the following issues?
Damage to the insular lobe can result in which of the following issues?
Damage to the posterior inferior cerebellar artery (PICA) can lead to all of the following symptoms EXCEPT:
Damage to the posterior inferior cerebellar artery (PICA) can lead to all of the following symptoms EXCEPT:
What is the term for the inability to interpret sensory information, such as recognizing an object by touch but not by sight?
What is the term for the inability to interpret sensory information, such as recognizing an object by touch but not by sight?
Which of the following is NOT a branch of the basilar artery?
Which of the following is NOT a branch of the basilar artery?
Which of the following is NOT a characteristic of apraxia?
Which of the following is NOT a characteristic of apraxia?
What is the name of the concept that describes the distorted proportions of the body representation in the motor and sensory cortices, reflecting the density of nerve endings and the complexity of movements or sensations in those areas?
What is the name of the concept that describes the distorted proportions of the body representation in the motor and sensory cortices, reflecting the density of nerve endings and the complexity of movements or sensations in those areas?
Which brain lobe is responsible for executive functions like problem solving, planning, and working memory?
Which brain lobe is responsible for executive functions like problem solving, planning, and working memory?
What is the primary visual cortex, and where is it located?
What is the primary visual cortex, and where is it located?
What is the correct order of drainage from the superior sagittal sinus to the jugular veins?
What is the correct order of drainage from the superior sagittal sinus to the jugular veins?
Which of the following is NOT a potential consequence of damage to the occipital lobe?
Which of the following is NOT a potential consequence of damage to the occipital lobe?
What is the name of the structure deep within the brain that plays a crucial role in memory, emotion, learning, and motivation?
What is the name of the structure deep within the brain that plays a crucial role in memory, emotion, learning, and motivation?
What is the name of the deepest layer of the cranial meninges?
What is the name of the deepest layer of the cranial meninges?
What is the name of the folds of the frontal, parietal, and temporal lobes that cover the insular lobe?
What is the name of the folds of the frontal, parietal, and temporal lobes that cover the insular lobe?
What is the name of the region located in the inferior frontal gyrus of the dominant hemisphere, responsible for language production and comprehension?
What is the name of the region located in the inferior frontal gyrus of the dominant hemisphere, responsible for language production and comprehension?
Which of the following is a symptom of vertebrobasilar insufficiency?
Which of the following is a symptom of vertebrobasilar insufficiency?
Which lobe is primarily responsible for sensory perception and integration, spatial orientation, and body position?
Which lobe is primarily responsible for sensory perception and integration, spatial orientation, and body position?
What is the primary cortical site for taste?
What is the primary cortical site for taste?
What do the dural sinuses drain?
What do the dural sinuses drain?
Which of the following is NOT a function of the Frontal Lobe?
Which of the following is NOT a function of the Frontal Lobe?
Which artery is most commonly associated with strokes?
Which artery is most commonly associated with strokes?
Damage to the vertebrobasilar arteries can lead to all the following symptoms EXCEPT:
Damage to the vertebrobasilar arteries can lead to all the following symptoms EXCEPT:
The right hemisphere's homunculus represents which side of the body?
The right hemisphere's homunculus represents which side of the body?
What is the function of the arachnoid mater?
What is the function of the arachnoid mater?
What is the name of the deep groove that separates the Frontal Lobe from the Parietal Lobe?
What is the name of the deep groove that separates the Frontal Lobe from the Parietal Lobe?
Which lobe of the brain is responsible for visual processing?
Which lobe of the brain is responsible for visual processing?
What is the function of the premotor cortex?
What is the function of the premotor cortex?
Which of the following statements is TRUE about the Cortical Homunculus?
Which of the following statements is TRUE about the Cortical Homunculus?
Which of these structures is NOT involved in visual processing?
Which of these structures is NOT involved in visual processing?
What is the name of the area that lies between and beneath the frontal, parietal, and temporal lobes?
What is the name of the area that lies between and beneath the frontal, parietal, and temporal lobes?
What is the role of the thalamus?
What is the role of the thalamus?
What is the function of the cingulate gyrus?
What is the function of the cingulate gyrus?
Which of the following lobes is NOT directly involved in sensory perception?
Which of the following lobes is NOT directly involved in sensory perception?
Which of the following structures is located at the bottom of the brain, above each of the nasal cavities?
Which of the following structures is located at the bottom of the brain, above each of the nasal cavities?
Which of these structures is MOST closely associated with the limbic system?
Which of these structures is MOST closely associated with the limbic system?
What is the function of the corpus callosum?
What is the function of the corpus callosum?
What is the primary function of Broca's area?
What is the primary function of Broca's area?
What is the role of the parietal lobe?
What is the role of the parietal lobe?
What is the main function of the lateral sulcus?
What is the main function of the lateral sulcus?
Which of these is a defining characteristic of the left hemisphere of the brain?
Which of these is a defining characteristic of the left hemisphere of the brain?
Where is Wernicke's area located?
Where is Wernicke's area located?
Which of these structures is located on the medial side of the brain, extending from the frontal to the occipital lobe?
Which of these structures is located on the medial side of the brain, extending from the frontal to the occipital lobe?
What are the four key sections of the corpus callosum, from anterior to posterior?
What are the four key sections of the corpus callosum, from anterior to posterior?
What condition is characterized by bleeding between the dura mater and arachnoid mater due to a torn blood vessel?
What condition is characterized by bleeding between the dura mater and arachnoid mater due to a torn blood vessel?
Which stroke occurs when a blood vessel in the brain bursts?
Which stroke occurs when a blood vessel in the brain bursts?
What procedure involves inserting a needle into the subarachnoid space for diagnostic or therapeutic purposes?
What procedure involves inserting a needle into the subarachnoid space for diagnostic or therapeutic purposes?
Which term is commonly used for an ischemic stroke?
Which term is commonly used for an ischemic stroke?
What is the main purpose of an epidural block?
What is the main purpose of an epidural block?
What is the primary function of the anterior cerebral artery (ACA)?
What is the primary function of the anterior cerebral artery (ACA)?
Which artery primarily supplies the lateral cerebral cortex?
Which artery primarily supplies the lateral cerebral cortex?
What condition can result from damage to the middle cerebral artery?
What condition can result from damage to the middle cerebral artery?
Which of the following arteries connects the internal carotid arteries to the posterior cerebral artery?
Which of the following arteries connects the internal carotid arteries to the posterior cerebral artery?
The primary role of the posterior cerebral artery (PCA) is to supply which area of the brain?
The primary role of the posterior cerebral artery (PCA) is to supply which area of the brain?
What type of event can an incomplete Circle of Willis increase the risk of?
What type of event can an incomplete Circle of Willis increase the risk of?
Which artery arises from the basilar artery?
Which artery arises from the basilar artery?
What symptoms may arise from damage to the posterior cerebral artery?
What symptoms may arise from damage to the posterior cerebral artery?
Which arteries supply blood to most of the front part of the brain?
Which arteries supply blood to most of the front part of the brain?
What is the outcome of damage to the anterior cerebral artery?
What is the outcome of damage to the anterior cerebral artery?
Which brain structure does the Circle of Willis surround?
Which brain structure does the Circle of Willis surround?
What is the significance of small anterior and posterior communicating arteries?
What is the significance of small anterior and posterior communicating arteries?
Which artery is responsible for supplying the brainstem and cerebellum?
Which artery is responsible for supplying the brainstem and cerebellum?
What is a common site for cerebral aneurysms?
What is a common site for cerebral aneurysms?
What is the primary focus of medical management for hemorrhagic strokes?
What is the primary focus of medical management for hemorrhagic strokes?
Which artery primarily supplies blood to the lateral aspects of the frontal, temporal, and parietal lobes?
Which artery primarily supplies blood to the lateral aspects of the frontal, temporal, and parietal lobes?
What is the correct sequence of CSF flow through the ventricular system?
What is the correct sequence of CSF flow through the ventricular system?
Which condition can lead to hydrocephalus?
Which condition can lead to hydrocephalus?
What are common symptoms of a stroke in the anterior cerebral artery?
What are common symptoms of a stroke in the anterior cerebral artery?
What is a potential consequence of inflammation blocking CSF flow?
What is a potential consequence of inflammation blocking CSF flow?
Which artery supplies the medulla and parts of the cerebellum?
Which artery supplies the medulla and parts of the cerebellum?
What structure connects the 3rd ventricle to the 4th ventricle?
What structure connects the 3rd ventricle to the 4th ventricle?
Which of the following is a symptom commonly associated with basilar artery strokes?
Which of the following is a symptom commonly associated with basilar artery strokes?
What is the term for the buildup of fluid within the brain due to obstructed CSF flow?
What is the term for the buildup of fluid within the brain due to obstructed CSF flow?
What is the primary function of the cranial meninges?
What is the primary function of the cranial meninges?
Which structure is NOT considered a dural reflection?
Which structure is NOT considered a dural reflection?
What is the role of the arachnoid mater in the central nervous system?
What is the role of the arachnoid mater in the central nervous system?
Which of the following statements about the dura mater is correct?
Which of the following statements about the dura mater is correct?
Where is the subdural space located?
Where is the subdural space located?
What is a primary characteristic of the pia mater?
What is a primary characteristic of the pia mater?
What is found in the subarachnoid space?
What is found in the subarachnoid space?
What condition is indicated by inflammation of the meninges?
What condition is indicated by inflammation of the meninges?
Which layer of the meninges provides a barrier for the cerebrospinal fluid?
Which layer of the meninges provides a barrier for the cerebrospinal fluid?
Which cranial space is located between the skull and the dura mater?
Which cranial space is located between the skull and the dura mater?
What separates the left and right cerebral hemispheres?
What separates the left and right cerebral hemispheres?
Which of the following is NOT a characteristic of epidural space in the spinal cord?
Which of the following is NOT a characteristic of epidural space in the spinal cord?
What is the role of dural reflections?
What is the role of dural reflections?
What is the primary purpose of the NIH Stroke Scale?
What is the primary purpose of the NIH Stroke Scale?
Which imaging test is considered the first step in stroke diagnosis?
Which imaging test is considered the first step in stroke diagnosis?
What does a higher score on the NIH Stroke Scale indicate?
What does a higher score on the NIH Stroke Scale indicate?
Which of the following is an absolute contraindication for tPA administration?
Which of the following is an absolute contraindication for tPA administration?
What is the primary function of tPA in stroke management?
What is the primary function of tPA in stroke management?
What imaging technique is more sensitive than a head CT for diagnosing acute strokes?
What imaging technique is more sensitive than a head CT for diagnosing acute strokes?
What does the term 'penumbra' refer to in stroke management?
What does the term 'penumbra' refer to in stroke management?
In what situation would tPA be contraindicated due to blood pressure considerations?
In what situation would tPA be contraindicated due to blood pressure considerations?
Which statement about MRIs in the context of stroke is true?
Which statement about MRIs in the context of stroke is true?
What is a potential risk associated with tPA administration?
What is a potential risk associated with tPA administration?
Which of the following symptoms is NOT indicative of a stroke?
Which of the following symptoms is NOT indicative of a stroke?
What is a characteristic of a head CT scan in patients with ischemic stroke over time?
What is a characteristic of a head CT scan in patients with ischemic stroke over time?
What is the most common use for Tenecteplase (TNK) in stroke management?
What is the most common use for Tenecteplase (TNK) in stroke management?
What is the recommended action for a patient with NIH Stroke Scale greater than 22 regarding tPA?
What is the recommended action for a patient with NIH Stroke Scale greater than 22 regarding tPA?
Flashcards
Cerebral Cortex
Cerebral Cortex
Outermost layer of neural tissue covering the cerebrum, involved in higher functions.
Left Hemisphere
Left Hemisphere
The dominant hemisphere responsible for logic, analytical reasoning, and language.
Broca's Area
Broca's Area
Language center in the left hemisphere, involved in speech production.
Wernicke's Area
Wernicke's Area
Signup and view all the flashcards
Right Hemisphere
Right Hemisphere
Signup and view all the flashcards
Gyri
Gyri
Signup and view all the flashcards
Sulci
Sulci
Signup and view all the flashcards
Corpus Callosum
Corpus Callosum
Signup and view all the flashcards
Cerebellum
Cerebellum
Signup and view all the flashcards
Thalamus
Thalamus
Signup and view all the flashcards
Frontal Lobe
Frontal Lobe
Signup and view all the flashcards
Occipital Lobe
Occipital Lobe
Signup and view all the flashcards
Precentral Gyrus
Precentral Gyrus
Signup and view all the flashcards
Somatosensory Cortex
Somatosensory Cortex
Signup and view all the flashcards
Association Areas
Association Areas
Signup and view all the flashcards
Auditory Cortex
Auditory Cortex
Signup and view all the flashcards
Olfactory Bulbs
Olfactory Bulbs
Signup and view all the flashcards
Cortical Homunculus
Cortical Homunculus
Signup and view all the flashcards
Primary Motor Cortex
Primary Motor Cortex
Signup and view all the flashcards
Primary Somatosensory Cortex
Primary Somatosensory Cortex
Signup and view all the flashcards
Contralateral Representation
Contralateral Representation
Signup and view all the flashcards
Temporal Lobe
Temporal Lobe
Signup and view all the flashcards
Parietal Lobe
Parietal Lobe
Signup and view all the flashcards
Agnosia
Agnosia
Signup and view all the flashcards
Broca's Aphasia
Broca's Aphasia
Signup and view all the flashcards
Receptive Aphasia
Receptive Aphasia
Signup and view all the flashcards
Insular Cortex
Insular Cortex
Signup and view all the flashcards
Subdural Hemorrhage (SDH)
Subdural Hemorrhage (SDH)
Signup and view all the flashcards
Subarachnoid Hematoma (SAH)
Subarachnoid Hematoma (SAH)
Signup and view all the flashcards
Ischemic Stroke
Ischemic Stroke
Signup and view all the flashcards
Hemorrhagic Stroke
Hemorrhagic Stroke
Signup and view all the flashcards
Lumbar Puncture (LP)
Lumbar Puncture (LP)
Signup and view all the flashcards
Anterior inferior cerebellar artery
Anterior inferior cerebellar artery
Signup and view all the flashcards
Posterior inferior cerebellar artery (PICA)
Posterior inferior cerebellar artery (PICA)
Signup and view all the flashcards
Vertebrobasilar arteries
Vertebrobasilar arteries
Signup and view all the flashcards
Symptoms of vertebrobasilar occlusion
Symptoms of vertebrobasilar occlusion
Signup and view all the flashcards
Venous system of the brain
Venous system of the brain
Signup and view all the flashcards
Superior sagittal sinus
Superior sagittal sinus
Signup and view all the flashcards
Transverse sinus
Transverse sinus
Signup and view all the flashcards
Cranial meninges
Cranial meninges
Signup and view all the flashcards
Dura mater
Dura mater
Signup and view all the flashcards
Pia mater
Pia mater
Signup and view all the flashcards
Apraxia
Apraxia
Signup and view all the flashcards
Visual Cortex
Visual Cortex
Signup and view all the flashcards
Visual Disturbances
Visual Disturbances
Signup and view all the flashcards
Insular Lobe
Insular Lobe
Signup and view all the flashcards
Interoception
Interoception
Signup and view all the flashcards
Circle of Willis
Circle of Willis
Signup and view all the flashcards
Cerebral Perfusion
Cerebral Perfusion
Signup and view all the flashcards
Basilar Artery
Basilar Artery
Signup and view all the flashcards
Anterograde Flow
Anterograde Flow
Signup and view all the flashcards
Internal Carotid Arteries
Internal Carotid Arteries
Signup and view all the flashcards
Vertebral Arteries
Vertebral Arteries
Signup and view all the flashcards
Anterior Communicating Artery
Anterior Communicating Artery
Signup and view all the flashcards
Middle Cerebral Artery
Middle Cerebral Artery
Signup and view all the flashcards
Function of ACA
Function of ACA
Signup and view all the flashcards
Contralateral Hemiplegia
Contralateral Hemiplegia
Signup and view all the flashcards
Posterior Cerebral Artery
Posterior Cerebral Artery
Signup and view all the flashcards
Cerebral Aneurysms
Cerebral Aneurysms
Signup and view all the flashcards
PCA Damage Effects
PCA Damage Effects
Signup and view all the flashcards
Cerebellar Arteries
Cerebellar Arteries
Signup and view all the flashcards
Anterior Circulation
Anterior Circulation
Signup and view all the flashcards
Posterior Circulation
Posterior Circulation
Signup and view all the flashcards
Homonymous Hemianopsia
Homonymous Hemianopsia
Signup and view all the flashcards
Thrombolytic Therapy
Thrombolytic Therapy
Signup and view all the flashcards
Thrombectomy
Thrombectomy
Signup and view all the flashcards
Recanalization
Recanalization
Signup and view all the flashcards
Anterior Cerebral Artery
Anterior Cerebral Artery
Signup and view all the flashcards
Fourth Ventricle
Fourth Ventricle
Signup and view all the flashcards
Cerebral Aqueduct
Cerebral Aqueduct
Signup and view all the flashcards
Hydrocephalus
Hydrocephalus
Signup and view all the flashcards
Arachnoid Mater
Arachnoid Mater
Signup and view all the flashcards
Epidural Space
Epidural Space
Signup and view all the flashcards
Subdural Space
Subdural Space
Signup and view all the flashcards
Subarachnoid Space
Subarachnoid Space
Signup and view all the flashcards
Dural Reflections
Dural Reflections
Signup and view all the flashcards
Falx Cerebri
Falx Cerebri
Signup and view all the flashcards
Tentorium Cerebelli
Tentorium Cerebelli
Signup and view all the flashcards
Falx Cerebelli
Falx Cerebelli
Signup and view all the flashcards
CSF (Cerebrospinal Fluid)
CSF (Cerebrospinal Fluid)
Signup and view all the flashcards
Meningitis
Meningitis
Signup and view all the flashcards
Menigiomas
Menigiomas
Signup and view all the flashcards
Epidural Hematoma
Epidural Hematoma
Signup and view all the flashcards
Hyperacute Stage of Stroke
Hyperacute Stage of Stroke
Signup and view all the flashcards
NIH Stroke Scale
NIH Stroke Scale
Signup and view all the flashcards
Stroke Symptoms
Stroke Symptoms
Signup and view all the flashcards
tPA
tPA
Signup and view all the flashcards
Penumbra
Penumbra
Signup and view all the flashcards
Hemorrhagic Conversion
Hemorrhagic Conversion
Signup and view all the flashcards
Head CT
Head CT
Signup and view all the flashcards
NIH Stroke Scale Score 22
NIH Stroke Scale Score 22
Signup and view all the flashcards
MRI vs CT
MRI vs CT
Signup and view all the flashcards
Tenecteplase (TNK)
Tenecteplase (TNK)
Signup and view all the flashcards
Acute Phase Management
Acute Phase Management
Signup and view all the flashcards
Post-Stroke Imaging
Post-Stroke Imaging
Signup and view all the flashcards
IV tPA Administration
IV tPA Administration
Signup and view all the flashcards
Study Notes
Cerebral Topography and Landmarks
- The cerebrum, the brain's largest part, is responsible for higher-level functions like interpreting sensory input, speech, reasoning, emotions, learning, and movement.
- Divided into two hemispheres, usually with the left hemisphere dominant for language-related tasks.
- The left hemisphere controls the right side of the body and typically houses Broca's (speech production) and Wernicke's (language comprehension) areas.
- The right hemisphere controls the left side of the body and is involved in creativity, perception, visual-spatial processing, and facial recognition.
- The cerebral cortex, the outermost layer of neural tissue, is folded into gyri (ridges) and sulci (grooves).
- Three key areas of the cerebral cortex: Motor, Sensory, and Association.
- The Motor area includes primary, premotor, and supplementary motor cortices; the Sensory area includes primary somatosensory, visual, and auditory cortices, as well as areas for smell, taste, and vestibular senses.
- The Association area integrates information from multiple brain regions to facilitate higher cognitive and motor processes.
- Lobes: The brain is divided into four lobes (frontal, parietal, occipital, and temporal) by sulci (e.g., lateral sulcus, central sulcus) and the lobes work together for thinking, feeling, moving, and perceiving the world.
- The central sulcus separates the frontal and parietal lobes, while the parietal-occipital sulcus separates the parietal and occipital lobes.
- The cingulate sulcus and calcarine sulcus are other important sulci.
Substructures of the Cerebrum
- Corpus Callosum: A large band of white matter connecting the two cerebral hemispheres, with sections including the rostrum, genu, body, and splenium.
- Anterior Commissure: Located below the rostrum of the corpus callosum.
- Precentral Gyrus: Primarily motor in function.
- Postcentral Gyrus: Primarily sensory in function.
- Cingulate Gyrus: Part of the limbic system, involved in behavior, pain, memory, attention, and autonomic motor function.
- Cuneus: A wedge-shaped region of the occipital lobe involved in visual processing, bordered by the parietal-occipital sulcus and calcarine sulcus.
- Uncus: A hook-shaped structure in the temporal lobe involved in memory, emotions, and smell.
- Thalamus: An egg-shaped structure acting as a relay station for sensory and motor information.
Inferior Aspect Landmarks
- Longitudinal Fissure: The deepest groove separating the two cerebral hemispheres.
- Olfactory Bulb: Two structures above the nasal cavities.
- Optic Chiasm: Where optic nerve fibers from each eye cross over, allowing both eyes' visual information to be processed.
- Midbrain: The topmost part of the brainstem, connecting the brain and spinal cord.
- Occipital Pole, Uncus, Temporal Pole, Frontal Pole are landmarks on the inferior surface of the brain.
Functional Areas of the Brain
- Various functional areas, including the visual area (occipital lobe), premotor cortex & precentral gyrus (motor function), Broca's area (speech production), primary sensory cortex/postcentral gyrus (sensory area), and Wernicke's area (language comprehension).
- Primary cortex receives inputs and coordinates body movements.
- Premotor cortex plans more complex movements using sensory information, and sends plans to the primary motor cortex.
- Somatosensory cortex processes touch and pressure information relayed through the thalamus.
- Areas are outlined in occipital, temporal, and parietal lobes of the brain.
Cortical Homunculus
- The cortical homunculus illustrates the disproportionate representation of body parts in the motor and somatosensory cortices, with larger areas for hands and face.
- Contralateral representation: Each hemisphere controls the opposite side of the body.
Cerebral Lobes
- Frontal Lobe: Involved in cognitive and motor function, behavior, emotions, and expressive language (Broca's area).
- Temporal Lobe: Processes auditory information, receptive language (Wernicke's area), memory, and emotion regulation.
- Parietal Lobe: Involved in sensory perception, spatial orientation, and body position.
- Occipital Lobe: Processes visual information.
- Insular Lobe: A deep lobe involved in interoception (body sensations), pain, temperature, taste, and multi-sensory integration, often related to emotional regulation.
Brain Blood Supply
- Circle of Willis: A looped network of arteries at the base of the brain that provides alternative routes for blood flow to the brain in case of blockages. (Key arteries and their relationships)
- Anterior Cerebral Artery: Supplies blood to the medial frontal and parietal lobes for higher-level function.
- Middle Cerebral Artery: Supplies blood to the lateral portions of the cortex, including the frontal, temporal, and parietal lobes, involved in motor and sensory functions of the face, arm, and hand.
- Posterior Cerebral Artery: Supplies the posterior aspect of the cerebrum and midbrain, especially the visual cortex and occipital lobe.
Brain Vasculature (Major Arteries):
- Anterior Circulation: Internal carotid arteries bifurcating into the Anterior and Middle Cerebral Arteries.
- Posterior Circulation: Vertebral and Basilar arteries, supplying the posterior portions of the brain.
Venous System of the Brain
- Cerebral veins drain blood from the brain into dural sinuses.
- Key sinuses include the superior sagittal sinus, transverse sinuses, sigmoid sinuses, and internal jugular veins.
Cranial Meninges
- The cranial meninges are three protective membranes surrounding the brain and spinal cord: dura mater (outermost), arachnoid mater (middle), and pia mater (innermost).
- Dura has two layers; contains dural sinuses. Arachnoid is thin and wispy with trabeculae. The Pia is delicate and highly vascularized.
- Cranial Spaces: Spaces between meninges (epidural, subdural, subarachnoid).
Clinical Relevance
- Stroke: Ischemic (clot) or hemorrhagic (burst vessel) stroke.
- Signs and Symptoms: Sudden weakness, numbness, vision loss, speech difficulty, severe headache, dizziness.
- NIH Stroke Scale: A neurological examination scoring system to assess stroke severity, important for predicting outcomes and assessing treatment eligibility.
- Medical Management: Clot-busting medication (tPA or TNK), thrombectomy, and managing blood pressure and other factors.
- Stroke Terminology: Penumbra (salvageable tissue surrounding infarct area); hemorrhagic conversion (complication where damaged vessels bleed further after reperfusion).
Ventricular System
- The ventricular system includes the lateral ventricles, third ventricle, cerebral aqueduct, and fourth ventricle, and is filled with cerebrospinal fluid (CSF).
- CSF flows through these ventricles and into the subarachnoid space to cushion and protect the brain.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.