Vertebral Artery and Basilar Artery Quiz
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Questions and Answers

What is the consequence of the rupture of the artery of cerebral hemorrhage?

  • Homonymous hemianopia
  • Motor fibers damage (correct)
  • Thalamic dysfunction
  • Visual cortex impairment
  • Which region does the posterior cerebral artery supply that contributes to visual function?

  • Occipital lobe (correct)
  • Frontal lobe
  • Temporal lobe
  • Parietal lobe
  • What is spared in cases of posterior cerebral artery occlusion due to strong anastomoses with the middle cerebral artery?

  • Visual cortex
  • Thalamus
  • Macular region (correct)
  • Midbrain
  • Which structure is supplied by the posterior choroidal artery, a branch of the posterior cerebral artery?

    <p>Choroid plexuses of ventricles</p> Signup and view all the answers

    In lateral medullary syndrome, what symptom is commonly associated with vertebral artery occlusion?

    <p>Loss of pain and temperature sensation on opposite body side</p> Signup and view all the answers

    Which veins drain the cortical surfaces of the cerebral hemisphere?

    <p>Superficial (external) veins</p> Signup and view all the answers

    What is the name of the arterial anastomotic circle between the carotid and vertebrobasilar systems?

    <p>Circulus arteriosus</p> Signup and view all the answers

    Which artery supplies blood to the lateral medulla, leading to lateral medullary syndrome?

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

    Where does the anterior cerebral artery end by anastomosing with another artery?

    <p>Parieto-occipital sulcus</p> Signup and view all the answers

    Which artery supplies blood to internal structures of the cerebellum?

    <p>Superior cerebellar artery</p> Signup and view all the answers

    Which vein drains blood from the cerebral hemispheres?

    <p>Great cerebral vein</p> Signup and view all the answers

    Which branch of the basilar artery is responsible for supplying blood to the inner ear structures?

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

    Where do the two arterial systems, Carotid system and Vertebro-basilar system, anastomose?

    <p>At the Circle of Willis</p> Signup and view all the answers

    Which part of the Internal Carotid Artery (ICA) emerges through the roof of the cavernous sinus?

    <p>Cerebral Part</p> Signup and view all the answers

    Which artery divides into the Anterior Cerebral Artery (ACA) and Middle Cerebral Artery (MCA) opposite the anterior perforated substance?

    <p>Cerebral Part of ICA</p> Signup and view all the answers

    Where does the Vertebral Artery originate from?

    <p>First part of Subclavian Artery</p> Signup and view all the answers

    Which structure serves as an anastomotic channel for blood supply in the brain?

    <p>Circle of Willis</p> Signup and view all the answers

    In lateral medullary syndrome, which area of the brain is primarily affected?

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

    Study Notes

    Vertebral Artery

    • Ends at lower border of pons by joining the other vertebral artery to form basilar artery
    • 9 branches in 4th part:
      • Anterior spinal artery (single spinal artery)
      • Posterior spinal arteries
      • PICA (lateral medullary syndrome)
      • Medullary branches
      • Meningeal branches

    Basilar Artery

    • Begins by union of right and left vertebral arteries at lower border of pons
    • Ends by giving its two terminal branches: right and left posterior cerebral arteries (PCA) at the upper border of pons
    • Branches:
      • Anterior inferior cerebellar artery (AICA)
      • Pontine branches
      • Labyrinthine artery
      • Superior cerebellar artery
      • Two cerebellar arteries

    Circle of Willis

    • Definition: A large arterial anastomotic circle between the carotid and vertebrobasilar systems
    • Site: At the base of the brain in the interpeduncular cistern
    • Importance: Cerebral aneurysms usually occur on the Circle of Willis

    Cerebral Arteries

    Anterior Cerebral Artery (ACA)

    • Ends near the Parieto-occipital Sulcus (P.O.S.) by anastomosing with the posterior cerebral artery
    • Distribution:
      • Medial surface (all except occipital lobe supplied by PCA)
      • 1-2 cm of superolateral surface of frontal and parietal lobes
    • One large branch: artery of cerebral haemorrhage, which frequently ruptures causing haemorrhage and hemiplegia

    Posterior Cerebral Artery (PCA)

    • Origin: Terminal branch of basilar artery
    • Course: Receives the posterior communicating artery and turns around the cerebral peduncle to reach the tentorial surface of the brain
    • Distribution:
      • Lateral surface (occipital lobe + strip along lower border of hemisphere)
      • Medial surface (occipital lobe)
      • Inferior surface (tentorial part except temporal pole)
    • Applied anatomy:
      • Supplies visual areas of the contralateral ½ of both visual fields
      • Its occlusion leads to homonymous hemianopia with macular sparing
      • Supplies 5 important regions: visual cortex, centre of smell, thalamus, midbrain, and choroid plexuses

    Venous Drainage of the Brain

    • Superficial (external) veins: Drain the cortical surfaces of the cerebral hemisphere
    • Deep (internal) veins: Drain the interior of the cerebral hemisphere

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    Description

    Test your knowledge on the anatomy and branches of the vertebral artery and basilar artery. Identify the different branches of the vertebral artery and understand its course and functions in the brainstem. Explore the origin and terminal branches of the basilar artery in this quiz.

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