Vertebrobasilar System Quiz
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Questions and Answers

Which arteries form the anterior part of the Circle of Willis?

  • Basilar artery
  • Posterior cerebral arteries
  • Anterior cerebral arteries (correct)
  • Posterior communicating artery
  • What is the primary function of the Circle of Willis?

  • To supply blood to the pons
  • To provide oxygen directly to the brainstem
  • To act as an alternative route for collateral circulation (correct)
  • To drain blood from the cerebellum
  • Which artery supplies the majority of the superolateral surface of the cerebrum?

  • Basilar artery
  • Anterior cerebral artery
  • Posterior cerebral artery
  • Middle cerebral artery (correct)
  • What is supplied by the anterior cerebral artery in relation to the motor area?

    <p>Upper two thirds of the lower limb</p> Signup and view all the answers

    What condition might result from occlusion of the middle cerebral artery?

    <p>Loss of voluntary movements of the head and neck</p> Signup and view all the answers

    Which artery primarily supplies the cerebellum?

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

    The posterior communicating artery connects which two arterial systems?

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

    What is the primary function of the cortical branches of cerebral arteries?

    <p>To supply the outer portion of the cerebrum</p> Signup and view all the answers

    Which of the following arteries provides blood supply primarily to the midbrain?

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

    What do the vertebral arteries form upon uniting at the lower border of the pons?

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

    Which artery supplies the anterior portion of the inferior surface of the cerebellum?

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

    Which artery does NOT arise from the vertebral artery?

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

    What does the internal carotid artery divide into at the anterior perforated substance?

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

    Which artery is most susceptible to thrombosis due to its long subarachnoid course and relatively small lumen?

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

    Which artery supplies the structures of the orbit, including the eyeball?

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

    What branches from the basilar artery primarily supply the pons?

    <p>Pontine branches</p> Signup and view all the answers

    What is the primary function of the posterior cerebral artery?

    <p>Supply the inferior surface of the cerebrum</p> Signup and view all the answers

    Which of the following arteries does NOT branch from the vertebral artery?

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

    Which artery connects the two anterior cerebral arteries?

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

    Study Notes

    Vertebrobasilar System

    • The vertebral arteries (4th part) enter the skull through the foramen magnum and merge at the pons' lower border to form the basilar artery.
    • The basilar artery travels along the pons' ventral surface and splits into right and left posterior cerebral arteries at its upper border.

    Vertebral Artery Branches

    • Two posterior spinal arteries
    • Anterior spinal artery: Two branches from each vertebral artery, joining to form a single artery.
    • Posterior inferior cerebellar artery
    • Meningeal branches: Supply the dura mater in the posterior cranial fossa.
    • Medullary arteries: Supply the medulla oblongata.

    Basilar Artery Branches

    • Pontine branches: Supply the pons.
    • Anterior inferior cerebellar artery: Supplies the anterior portion of the cerebellum's inferior surface.
    • Internal auditory (Labyrinthine) artery: Enters the internal auditory meatus to supply the inner ear.
    • Superior cerebellar artery: Supplies the cerebellum's superior surface.
    • Posterior cerebral artery: Curves around the cerebral peduncle, supplying the cerebrum's inferior surface. It passes through the precalcarine sulcus.

    Internal Carotid Artery (Cerebral Part)

    • Enters the cranial cavity via the carotid canal.
    • Travels through the cavernous sinus.
    • Ends at the anterior perforated substance, splitting into the middle cerebral artery and anterior cerebral artery.

    Internal Carotid Artery Branches

    • Opthalmic artery: Supplies orbital structures, including the eyeball.
    • Posterior communicating artery: Runs backward and connects (anastomoses) with the posterior cerebral artery.
    • Anterior choroidal artery: Forms the choroid plexus of the lateral ventricle.
    • Anterior cerebral artery: Runs forward above the optic nerve, communicates with its partner via the anterior communicating artery, and supplies the cerebrum's medial surface.
    • Middle cerebral artery: Courses laterally through the lateral sulcus, then upward in the posterior ramus, supplying the cerebrum's superolateral surface.

    Circle of Willis (Circulus Arteriosus)

    • A network of anastomoses (connections) between branches of the basilar, internal carotid, and vertebral arteries.
    • Location: Interpeduncular fossa.
    • Formation: Formed by the anterior communicating artery and anterior cerebral arteries anteriorly; the basilar artery splitting into two posterior cerebral arteries posteriorly; and the posterior communicating artery on each side.
    • Significance: Provides a backup blood supply in case one major artery is blocked.

    Arterial Supply of the Brainstem, Cerebellum, and Cerebrum

    • Medulla: Supplied by two vertebral arteries, anterior and posterior spinal arteries, anterior and posterior inferior cerebellar arteries, and the basilar artery.
    • Pons: Supplied by numerous branches from the basilar artery and the anterior inferior cerebellar artery.
    • Midbrain: Supplied by posterior cerebral artery, superior cerebellar artery, direct branches from the basilar artery, posterior communicating artery, and anterior choroidal artery.
    • Cerebellum: Superior surface: superior cerebellar artery; Inferior surface: anterior part by anterior inferior cerebellar artery, posterior part by posterior inferior cerebellar artery.
    • Cerebrum:
      • Superolateral surface: Primarily supplied by the middle cerebral artery, except for a narrow strip adjacent to the superomedial border (anterior cerebral artery) and a narrow strip along the lower temporal and occipital border (posterior cerebral artery). Temporal pole is supplied by middle cerebral artery.
      • Medial surface: Primarily supplied by the anterior cerebral artery, except for the temporal pole (middle cerebral artery) and the occipital lobe (posterior cerebral artery).
      • Inferior surface: Primarily supplied by the posterior cerebral artery, except for the lateral orbital surface of the frontal lobe, and the temporal pole (middle cerebral artery) and the medial part of the frontal lobe orbital surface (anterior cerebral artery).

    Cerebral Artery Branches

    • Cortical branches: Supply the outer portion of the cerebrum.
    • Central branches: Supply internal structures (e.g., corpus callosum, internal capsule).
    • Choroidal branches: Supply choroid plexuses within the ventricles.

    Applied Anatomy (Motor and Sensory Areas)

    • Motor area (4):
      • Upper third: Anterior cerebral artery.
      • Lower two-thirds: Middle cerebral artery.
      • Implications of occlusion: Anterior cerebral artery – lower limb/perineal movement issues; Middle cerebral artery – head, neck, arm movement issues.
    • Sensory area (3,1,2):
      • Upper third: Anterior cerebral artery.
      • Lower two-thirds: Middle cerebral artery.
      • Implications of occlusion: Anterior cerebral artery – lower limb/perineal sensation issues; Middle cerebral artery – head, neck, arm sensation issues.

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    Description

    Test your knowledge on the vertebrobasilar system, focusing on the anatomy and branches of the vertebral and basilar arteries. This quiz covers the important structures supplied by these arteries, including the spinal and cerebral regions. Challenge yourself to recall key details about this vital circulatory component of the brain.

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