Neurology (Blood Supply)

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Neurology (Blood Supply)
2013-09-18 11:52:02
Brain SLP neuro

General Info about blood supply to the brain
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  1. The two subclavian artery branches from the aorta into:
    • 1. Carotid Artery
    • 2. Vertebral Artery
  2. The vertebral artery supplies:
    Brainstem, spinal cord, some cerebrum
  3. The carotid arteries supply:
    • 1. The cerebrum (internal)
    • 2. The face (external)
  4. At the level of the temporal lobe, the carotid branches into:
    • 1. Anterior Cerebral Artery (ACA)
    • 2. Middle Cerebral Artery (MCA)
  5. The ACA supplies:
    The medial (and superior) surface of the cerebral hemispheres, part of the frontal, and the corpus striatum.
  6. If blockage occurs in the ACA...
    You could loose lower body motor and sensory functions, and motor/cognition loss (hint: corpus striatum is made of...)
  7. The MCA supplies:
    • Lateral aspect of each hemisphere: 
    • cortical areas for speech
    • swallowing
    • language
    • audition
    • muscles of face
    • basal ganglia
    • internal capsule
    • thalamus
  8. If there is a blockage in the MCA...
    The damage will most likely result in aphasia.
  9. Is the MCA more or less susceptible to hemorrhage?
    More, this artery's branches are thin and the blood pressure is high.
  10. 1. Vertebral arteries extend to brain via: 

    2. they travel along the _____ supplying the ______:

    3. When the Vertebral arteries meet, the ______ is formed, which supplies the ________ &_________.
    • 1. The Foramin Magnum
    • 2. brainstem, medulla
    • 3. Basilar Artery, pons, cerebellum
  11. 1. The basilar artery bifurcates into the: 
    2. Which supplies portions of the _______ & ________ lobes, the ________ & _________ & ___________
    • 1. Posterior Cerebral Arteries
    • 2. Occipital, temporal, midbrain, thalamus, hypothalamus
  12. 1. Is it likely that the basilar artery would have a blockage?
  13. If a blockage was to occur in the posterior cerebral arteries, what damage might occur?
    Damage to the visual processing functions, and damage to the brain stem, which in turn means damage to cranial nerves (10 of 12 nuclei located in brain stem)
  14. where do the carotid and vertebral systems meet?
    Circle of Willis
  15. What connect the major systems, and what are they known as?
    Communicating arteries, known as anastomoses.
  16. What do the anastomoses make possible?
    Collateral Circulation. This allows blood to flow through an alternate route, in hopes that in the event of an occlusion, the deprived area would still receive blood.
  17. Blood from the ______ and ______ system generally do not mix, but if a _______  occurs, blood will flow between these systems via the __________
    • 1. Carotid
    • 2. Basilar
    • 3. blockage
    • 4. anastomoses (communication arteries)
  18. Areas between major cerebral arteries (vascular supplies) are boundary zones known as _________
    Watershed Areas
  19. Watershed regions are particularly susceptible to _______ and ________ resulting in disorders like ____________.
    • 1. infarctions
    • 2. ischemias 
    • 3. transcortical sensory aphasia
  20. 1. The blood-brain barrier serves as a: 
    2. it is __________ allowing... 
    3. Endothelial cells have ____ but they are tightly packed, making it very the barrier difficult to pass through
    4. _______ or ________ can disrupt the blood-brain barrier
    • 1. Protective mechanism
    • 2. semi-permeable, oxygen to pass but not other substances
    • 3. gaps
    • 4. A tumor, meningitis
  21. Cerebral veins empty used blood into the ___________ which takes blood back to the ________ via the ____________.
    • 1. Dural Sinuses (all three connected)
    • 2. Heart
    • 3. Jugular vein
  22. Occlusions/vascular problems in the veins/dural sinuses are:
    rare, there are many functional anastomoses in this area
  23. Interruption in the blood supply:
    Stroke or CVA
  24. Ischemia:
    Blood does not flow to a portion of the brain (caused by an occlusion of the artery)
  25. 1. Hemorrhage
    2. Stenosis
    • 1. bleeding into the brain tissue, results when a weakened artery ruptures. 
    • 2. hardening/narrowing of the artery
  26. Necrosis
    death of a portion of brain tissue
  27. Infarct
    Necrotic region of tissue
  28. Tissue plasminogen activator (TPA):
    • 1. Only FDA approved drug for ischemic strokes
    • 2. clot breaking drug 
    • 3. has a time limit (within 3 hours)
    • 4. 3% of stroke victims receive this
  29. 1. Thrombus
    2. Embolism
    • 1. blood clot formed within a vessel
    • 2. part of blood clot that travels in the bloodstream
  30. Four general locations for hemorrhage:
    • 1. Intracerebral
    • 2. Subarachnoid
    • 3. Subdural
    • 4. Epidural
  31. Aneurysm
    Balloon like swelling of arterial walls, tend to happen at points of bifurcation. Can be caused by metabolic disorders, congenital defects, trauma, tumors, high blood pressure
  32. Arteriovenous Malformation (AVM)
    congenital disorder in which large connections exist between arteries and veins (tangle of arteries), they tend to grow over time and can result in neurological problems.