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Ardila Chapter 6
Neuro Basis Chapt 6
51
Anatomy
Graduate
10/04/2009

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Term
Name the 2 blood systems thru the brain
Definition
Carotid and Vertebral Systems
Term
Be able to draw the circle of willis
Definition
Term
Describe the Carotid System
Definition
The common carotid artery goes to the aorta. Has the Internal and external carotid artery
Term
Describe the Internal Carotid Artery
Definition
Enters into the brain; participates in supplying blood to the brain. Subdivides into the middle and anterior cerebral artery
Term
Describe the External Carotid Arter
Definition
regulates the external aspect of the head (skull and face)
Term
Describe the Vertebral System/Vertebral BAislar System
Definition
participates by supplying the brainstem and parts of the cerebrum and spinal cord; enters the brain thru the posterior cerbral artery
Term
The blood supply is provided thru which 3 arteries
Definition
The Anterior cerbral arterie and the middle Cerebral Artery and the Posterior cerbral arteries
Term
Describe the Anterior Cerebral Artery
Definition
2 Artieries right/left and middle cerebral arter (2 arteries right/left); originate in the internal carotid artery
Term
Describe the Posterior Cerebral Artery
Definition
2 arteris right/left that originate in vertebral artery thru the basilary artery; divides in the posterior artery
Term
Describe the convexity of cerebellum
Definition
the blood supply is provided by the middle cerebral artery; most of the convexity of cerebellum hemispheres
Term
How many anterior communicating artery
Definition
There is one of this artery
Term
How many posterior communicating arteries
Definition
2 that joins the carotid vertbral system and vertebral system
Term
What does the ophthalmic Artery do
Definition
Blood to the eye area
Term
What is the Circle of Willis
Definition
Intercommunication of the blood supply by the joining of the anterior system and posterior system
Term
Where is the pituitary gland situated
Definition
Situated in the center of the circle of willis
Term
What is above the pituitary gland
Definition
The optic chiasm
Term
What is the territory of the middle cerebral artery
Definition
Is irrigating most of the convexity (80%) of the brain (hemispheres); frontal, parietal, temporal lobes; language areas of the brain
Term
What is the territory fo the anterior cerebral artery
Definition
It's territory is of the upper temporal and frontal and upper parietal lobe
Term
What is the territory of the posterior cerebral artery
Definition
It corresponeds to the basal (lower parts) of the temporal lobe and the occipital lobe
Term
What are the Middle temporal subdivisions
Definition
sending blood to most convexities of the hemispheres. are named according to the specific locatio of the brain
Term
What are the perforating arteries
Definition
AKA lenticular arteries that are branches that run deep into the brain and supplies blood to the convexity of the brain going to the basal ganglia
Term
Where is the Anterior communicating artery located
Definition
at the base of the frontal lobe
Term
What is the Basal ganglia
Definition
A collection of cells that are responsible for motor activity
Term
What are the arteries of the circle of willis
Definition
Anterior communicating artery (1), Anterior cerebral artery (2), Posterior communicating artery (2), Posterior Cerebral Artery (2)
Term
What is the function of the cranial venous sinuses
Definition
participates to remove the blood from the brain
Term
Where is the superior sagittal sinus located
Definition
It is situated btw the 2 hemispheres
Term
What is a cerebravascular Accident or Stroke
Definition
an abnormality in the normal circulation of blood in the brain; one of the major reason why people die
Term
What are the 2 highes caused of adult deat
Definition
CVA and cancer
Term
What are some CVA stats
Definition
USA 500.000 new cases every year, 10% of deaths; 80% survive, 10year survival rate is about 50%
Term
What are the stroke-risk factors
Definition
Hypertension and age, cardiac disease, diabetes, contraceptives, obesity, smoking
Term
What is a stroke
Definition
A type of cardiovascular dissease. affects the arteris leading to and within the brain. Occurs when a blood vessel carries oxygen and nutrients to the brain is either blocked by a clot or bursts. If brain cannot get blood (oxygen), it starts to die
Term
How long will it take the brian to die after the lack of oxygen
Definition
5-10 minutes
Term
What are the 2 possiblities in a stroke type
Definition
Obstruction; bleeding
Term
What are the 2 types of vascular disorders
Definition
Occlusive(Ischemic) and Hemorrhagic
Term
What are the two kinds of occlusive/ischemic vascular disorders
Definition
Thrombosis and Embolism
Term
What does Occlusive or Ischemic mean
Definition
Insufficient blood supply to the brain
Term
Describe Thrombosis
Definition
Occlusion of a vessel from a clot attached to an overgrown vessel wall; the vessel becomes too narrow thus the blood cannont flow thru the vessel (common among Asians)
Term
Describe embolism
Definition
Occlusion of a vessel by material floating in arterial system
Term
Describe what Hemmorrhagic is
Definition
A rupture of a vessel into the cerebral tissue
Term
What are the types of a Hemorrhagic Disorder
Definition
Subarachnoid hemmorage; intracerebral hemmorrage; arterviovenous malformations
Term
What is a dubarachnoid hemmorrhage
Definition
A berry aneurism is an enlargment of an artery bleeding in the subarachnoid space, the walls of the vessels stretch and become thinner and likely to rupture
Term
What is an intracerebral hemmorrhage
Definition
Inside the brain (from hypertension) that occurs at thae basal ganglia
Term
What are Artervivenous malformations
Definition
abnormal branching (small artery) occurs btw the posterior and middle cerebral arteries and btw anterior and middle cerebral arteries
Term
I a persor born with or without malformations (artervivenous)
Definition
Yes and one can live with malformation
Term
What is brain engart
Definition
When part of the brain dies from lack or insufficient bloody supply (embolic stroke)
Term
What kind of flow is the anterior cerebral artery
Definition
Collateral flow
Term
What is Ischemic Penumbra
Definition
gradient of necrotic death, apoptotic death and tissue survival
Term
What happens to the Ischemic core during Ischemic Penumbra
Definition
Necrotic cell death
Term
What is the diagnosis and treatment of Ischemic Penumbra
Definition
Manifestations depend on the area of the brain, transient ischemic attack, initialy hypotonicity 4-48 hours later spasticity (cortical damage); initally fast recovery, anticoagulants; muscular actions, therapy dependent on loss of brain area
Term
What is a transient Ischemic Attack
Definition
occlusion that lasts around 24 hours
Term
What are the two types of Ischemic Penumbra
Definition
non-functional or death
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