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Chapter 8
The Blood Supply of the CNS
42
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Undergraduate 2
09/22/2015

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Term
Is there a high or low degree of autoregulation of cerebral blood flow?
Definition
high (it is largely controlled by the local conditions in the nervous tissue)
Term
The blood-brain barrier is due mainly to special, selective properties of the _____
Definition
brain capillaries
Term
Broadly speaking, the _____ supplies most of the cerebral hemispheres, whereas the _____ supplies the brain stem & the cerebellum
Definition
internal carotid artery; vertebral artery
Term
communicating arteries
Definition
at the base of the skull; establish anastomoses between the posterior & the anterior cerebral circulations
Term
5 things encompassed in a "neurovascular unit"
Definition
1. neurons
2. glial cells
3. associated capillary-endothelial cells
4. basal lamina
5. pericytes
Term
2 conditions that cause marked vasodilatation & increase cerebral blood flow
Definition
1. hypoxia
2. hypercapnia
Term
What type of fibers innervate brain vessels (even though autonomic circulatory control seems to play a minor part in the brain)?
Definition
sympathetic fibers
Term
What cranial nerve brings the brain arteries sensory innervation?
Definition
trigeminal
Term
The trigeminal arterial innervation, along with the vascular serotonin receptors, is an important factor in the pain of _____ attacks
Definition
migraine
Term
Are there specific transport mechanisms for certain substances that the brain needs along the BBB?
Definition
yes! (it is not only a barrier intercalated between the blood & the brain)
Term
Are brain capillaries much less or much more permeable than capillaries in most other tissues?
Definition
much less (many small molecules cannot even pass the capillary wall)
Term
What kind of junctions form between endothelial cells of the BBB?
Definition
tight junctions
Term
Are there very few or very many endocytotic (pinocytotic) vesicles in the cytoplasm of endothelial cells in the CNS?
Definition
very few
Term
transporter molecules (P glycoprotein)
Definition
actively expel lipid-soluble molecules (such that enters by passive diffusion through the plasma membrane); exist in brain endothelial cells
Term
Can brain endothelial cells actively pump ions that are present in different concentration in the brain ECF & in the blood plasma?
Definition
yes!
Term
Are organic acids actively pumped in or out of the brain by a specific transporter?
Definition
out
Term
2 water-soluble substances that are taken up by active transport after binding to specific receptors in the endothelial membrane
Definition
1. glucose
2. amino acids
Term
GLUT1
Definition
the glucose transporter specific to brain capillaries
Term
2 kinds of macromolecules that are to a limited extent carried from blood plasma into the brain, probably by receptor-mediated transport
Definition
1. growth factors
2. cytokines
Term
Which circumventricular organ is found in the lower end of the fourth ventricle? Which lies in the roof of the third ventricle underneath the fornix close to the interventricular foramen?
Definition
area postrema; subfornical organ
Term
What area is associated with the vomiting reflex (elicited by toxic substances of the blood)?
Definition
area postrema
Term
Which area monitors the salt concentration of the blood?
Definition
subfornical organ
Term
Which area responds to circulating peptides involved in regulating energy balance?
Definition
subfornical organ
Term
Does the median eminence in the hypothalamus have a BBB?
Definition
no!
Term
2 endocrine glands from the brain that lack a BBB
Definition
1. posterior pituitary
2. pineal body
Term
3 branches of the internal carotid artery
Definition
1. ophthalamic artery (passes to orbit through the optic canal & does not supply the brain itself)
2. anterior cerebral artery (runs forward over the optic nerve & along the medial aspect of the hemisphere)
3. middle cerebral artery (the largest branch)
Term
Where does the central retinal artery enter the eye & what part of the eye does it supply?
Definition
enters through the optic nerve; supplies the retina
Term
The deep parts of the cerebrum (most of the basal ganglia & the internal capsule) receive their own branches from the middle cerebral artery, _____, & by a separate branch of the internal carotid artery, the _____
Definition
lenticulostriate arteries; anterior choroid artery
Term
How does the vertebral artery enter the posterior fossa?
Definition
ascending through the transverse foramina of the cervical vertebrae
Term
basilar artery
Definition
arises when the vertebral arteries of the two sides unite at the lower level of the pons to form
Term
posterior inferior cerebellar artery
Definition
supplies the lateral part of the medulla & inferior parts of the cerebellar hemispheres; branch of the vertebral artery
Term
anterior inferior cerebellar artery
Definition
supplies lateral parts of the pons & parts of the cerebellum; branch of the vertebral artery
Term
superior cerebellar artery
Definition
supplies the dorsal aspect of the cerebellum & parts of the pons & the mesencephalon; branch of the vertebral artery
Term
labyrinthine artery
Definition
a small branch from the anterior inferior cerebellar artery
Term
perforator arteries
Definition
several thin branches of the vertebral artery that penetrate the brain stem from the basilar artery along its course
Term
posterior cerebral arteries
Definition
2 end branches of the basilar artery that arise at the upper end of the pons
Term
In general, the arteries of the cord are arranged with one artery running in the midline anteriorly, the _____, & one on each side running along the rows of posterior roots, the _____
Definition
anterior spinal artery; posterior spinal arteries
Term
venous sinuses
Definition
formed by folds of the dura; all of the veins empty here; large spaces
Term
What kinds of veins are at the dorsal parts of the hemispheres & run upward & medially & empty into the large superior sagittal sinus in the upper margin of the falx cerebri?
Definition
superficial veins
Term
Where does the sigmoid sinus (forms the direct continuation of the transverse sinus) empty into?
Definition
the internal jugular vein at the jugular foramen
Term
Most of the blood of what kind of veins collects in the great cerebral vein of Galen?
Definition
deep cerebral veins
Term
confluence region
Definition
where the straight sinus drains into the superior sagittal sinus; from which the transvers sinus originates
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