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Blood Supply of The Brain
Blood Supply of The Brain
Terminal Branches
Middle Cerebral Artery:
bigger branch of the two terminal branches
It branches off frontal, parietal, and temporal branches supplying
primary motor and premotor cortex, frontal eye field, primary
somatosensary area. Left middle cerebral artery supplies
language center.
Occlusion of middle cerebral artery: paralysis of face, arm,
aphasia (language center)
Anterior Cerebral A
Occlusion of anterior cerebral artery
contralateral paralysis and sensory deficits
in the leg and perineum, urinary
incontinence. Often with mental confusion.
Vertebrobasilar system
Vertebral artery, branch from the subclavian
artery, joins together to form the basilar artery.
The latter artery splits into posterior cerebral
arteries.
Branches off the vertebral artery
1. spinal artery: anterior spinal artery: one
formed by branches from each vertebral artery
2. posterior spinal artery: one on each side
3 . posterior inferior cerebellar artery (PICA)
largest branch off vertebral artery, supplies
cerebellar hemisphere, inferior vermis, etc.
Basilar artery
Branches off basilar artery
1. anterior inferior cerebellar artery (AICA)
supplies inferior surface of the cerebellum
2. labyrinthine artery supplies the membranous
labyrinth of the internal ear
3. Pontine arteries supply pons and pontine
tegmentum
4. superior cerebellar artery supplies pons,
superior cerebellar peduncle, and inferior
colliculus, etc.
Basilar artery
Occlusion of basilar artery: basilar artery:
coma, die soon, loss control of respiration
center labyrinthine artery: deaf, vestibular
dysfunction (vertigo, fall)
Circle of Willis
Consists:
anterior communicating, anterior cerebral, internal carotid (short
segment), posterior communicating, and posterior cerebral
arteries. Normally not too much blood flow, could be served as
alternative route if one of the artery in occluded.