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The arterial blood is supplied to the brain through two systems:
vertebral and carotid systems
The arteries course through the
subarachnoid space
Oxygenated blood reaches the carotid and vertebral through the
aorta
Anterior communicating artery
communication between the two hemispheres
Anterior choroidal artery
direct branch from internal carotid artery, supplies the choroid plexus of lateral ventricles
Common carotid artery
external carotid artery (goes to face and neck) and internal carotid artery
The aorta sends oxygenated blood to the
right carotid artery from the brachiocephalic trunk and left carotid artery from the aorta
Vertebral arteries arise from
the subclavian arteries
Internal carotid artery gives rise to 4 arteries:
ophthalmic (structures in orbit, forehead skin and nose bridge), retinal (retina), anterior cerebral (anterior cerebral hemisphere ipsilateral frontal portion). middle cerebral (ipsilateral, temporal, parietal, and frontal lobes)
Anterior communicating branch
connects anterior cerebral arteries of both brain hemispheres
Posterior communicating branch
connects the posterior cerebral arteries to the internal carotid arteries
Lenticulostriate artery
from middle cerebral artery, supplies the internal capsule and basal ganglia
Vertebral arterial system arises from the
subclavian arteries
The artery supplies to
brain stem, cerebellum, occipital lobe, parts of thalamus
Initial branches of vertebral arterial system are
posterior inferior cerebellar artery and anterior spinal artery
Basilar artery are
vertebral arteries from left and right join to form this, along the anterior ventral surface of the brain
Basilar artery from posterior to anterior
anterior inferior cerebellar arteries, labyrinthine arteries (supplies the inner ear) internal auditory, pontine arteries, superior cerebellar arteries, posterior cerebral arteries (supplies occipital region of ipsilateral side)
Cerebral arterial circle of willis
surrounds the pituitary, mammillary bodies and optic nerves
Arteries in circle of willis
anterior communicating, left anterior, left internal carotid, left posterior communicating, left posterior cerebral, and basilar artery
Areas and parts of the brain that the branches of the arteries innervate: anterior cerebral artery
anterior frontal lobe, medial structures, extends along corpus callosum
Areas and parts of the brain that the branches of the arteries innervate: middle cerebral artery
internal structures and lateral aspects of cerebrum, insula and lateral fissure
Areas and parts of the brain that the branches of the arteries innervate: posterior cerebral artery
occipital lobe, third and fourth lateral ventricles
Venous drainage
removing blood from the cranial activity, remove waste products, maintains the CSF volume and pressure in the head
Path of venous drainage
small veins on the surface of the brain, to dural venous sinuses (jugular foramen of the skull to internal jugular vein) and ophthalmic veins and facial veins
Parts of the auditory system
outer, middle, and inner ear
Outer ear
collects sound waves
Middle ear
tympanic cavity, contains 3 ossicles (malleus, incus, and stapes), ossicles conduct vibrations between tympanic membrane and oval window of inner ear and modify sound before it reaches cochlea, 2 muscles attached to the malleus (tensor tympani muscle) and stapes (stapedius muscle) can contract to reduce the vibration reaching the cochlea
Inner ear
osseus labyrinth, inside the temporal bone, containing fluid called perilymph, membranous labyrinth contains endolymph, houses the semicircular canals, vestibule containing utricle, saccule, and cochlea, communicates with middle ear through the oval window and round window, contains cochlea for hearing and vestibular apparatus for balance and positional sense
Auditory system pathway
hair cells to bipolar neurons to brainstem cochlear nuclei to MGN of thalamus to primary auditory cortex (Area 41) in superior temporal gyrus
Main layers of the eye
fibrous tunic (cornea and sclera), vascular tunic (choroid, iris, lens, and ciliary body), neural tunic (retina)
Main layers of the retina
optic nerve fiber layer (axons to optic nerve (II)), ganglion cell layer, inner plexiform layer, inner nuclear layer (bipolar, horizontal, and amacrine cells), photoreceptor cell layer
Eye accomodation
change of lens thickness to focus the light onto retina
Brain regions important in vision
primary visual cortex (area 17, occipital lobe), parietal cortex (‘where’ information), and lateral temporal cortex (details of the visual input such as letters, numbers, etc.)
Optic chiasm
both eyes visualize both sides of the visual field, optic tracts contain axons from contralateral visual field