Cerebral circulation

18,627views

Cerebral circulation

1st BLOK

1st BLOK

Introduction to the somatic and autonomic nervous systems
Introduction to the central and peripheral nervous systems
Bones of the cranium
Anatomy of the cranial base
Anatomy of the cerebral cortex
Anatomy of the cerebellum
Anatomy of the cranial meninges and dural venous sinuses
Anatomy of the brainstem
Anatomy of the basal ganglia
Anatomy of the white matter tracts
Anatomy of the limbic system
Anatomy of the blood supply to the brain
Anatomy of the diencephalon
Anatomy of the vertebral canal
Anatomy of the descending spinal cord pathways
Anatomy clinical correlates: Vertebral canal
Anatomy clinical correlates: Spinal cord pathways
Introduction to the cranial nerves
Cranial nerve pathways
Anatomy of the olfactory (CN I) and optic (CN II) nerves
Anatomy of the oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves
Anatomy of the trigeminal nerve (CN V)
Anatomy of the facial nerve (CN VII)
Anatomy of the glossopharyngeal nerve (CN IX)
Anatomy of the spinal accessory (CN XI) and hypoglossal (CN XII) nerves
Anatomy of the vagus nerve (CN X)
Anatomy of the brachial plexus
Anatomy of the muscles and nerves of the posterior abdominal wall
Vessels and nerves of the gluteal region and posterior thigh
Anatomy clinical correlates: Median, ulnar and radial nerves
Development of the nervous system
Central nervous system histology
Peripheral nervous system histology
Nervous system anatomy and physiology
Neuron action potential
Cerebral circulation
Blood brain barrier
Cerebrospinal fluid
Cranial nerves
Ascending and descending spinal tracts
Motor cortex
Pyramidal and extrapyramidal tracts
Muscle spindles and golgi tendon organs
Spinal cord reflexes
Sensory receptor function
Somatosensory receptors
Somatosensory pathways
Sympathetic nervous system
Adrenergic receptors
Parasympathetic nervous system
Cholinergic receptors
Enteric nervous system
Body temperature regulation (thermoregulation)
Hunger and satiety
Cerebellum
Basal ganglia: Direct and indirect pathway of movement
Memory
Sleep
Consciousness
Learning
Stress
Language
Emotion
Attention
Spina bifida
Chiari malformation
Dandy-Walker malformation
Syringomyelia
Tethered spinal cord syndrome
Aqueductal stenosis
Septo-optic dysplasia
Cerebral palsy
Spinocerebellar ataxia (NORD)
Transient ischemic attack
Ischemic stroke
Intracerebral hemorrhage
Epidural hematoma
Subdural hematoma
Subarachnoid hemorrhage
Saccular aneurysm
Arteriovenous malformation
Broca aphasia
Wernicke aphasia
Wernicke-Korsakoff syndrome
Kluver-Bucy syndrome
Concussion and traumatic brain injury
Shaken baby syndrome
Seizures and epilepsy
Febrile seizure
Early infantile epileptic encephalopathy (NORD)
Tension headache
Cluster headache
Migraine
Idiopathic intracranial hypertension
Trigeminal neuralgia
Cavernous sinus thrombosis
Alzheimer disease
Vascular dementia
Frontotemporal dementia
Dementia with Lewy bodies
Creutzfeldt-Jakob disease
Normal pressure hydrocephalus
Torticollis
Essential tremor
Restless legs syndrome
Parkinson disease
Huntington disease
Opsoclonus myoclonus syndrome (NORD)
Multiple sclerosis
Central pontine myelinolysis
Acute disseminated encephalomyelitis
Transverse myelitis
JC virus (Progressive multifocal leukoencephalopathy)
Adult brain tumors
Acoustic neuroma (schwannoma)
Pituitary adenoma
Pediatric brain tumors
Brain herniation
Brown-Sequard Syndrome
Cauda equina syndrome
Treponema pallidum (Syphilis)
Vitamin B12 deficiency
Friedreich ataxia
Neurogenic bladder
Meningitis
Neonatal meningitis
Encephalitis
Brain abscess
Epidural abscess
Sturge-Weber syndrome
Tuberous sclerosis
Neurofibromatosis
von Hippel-Lindau disease
Amyotrophic lateral sclerosis
Spinal muscular atrophy
Poliovirus
Guillain-Barre syndrome
Charcot-Marie-Tooth disease
Bell palsy
Winged scapula
Thoracic outlet syndrome
Carpal tunnel syndrome
Ulnar claw
Erb-Duchenne palsy
Klumpke paralysis
Sciatica
Myasthenia gravis
Lambert-Eaton myasthenic syndrome
Orthostatic hypotension
Horner syndrome
Congenital neurological disorders: Pathology review
Headaches: Pathology review
Seizures: Pathology review
Cerebral vascular disease: Pathology review
Traumatic brain injury: Pathology review
Spinal cord disorders: Pathology review
Dementia: Pathology review
Central nervous system infections: Pathology review
Movement disorders: Pathology review
Neuromuscular junction disorders: Pathology review
Demyelinating disorders: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors: Pathology review
Neurocutaneous disorders: Pathology review
Cholinomimetics: Direct agonists
Cholinomimetics: Indirect agonists (anticholinesterases)
Muscarinic antagonists
Sympathomimetics: Direct agonists
Sympatholytics: Alpha-2 agonists
Adrenergic antagonists: Presynaptic
Adrenergic antagonists: Alpha blockers
Adrenergic antagonists: Beta blockers
Anticonvulsants and anxiolytics: Barbiturates
Anticonvulsants and anxiolytics: Benzodiazepines
Nonbenzodiazepine anticonvulsants
Migraine medications
General anesthetics
Local anesthetics
Neuromuscular blockers
Anti-parkinson medications
Medications for neurodegenerative diseases
Opioid agonists, mixed agonist-antagonists and partial agonists
Opioid antagonists

Transcript

Watch video only

With cerebral circulation, cerebral stands for "brain," and circulation, refers to “blood flow.”

So, cerebral circulation is the movement of blood through the vessels that supply the brain and surrounding structures.

Our brain is responsible for complex functions such as thinking, feeling, memory, movement, vision, and speech.

Therefore, some of the devastating effects of oxygen deprivation to the brain include strokes, seizures, coma, and even death.

As a result, the brain requires a very efficient cerebral circulation to provide oxygen and nutrients, and remove carbon dioxide and wastes.

Now, like any other organ in the body, the blood supply to the brain, originates from the aorta.

Arising from the heart’s left ventricle, it goes on to form the aortic arch. Here, the brachiocephalic artery, originates first.

This branch gives off the right subclavian artery and the right common carotid artery.

Then a bit further along the aortic arch, the left common carotid artery arises, followed by the left subclavian artery.

The subclavian arteries give off right and left vertebral arteries, which ascend through the intervertebral feramina up to the brain.

Because the consequences of hypoxia to the brain are so devastating, the brain is safeguarded by having a dual circulation, an anterior circulation, originating from the carotids, and a posterior circulation, originating from the vertebral arteries.

The two circulations eventually meet up, creating what’s known as the circle of Willis.

Alright, the anterior circulation starts in the neck, where the common carotid splits into the external and internal branches, the internal carotid arteries, passes through the carotid canal of the temporal bone of the skull and into the cranial cavity to supply the brain.

Once, it enters the cranial cavity, the internal carotid artery gives off branches. First are the middle cerebral arteries that supply blood to the temporal and parietal lobes.

Second are the anterior cerebral arteries, which provide to the midline portions of the frontal lobes and superior medial parietal lobes of the brain.

Both anterior cerebral arteries are connected through the anterior communicating artery, forming the anterior portion of the circle of willis.

The posterior circulation starts with the vertebral arteries,which head up towards the cranium through the transverse foramina of the cervical vertebrae and then through the foramen magnum into the cranial cavity.

Key Takeaways

The cerebral circulation is responsible for delivering oxygen and nutrients to the brain and removing carbon dioxide and other waste products. To ensure an uninterrupted blood supply to the brain, cerebral circulation consists of anterior and posterior parts. These two circulations, together, form a network of vessels known as the arterial circle of Willis. The anterior circulation consists of the internal carotid arteries and branches, which are the middle and anterior cerebral arteries. The anterior communicating artery connects the two anterior cerebral arteries.

The posterior circulation comes from the two vertebral arteries, which merge into the basilar artery and split into posterior cerebral arteries. Posterior cerebral arteries give off the left and right posterior communicating arteries, which then merge with the internal carotid arteries. Venous blood drains into the dural sinuses, which empty into the jugular veins and return to the heart through the superior vena cava.