Cerebral circulation

18,613views

Cerebral circulation

M1 Beweging

M1 Beweging

Transient ischemic attack
Stroke: Clinical
Ischemic stroke
Cardiovascular system anatomy and physiology
Introduction to the cardiovascular system
Migraine
Migraine medications
Dizziness and vertigo: Clinical
Headaches: Clinical
Headaches: Pathology review
Seizures: Clinical
Anatomy of the brainstem
Tension headache
Cluster headache
Anatomy clinical correlates: Temporal regions, oral cavity and nose
Bruxism
Trigeminal neuralgia
Anatomy of the trigeminal nerve (CN V)
Sturge-Weber syndrome
Cranial nerves
Peripheral nervous system histology
Central nervous system histology
Ulnar claw
Anatomy clinical correlates: Median, ulnar and radial nerves
Brachial plexus
Vessels and nerves of the forearm
Carpal tunnel syndrome
Anatomy of the arm
Anatomy of the brachial plexus
Muscle weakness: Clinical
Polymyalgia rheumatica
Guillain-Barre syndrome
Demyelinating disorders: Pathology review
Parkinson disease
Anti-parkinson medications
Hypokinetic movement disorders: Clinical
Movement disorders: Pathology review
Seizures and epilepsy
Seizures: Pathology review
Nonbenzodiazepine anticonvulsants
Tourette syndrome
Fragile X syndrome
Hyperkinetic movement disorders: Clinical
Disorders of consciousness: Clinical
Consciousness
Meningitis
Meningitis, encephalitis and brain abscesses: Clinical
Neisseria meningitidis
Central nervous system infections: Pathology review
West Nile virus
Streptococcus pneumoniae
Back pain: Pathology review
Spinal disc herniation
Degenerative disc disease
Sciatica
Brain herniation
Dissociative disorders
Dissociative disorders: Clinical
Anatomy clinical correlates: Vertebral canal
Cauda equina syndrome
Spinal stenosis
Spinal cord reflexes
Spinal cord disorders: Pathology review
Tethered spinal cord syndrome
Ascending and descending spinal tracts
Anatomy of the ascending spinal cord pathways
Anatomy of the descending spinal cord pathways
Anatomy clinical correlates: Spinal cord pathways
Multiple sclerosis
Amyotrophic lateral sclerosis
Normal pressure hydrocephalus
Aqueductal stenosis
Chiari malformation
Dandy-Walker malformation
Congenital neurological disorders: Pathology review
Dementia and delirium: Clinical
Epidural hematoma
Epidural abscess
Subdural hematoma
Traumatic brain injury: Clinical
Adult brain tumors
Brain tumors: Clinical
Adult brain tumors: Pathology review
Neurofibromatosis
Pediatric brain tumors: Pathology review
Brown-Sequard Syndrome
Vertigo: Pathology review
Serotonin and norepinephrine reuptake inhibitors
DNA synthesis inhibitors: Fluoroquinolones
DNA synthesis inhibitors: Metronidazole
Tricyclic antidepressants
Anatomy of the blood supply to the brain
Brain abscess
Anatomy of the cerebral cortex
Motor cortex
Cerebral palsy
Cerebral circulation
Anatomy clinical correlates: Cerebral hemispheres
Cerebral vascular disease: Pathology review
Anatomy of the spinal accessory (CN XI) and hypoglossal (CN XII) nerves
Nervous system anatomy and physiology
Development of the muscular system
Vestibular transduction
Vestibulo-ocular reflex and nystagmus
Alport syndrome
Homocystinuria
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Anatomy and physiology of the eye
Eye and ear histology
Eye conditions: Retinal disorders: Pathology review
Anatomy of the eye
Eye conditions: Inflammation, infections and trauma: Pathology review
Development of the eye
Optic pathways and visual fields
Pediatric ophthalmological conditions: Clinical
Cataract
Glaucoma
Retinal detachment
Age-related macular degeneration
Diabetic retinopathy
Diabetic nephropathy
Anatomy clinical correlates: Eye
Uveitis
Photoreception
Congenital heart defects: Clinical
Congenital disorders: Clinical
Congenital gastrointestinal disorders: Pathology review
Club foot
Pediatric orthopedic conditions: Clinical
Osgood-Schlatter disease (traction apophysitis)
Lordosis, kyphosis, and scoliosis
Dislocated shoulder
Anatomy clinical correlates: Clavicle and shoulder
Patellofemoral pain syndrome
Rotator cuff tear
Bursitis
Seronegative and septic arthritis: Pathology review
Seronegative arthritis: Clinical
Rheumatoid arthritis: Clinical
Rheumatoid arthritis and osteoarthritis: Pathology review
Septic arthritis
Rheumatoid arthritis
Reactive arthritis
Psoriatic arthritis
Juvenile idiopathic arthritis
Subacute granulomatous thyroiditis
Radial head subluxation (Nursemaid elbow)
Anatomy of the knee joint
Meniscus tear
Anterior cruciate ligament injury
Osteoarthritis
Joint pain: Clinical
Temporomandibular joint dysfunction
Patellar tendon rupture
Muscle spindles and golgi tendon organs
Baker cyst
Deep vein thrombosis and pulmonary embolism: Pathology review
Spondylolysis
Spondylolisthesis
Lower back pain: Clinical
Spondylosis
Spondylitis
Muscles of the back
Legg-Calve-Perthes disease
Cleidocranial dysplasia
Metaplasia and dysplasia
Developmental dysplasia of the hip
Achilles tendon rupture
Charcot-Marie-Tooth disease
Anatomy of the foot
Joints of the ankle and foot
Flat feet
Genu valgum
Anatomy clinical correlates: Foot
Sprained ankle
Attention deficit hyperactivity disorder
Generalized anxiety disorder
Sleep disorders: Clinical
Major depressive disorder
Social anxiety disorder
Disruptive, impulse-control and conduct disorders: Clinical
Obsessive compulsive disorders: Clinical
Obsessive-compulsive disorder
Personality disorders: Clinical
Somatic symptom disorders: Clinical
Panic disorder
Mood disorders: Pathology review
Mood disorders: Clinical
Major depressive disorder with seasonal pattern
Cluster B personality disorders
Childhood and early-onset psychological disorders: Pathology review
Delirium
ADHD: Information for patients and families (The Primary School)
Psychomotor stimulants
Sympatholytics: Alpha-2 agonists
Neurodevelopmental disorders: Clinical
Autism spectrum disorder
Substance misuse and addiction: Clinical
Cocaine use disorder
Suicide
Opioid antagonists
Opioid agonists, mixed agonist-antagonists and partial agonists
Local anesthetics
Tobacco use disorder
Malingering, factitious disorders and somatoform disorders: Pathology review
Somatic symptom disorder
Cluster C personality disorders
Cluster A personality disorders
Eating disorders: Clinical
Body focused repetitive disorders
Delusional disorder
Schizophrenia spectrum disorders: Clinical
Schizophrenia
Lithium
Atypical antipsychotics
Typical antipsychotics
Schizophrenia spectrum disorders: Pathology review
Personality disorders: Pathology review
Disruptive, impulse control, and conduct disorders
Post-traumatic stress disorder
Trauma- and stress-related disorders: Pathology review
Stress
Anxiety disorders, phobias and stress-related disorders: Pathology Review
Selective serotonin reuptake inhibitors
Medications for neurodegenerative diseases
Atypical antidepressants
Anticonvulsants and anxiolytics: Benzodiazepines
Toxidromes: Clinical
Insomnia
Gout
Gout and pseudogout: Pathology review
Non-steroidal anti-inflammatory drugs
Antigout medications
Lupus nephritis
Systemic lupus erythematosus
Systemic lupus erythematosus (SLE): Clinical
Antiphospholipid syndrome
Fibromyalgia
Myalgias and myositis: Pathology review
Intracerebral hemorrhage
Subarachnoid hemorrhage

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.