cerebrovascular anatomy 1

Upload: agnes-claudia

Post on 03-Jun-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/12/2019 Cerebrovascular Anatomy 1

    1/15

    Cerebrovascular Anatomy

    M. Christopher Wallace M.D.The Toronto Western Hospital,

    University Health NetworkUniversity of Toronto

    Postgraduate Lecture SeriesDivision of Neurosurgery

    Friday October 6, 2000

  • 8/12/2019 Cerebrovascular Anatomy 1

    2/15

    Collateral Circulation

    Circle of Willis Variation Leptomeningeal

    Collateral

  • 8/12/2019 Cerebrovascular Anatomy 1

    3/15

    Cerebral Autoregulation

    Maintenance of blood flow during variation

    in blood pressure Change in blood flow related to metabolic

    activity

  • 8/12/2019 Cerebrovascular Anatomy 1

    4/15

    Mechanism for Cerebral

    Autoregulation?

    Myogenic Neurogenic Metabolic

  • 8/12/2019 Cerebrovascular Anatomy 1

    5/15

    Measurement of Cerebral Blood

    Flow Seymour Kety

    Delivery of blood flow to given wt of brain pertime period 50ml/100grams/minute

    Brain takes 12-15% of cardiac output

  • 8/12/2019 Cerebrovascular Anatomy 1

    6/15

    Internal Carotid Artery Divisions: cervical, petrous, cavernous,

    infraclinoid, supraclinoid Branches: meningohypophyseal trunk

    dorsal meningeal artery, tentorial artery, inferiorhypophyseal

    artery of the inferior cavernous

    sinus capsular arteries of McConnell

  • 8/12/2019 Cerebrovascular Anatomy 1

    7/15

    Internal Carotid Artery

  • 8/12/2019 Cerebrovascular Anatomy 1

    8/15

  • 8/12/2019 Cerebrovascular Anatomy 1

    9/15

    Internal Carotid Artery Supraclinoid Branches

    Ophthalmic Posterior communicating Anterior choroidal

    Bifurcation

  • 8/12/2019 Cerebrovascular Anatomy 1

    10/15

  • 8/12/2019 Cerebrovascular Anatomy 1

    11/15

    Middle Cerebral Artery Variation Divisions (M1-M4)

    Lenticulostriate arteries medial lateral

    putamen, caudate, supinternal capsule

  • 8/12/2019 Cerebrovascular Anatomy 1

    12/15

  • 8/12/2019 Cerebrovascular Anatomy 1

    13/15

  • 8/12/2019 Cerebrovascular Anatomy 1

    14/15

    Anterior Cerebral Artery Variation Divisions (A1-A4) Anterior communicating artery

    Lamina terminalis, septal region,fornix, preoptic/hypothalamus

    Recurrent artery of Heubner

    Anterior putamen, pallidum andinternal capsule

  • 8/12/2019 Cerebrovascular Anatomy 1

    15/15