cerebrovascular system- chapter 31

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common carotid arteries supply

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73 Terms

1

common carotid arteries supply

head and neck

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2

right CCA branches off

brachiocephalic artery

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3

left CCA branches off

aortic arch

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4

brachiocephalic artery also known as

innominant artery

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5

CCA bifurcates into

ICA and ECA

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6

ICA supplies blood to

brain and eyes

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7

ECA supplies blood to

face and scalp

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8

vertebral arteries arise off

subclavian artery

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9

vertebral arteries join to form the basilar artery is called

vertebrobasilar circulation

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10

verts are often asymmetrical where ___ vert is larger

left

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11

subclavian arteries enter the skull through

foramen magnum

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12

ICA and ECA bifurcate

mid cervical region

upper border of thyroid cartilage

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13

T/F verts are largest in 1st branches of subclavian artery

true

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14

right CCA is lateral to

medial thyroid lobe

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15

CCA should have ___ waveform with __

more resistive, sharp upstroke

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16

ECA is more medial to __ and more __

ICA, superficial

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17

ECA originates in

upper border of thyroid cartilage

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18

ECA supplies blood to

highly resistive vascular bed

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19

ECA has no significance to cerebral circulation except

cerebral or vertebral occlusive diseases

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20

blockages to cerebral/vertebral circulation → __ becomes source of collateral flow

ECA

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21

branch that can be seen off of ECA to know you’re in the right spot

superior thyroid artery

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22

ICA originates at

upper border of thyroid cartilage

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23

ICA supplies blood to the

brain

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24

ICA has a

low resistive vascular bed

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25

ICA enters skull via

carotid canal → PETERIS SEGMENT

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26

the cavernous segment is also known as the

carotid siphon

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27

first major branch of ICA

ophthalmic

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28

most distal segment of ICA

cerebral segment

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29

another name for cerebral segment

supraclenoid segment

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30

vertebral artery arise from __ and enter skull from __

proximal subclavian artery

foramen magnum

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31

vertebral arteries supply blood to

posterior portion of the brain

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32

verts run __ through transverse processes of

superiorly

cervical vertebrae

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33

verts have what kind of flow?

low resistive forward flow

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34

circle of vessels that lie at the base of the brain connecting the anterior/posterior circulations

circle of willis

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35

circle of willis acts as what when disease is present?

collaterals

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36

if disease is present anteriorly in the brain then which portion will provide blood to the area?

posterior

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37

connected by anterior communicating arteries

anterior cerebral arteries

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38

originate at terminal ICA on both sides

middle cerebral artery

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39

terminal branches of basilar artery

2 posterior cerebral branches

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40

connect posterior cerebral artery to middle cerebral artery

posterior communicating arteries

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41

provides visualization of the middle, anterior, and posterior cerebral arteries

transtemporal window

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42

transtemporal window is in the

area of temples

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43

what kind of flow does the transtemporal window have?

low resistive in all of vessels

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44

direction of flow in transtemporal window depends on

the segment of vessel being interrogated

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45

flow of M1 goes

towards probe

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46

flow of ACA goes

away from probe, towards eye

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47

flow of M2

away from probe

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48

PCA (top) flow

towards probe as it comes from back of brain

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49

PCA (bottom) flow

opposite side of brain

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50

provides visualization of vertebral and basilar arteries

transoccipital window

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51

transoccipital window is found

at base of skull

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52

transoccipital window flow is

away from the probe, low resistive

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53

flow of transoccipital provides flow to

posterior part of brain

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54

provides visualization of the ophthalmic artery

transorbital window

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55

to prevent damage to the eye, output power must be

reduced

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56

transorbital flow is

toward the probe and high resistive (b/c the eye is a small organ)

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57

ophthalmic artery branches off

terminal ICA

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58

provides visualization of the ICA coursing toward the carotid canal

submandibular window

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59

submandibular window flow is

away from probe, low resistive

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60

applications for carotid scans

stenosis, occlusion, plaque, vert flow direction

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61

application for transcranial ultrasound

monitor blood flow during surgery

effects of sickle cell anemia

confirmation of brain death

basilar artery enclusion

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62

carotid symptoms that are one sided occur on the (same/opposite) side of lesion

same

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vertebral symptoms that are one sided occur on the (same/opposite) side of lesion

opposite

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64

physician hears a disturbance in the neck

bruit

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65

TIA of eye that produces transient monocular blindness on the same side of the carotid artery w/ the problem

amaurosis fugax

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66

impaired coordination

ataxia

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67

thickening of intermedial wall or PLAQUE

atherosclerosis

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atherosclerosis is commonly seen at

bifurcation

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69

aliasing on the vessel indicates

stenosis

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70

hemodynamics of the vessel has changed

hemodynamically significant stenosis

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71

for hss, the blood flow of the color on the screen is __ than what the scale is set at

higher

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72

normal antegrade vertebral artery flow direction is

towards the head, low resistive

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73

abnormal retrograde vertebral artery flow direction is

towards the neck, high resistive

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