Professional Documents
Culture Documents
safety mechanisms
localized
acute
sudden onset
result from diseases involving
blood vessels. ~
Causes of CVAs
cardiac disease
trauma
infection
neoplasm (tumor)
exogenous toxins
arterio-venous malformations
(AVMs) ~
Types of CVAs
Occlusive CVA:
due to the closure of a blood vessel -
thrombosis.
Hemorrhagic CVA:
due to bleeding from a blood vessel
aneurysm. ~
Stroke: Ischemia
Insufficiency of blood supply
Glucose & O
2 deprivation, build-up of
wastes
NOT synonymous Anoxia:
O2 deprivation only
Few seconds: little or no damage
6-8 minutes ---> Infarction
neurons & other cells die ~
Blood Supply of Brain
Arises from aortic arch
2 common carotid arteries
(extracranial)
give rise to external & internal carotid
2 vertebral arteries ~
anterior cerebral
middle cerebral
Posterior cerebral
basilar
internal carotid
vertebral
external carotid
aortic arch
Blood Supply: Arterial Territories
Internal carotid arteries
supply each cerebral hemisphere
branches:
parietal lobes
anterior corpus callosum ~
Anterior Cerebral Arteries
Penetrating branches supply:
deeper cerebrum
diencephalon
limbic structures
head of caudate
hemispheric convexity
(all four lobes and insula).
Penetrating branches
deep white matter
capsule ~
Vertebral Arteries
Rise from subclavian artery
Branches
anterior spinal arteries &
~
Posterior Cerebral Arteries
Surface branches supply
cortex and white matter of medial
occipital lobes
inferior temporal lobes
2 3. Penetrating branches
3 of middle cerebral
54 4. anterior choroidal
5 5. Posterior cerebral
Anastomoses
Interconnections between blood vessels
overlapping blood supply
safety mechanism
retrograde filling
language production
R. Hemi.: may be more involved in
music production. ~
Parietal lobe
Postcentral gyrus
Anterior parietal lobe
color
movement
shape ~
Infarction in the territories of
the cerebral arteries
Middle cerebral artery
Most common stroke syndrome.
contralateral weakness
face, arm, and hand more than legs
especially men
Broca's: production
Wernicke's: comprehension ~
Middle Cerebral Artery
Impaired spatial perception
more likely after R. Hemi. damage
spatial neglect
dressing apraxia
constructional apraxia
topographagnosia ~
Anterior cerebral artery
Motor distrubance contralateral distal leg
urinary incontinence
speech disturbance (may be more of a
motor problem)
apraxia of left arm (sympathetic apraxia)
if anterior corpus callosum is affected
If bilateral may cause apathy, motor
inertia, and muteness ~
Posterior Cerebral Artery
Visual disturbances
contralateral homonymous hemianopsia
thalamus affected
(thalamic pain syndrome)
contralateral severe proximal chorea
(hemiballism) ~
Treatment
Pharmacologic
anticoagulants
vasodilators
antihypertensives
steroids
acid neurotoxicity ~
Treatment
Surgery
remove aneurysms
or to treat an aneurysm
no recovery yet ~