1. The arterial supply of the brain comes from the internal carotid arteries and vertebral arteries, which form the circle of Willis at the base of the brain.
2. The main branches of the vertebral arteries include the posterior inferior cerebellar artery and posterior spinal arteries. The vertebral arteries join to form the basilar artery.
3. The internal carotid artery gives off branches that include the anterior cerebral artery, middle cerebral artery, and anterior choroidal artery. These arteries supply different regions of the brain.
4. The circle of Willis is formed by the anterior and posterior cerebral arteries connecting the left and right internal carotid and basilar arteries, allowing for collateral blood flow in case of arterial occlusion.
Cisterns of brain and its contents along with its classification and approach...Rajeev Bhandari
This presentation tell us about the basic of cistern , according to its classification both supra tentorial and infratentorial along with ventral and dorsal cistern. basically the cistern contains are well explained on this slide nerve , artery and vein. I hope it will help to rembember well about the contains of cistern and different location of cisterns.
Cisterns of brain and its contents along with its classification and approach...Rajeev Bhandari
This presentation tell us about the basic of cistern , according to its classification both supra tentorial and infratentorial along with ventral and dorsal cistern. basically the cistern contains are well explained on this slide nerve , artery and vein. I hope it will help to rembember well about the contains of cistern and different location of cisterns.
Anatomy of the posterior cerebral circulation from the neuroradiology point of view. Anatomy of the vertebral artery. Anatomy of the basilar artery. Important for Neuroradiologists and Neurointerventionalists.
Anatomy of the posterior cerebral circulation from the neuroradiology point of view. Anatomy of the vertebral artery. Anatomy of the basilar artery. Important for Neuroradiologists and Neurointerventionalists.
The origin, course, branches, and distribution of internal carotid artery.
The origin, course, branches, and distribution of basilar artery.
Describe the formation, branches and distribution of circulus arteriosus.
Outline the venous drainage of the brain.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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2. ARTERIAL SYSTEM OF BRAIN
SOURCE:
1)VERTEBRAL ARTERY
2)INTERNAL CAROTID ARTERY
FORM
CIRCLE
OF
WILLIS
3. HEART
A
O
A
right commom
carotid
Right Subclavian Left Subclavian
Brachiocephalic
Artery
Left Internal
Carotid
Left Vertebral
Artery
Right Vertebral
Artery
Right Internal
Carotid
Left Common
Carotid
4.
5. VERTEBRAL ARTERY Origin:
1st Branch Of 1st Part Of Subclavian Artery
Course:
Passes Through Transverse Foramen (C6- C1)
Go Through Suboccipital Triangle Enter Foramen Magnam
Perforate Duramatar And Arachnoid Matar Enter Subarachnoid Space.
Upward, Forward And Medially (Medulla Oblongata)
In The Lower Border Of Pons JoinsOpposite Vertebral Artery To Form Basilar
Artery.
Parts:
Four Parts- V1 To V4.
9. PSA
I. 25% From Vertebral
Artery
II. 75% From PICA
III.Desends On Side Of
Medulla
IV.Unite: Lower Cervical
Region
PICA
I. Largest Branch
branch Of Vertebral
Artery
II. Supply:
Lateral Medulla,
Posterior Part Of
Inferior Surface Of
Cerebellum
ASA
I. Desends Infront Of
Medulla
II. Unite: Level Of Foramen
Magnum
III.Supply:
Medial Medulla
Anterior 2/3 Spinal Cord
10.
11. BASILAR ARTERY
Origin:
Formed By Union Of Two Vertebral Artery At
Lower Border Of Pons
Course:
Ascends Infront Of Pons In Basilar Groove
Ends At Upper Border Of Pons By Dividing Into
Two Posterior Cerebral Artery
Branches:
1. Anterior Inferior Cerebellar Artery
2. Pontine Arteries
3. Superior Cerebellar Artery
4. Posterior Cerebral Artery
5. Labyrinthine Artery
14. Labyrinthine Artery
Origin
15% From Basilar Artery
85% From Aica
Enter Internal Auditory Meatus
Supply:
Cochlea
Vestibular Apparatus
Superior Cerebellar Artery
Course:
Passes Laterally Just Behind Oculomotor Nerve
Supply:
Superior Surface Of Cerebellum
AICA
Supply:
Anterior Part Of Inferior Surface Of
Cerebellum
Pontine Artery
Origin:
Multiple
Supply:
Pons
15.
16.
17. POSTERIOR CEREBRAL ARTERY
Origin:
Basilar Artery Gives Two Posterior Cerebral Artery
Supply
1) Midbrain
2)Thalamus
3)Posterior Limb Of Internal Capsule
4)Optic Tract
5)Choroid Plexus And Cerebral Peduncles
6)Splenium Of Corpus Callosum
7)1/3 Posterior Medial Of The Cerebral Hemispheres
8) Inferomedial Temporal Lobe 9)A
9)Large Part Of The Occipital Lobe.
Course:
Passes Backwards Winding
Around Midbrain/Cerebral Peduncle
to Reach Tentorial Surface Of Cerebral
Hemisphere.
The Posterior Cerebral Arteries End
Above The Tentorium,In The Calcarine
Sulcus
18.
19. Course of PCA
Passes Backwards Winding Around
Midbrain/Cerebral Peduncle to Reach
Tentorial Surface Of Cerebral
Hemisphere.The Posterior Cerebral Arteries
End Above The Tentorium,In The Calcarine
Sulcus
23. 1.Thalamoperforating And Thalamogeniculate/ Postero-medial Ganglionic
Branches:
Supply: The Medial Surfaces Of The Thalami And The Walls Of The 3rd Ventricle.
2.Peduncular Perforating Or Postero-lateral Ganglionic Branches:
Supply: Thalamus.
3. Posterior Choroidal Artery:
1)medial Posterior Choroidal Branches:
Supply: Supply The Tela Choroidae Of The Third Ventricle And The Choroid Plexus.
2)lateral Posterior Choroidal Branches:
Supply: Small Branches To The Cerebral Peduncle, Fornix, Thalamus, Caudate Nucleus,
And Choroid Plexus Of The Lateral Ventricle
CENTRAL BRANCHES
24. 1) Anterior Temporal Artery:
Supply: Uncus And Anterior Part Of The Fusiform Gyrus.
2) Posterior Temporal Artery:
Supply: Fusiform And The Inferior Temporal Gyri.
3) Lateral Occipital Artery:
Branches: Anterior, Middle And Posterior Inferior Temporal Arteries.
4) Medial Occipital Artery:
A) Calcarine Artery:
Supply: Cuneus And Gyrus Lingualis And The Back Part Of The Convex Surface Of The Occipital Lobe.
B) Parieto-occipital Artery:
Supply: Cuneus And Precuneus.
5) Splenial Artery/ Posterior Pericallosal Artery:
CORTICAL BRANCHES
25.
26.
27. PCA Parts
P1 segment
• from the basilar
artery to the
posterior
communicating
artery,within
interpeduncular
cistern
• The P1 segment
passes over the
oculomotor nerve.
P4 segment
• ends in the
calcarine
fissure.(corti
cal segment)
P3 segment
• travels briefly
through the
quadrigeminal
cistern(Thus
quadrigeminal
segment)
P2 segment
• from PCOM,curves
around the midbrain to
go near the trochlear
nerve,above the
tentorium cerebelli.
• divided into P2A
(anterior) and P2P
(posterior) sub-
segments;
• P2A is within crural
cistern which then
bridges to the P2P
segement in ambient
cistern (thus ambient
segment)
28.
29.
30. Common carotid artery
Origin:
Right: brachiocephalic artery
Left: arch of aorta
Course:
Left common carotid
2parts-thoracic and cervical
Right common carotid
Has only cervical part
course
Cervical course:
similar course for both left and right common carotid..
passes obliquely upwards from behind the sternoclavicular joint to the
level of the upper border of the thyroid cartilage.
In the lower neck, they are separated from each other by trachea.
as the carotids rise in the neck, they diverge and separated by
the thyroid gland, the larynx and pharynx.
Thoracic course:
travels upwards through the
superior mediastinum to the
level of the left sternoclavicular
joint
41. BRANCHES OF ICA
Mnemonic:A VIP'S COMMA
A: anterior choroidal artery (C7)
V: Vidian artery (C2)
I: inferolateral trunk (C4)
P: posterior communicating artery (C7)
S: superior hypophyseal artery (C6)
C: caroticotympanic artery (C2)
O: ophthalmic artery (C6)
M: meningohypophyseal trunk (C4)
M: middle cerebral artery C7)
A: anterior cerebral artery (C7)
The last two branches in the mnemonic are the terminal branches of the internal carotid artery.
Except for the terminal segment (C7) the odd numbered segments usually have no branches, whereas the even
numbered segments (C2, C4, C6) each have two branches.
42.
43. ANTERIOR CEREBRAL ARTERY
Origin-
One Of Terminal Branch Of ICA
Segments:
A1 (horizontal): origin from the ICA to the anterior communicating artery (ACOM),
A2 (vertical): from ACOM to the origin of the callosomarginal artery
A3 (callosal): distal to the origin of the callosomarginal artery
BRANCH:
A1
medial lenticulostriate arteries
recurrent artery of Heubner
anterior communicating artery
A2
orbitofrontal artery
frontopolar artery
A3
pericallosal artery
callosomarginal artery
Anterior Limb Internal Capsule
Inferior Portion Of Head Of Caudate
Anterior Globus Pallidus
MEDIAL SURFACE OF CEREBRAL
HEMISPHERE AND CORPUS CALLOSUM
44.
45.
46.
47.
48. SUPPLY BT ACA
MEDIAL SURFACE OF
CEREBRAL
CORTEX(ANTERIR
FRONTAL POLE(BY
CORTICAL BRANCHES)
ANTERIOR PORTION
CORPUS CALLOSUM
49.
50.
51. MIDDLE CEREBRAL ARTERY
ORIGIN: ANOTHER TERMIANAL
BRANCH OF INTERNAL CAROTID
ARTERY
MCA is divided into four segments:
M1: from the origin to bifurcation/trifurcation
(the limen insulae); also known as the horizontal or
sphenoidal segment
M2: also known as the insular segment, from the
bifurcation/trifurcation to the circular sulcus of the
insula, where it makes a hairpin bend to continue as
M3
M3: opercular branches (those within the Sylvian
fissure); also known as the opercular segment
M4: branches emerging from the Sylvian fissure
onto the convex surface of the hemisphere; also
known as the cortical segment
52. M1
medial lenticulostriate penetrating arteries
lateral lenticulostriate penetrating arteries
anterior temporal artery
polar temporal artery
uncal artery (which may branch from the anterior
choroidal artery)
M2
Division of the MCA is variable after the horizontal
segment, although most commonly, it divides into two
trunks, superior and inferior:
Superior terminal branch
lateral frontobasal artery
prefrontal sulcal artery
pre-Rolandic (precentral) and Rolandic (central) sulcal
arteries
Inferior terminal branch
three temporal branches (anterior, middle, posterior)
branch to the angular gyrus
two parietal branches (anterior, posterior)
53.
54.
55. AREA SUPPLIED:
MOST OF LATERAL HEMISPHERE,
EXCEPT THE SUPERIOR INCH OF
THE FRONTAL AND PARIETAL
LOBE(ANTERIOR CEREBRAL
ARTERY),AND THE INFERIOR
OF TEMPORAL LOBE.
SUPERIOR DIVISION SUPPLIES
LATEROINFERIOR FRONTAL LOBE
INFERIOR DIVISION SUPPLIES
LATERAL TEMPORAL LOBE
DEEP BRANCHES SUPPLY THE
BASAL GANGLIA AS WELL AS
INTERNAL CAPULE
56. ANTERIOR CHOROIDAL ARTERY
2 SEGMENTS
cisternal segment
optic tract
lateral geniculate nucleus and lateral
aspect of the thalamus
posterior limb of the internal capsule
lateral aspect of the midbrain
intraventricular segment
choroid plexus of the anterior part of the
temporal horns of the lateral ventricles