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Blood Vessels to Brain
Neural Science

[E-mail: jmyu@gist.ac.kr]
Applied Computing Lab
Course: Master Ph.D Integrated
Presenter: Jongmin Yu
Contents

본 과제의 기본 정보

Blood vessels to brain
Major blood vessels
Circle of Willis
Anterior cerebral artery
Middle cerebral artery
Posterior cerebral artery
Lenticulostriate arteries

2
Blood vessels to brain

본 과제의 기본 정보

Brain blood vessels system
 Blood vessels that carry blood to the brain
from the heart
 Carries the Oxygen and nutrients
 With each heartbeat, arteries carry about 20
to 25 percent of your blood to your brain.
 Common carotid arteries have two division.
Blood supply to the anterior three-fifths of
cerebrum, except for parts of the temporal
and occipital lobes.

Blood supply to Face and Scalp

Blood supply the posterior two-fifths of the
cerebrum, part of the cerebellum, and the
brain stem.
3
Blood vessels to brain

본 과제의 기본 정보

Common carotid arteries
Supply the head and neck with
Oxygenated Blood
paired structure
Divided by

Internal Carotid
the internal carotid artery supplies
the brain.

External Carotid
nourishes other portions of the
head(face, scalp, skull, and meninges)
Decrease of blood supply is brings about
some impairment in the function of the
frontal lobes
numbness, weakness, or paralysis on the
side of the body opposite to the obstruction
of the artery.

4
Blood vessels to brain

본 과제의 기본 정보

Vertebro-basilar(Vertebral) Arteries

Vertebral artery (VA)
major arteries of the neck.
branch from the subclavian arteries
supplies blood to the posterior part
of the circle of Willis

Basilar artery(BA)
one of the arteries that supplies the
brain(Brainstem) with oxygen-rich
blood.
supplies blood to the posterior part
of the circle of Willis
VA(2) + BA(1) =

Vertebro-basilar system

5
Circle of Willis

본 과제의 기본 정보

Component & Physiologic significance
Carotid and vertebro-basilar arteries
form a circle of communicating arteries
Basilar artery(BA)

Blood vessels alternative rule at
occlusion
Creates redundancies or collaterals in the
cerebral circulation.
Collateral circulation

Other arteries arise and travel to all
parts of the brain.(Origin of arteries)
The anterior cerebral artery (ACA)
The middle cerebral artery (MCA)
The posterior cerebral artery (PCA)

6
Circle of Willis

본 과제의 기본 정보

Origin of arteries
Other arteries arise and travel to all
parts of the brain.(Origin of arteries)
The anterior cerebral artery (ACA)
The middle cerebral artery (MCA)
The posterior cerebral artery (PCA)

Common carotid arteries ->
Internal carotid arteries
Posterior communicating artery ->
Internal carotid artery
Posterior cerebral arteries ->
Basilar artery
Anterior communicating artery ->
Anterior cerebral arteries
Collateral circulation
If one part of the circle becomes blocked or
narrowed (stenosed) or one of the arteries
supplying the circle is blocked or narrowed

7
Anterior Cerebral Artery

본 과제의 기본 정보

Anterior Cerebral Artery (ACA)
Extends upward and forward from the
internal carotid artery.
ACA arise from the internal carotid
artery and are part of the Circle of Willis.
Areas supplied
The medial surface of the frontal lobe by
the medial orbito-frontal artery, and
parietal lobes
Control logical thought, personality and
voluntary movement(leg)

both anterior cerebral territories are
affected, profound mental symptoms
(Akinetic mutism)

The anterior four- fifths of the corpus
callosum

8
Anterior Cerebral Artery

본 과제의 기본 정보

Occlusion in ACA
If stroke occurs prior to the anterior
communicating artery it is usually well
tolerated secondary to collateral
circulation.
Occlusion of A2 segment
Paralysis or weakness of the
contralateral foot and leg
Cortical Sensory loss in the
contralateral foot and leg
Gait apraxia Impairtment of gait and
stance
Abulia akinetic mutism, slowness and
lack of spontaneity
Urinary incontinence which usually
occurs with bilateral damage in the
acute phase
Frontal Cortical release reflexes:
Contralateral grasp reflex, sucking
reflex, gegenhalten(paratonic rigidity)
9
Middle Cerebral Artery

본 과제의 기본 정보

Middle Cerebral Artery (MCA)
The largest branch of the internal carotid
artery
The middle cerebral artery is the artery
most often occluded in stroke.
Areas supplied
The bulk of the lateral surface of the
hemisphere; except for the superior inch
of the frontal and parietal lobe (anterior
cerebral artery), and the inferior part of
the temporal lobe.
Superior division supplies lateroinferior
frontal lobe
Inferior division supplies lateral temporal
lobe
Deep branches supply the basal ganglia
as well as the internal capsule

10
Middle Cerebral Artery

본 과제의 기본 정보

Occlusion in MCA

Areas supplied
Frontal lobes, lateral surface of the
temporal and parietal lobes
Paralysis or weakness of the contralateral
face and arm.
Sensory loss of the contralateral face and
arm.
Damage to the dominant hemisphere
(usually the left hemisphere)results in
aphasia
Damage to the non-dominant hemisphere
(usually the right hemisphere) results in
contralateral neglect syndrome

11
Posterior Cerebral Artery

본 과제의 기본 정보

Posterior Cerebral Artery (PCA)
One of a pair of blood vessels that
supply oxygenated blood to the
posterior aspect of the brain
Near the intersection of the posterior
communicating artery and the basilar
artery
Most individuals from the basilar artery.
Areas supplied
The Temporal and occipital lobes of the
left cerebral hemisphere and the right
hemisphere.

12
Posterior Cerebral Artery

본 과제의 기본 정보

Occlusion in PCA
Areas supplied
The Temporal and occipital lobes of the
left cerebral hemisphere and the right
hemisphere. Then if occur Occlusion.
Contralateral loss of pain and temperature
sensations.

Visual field defects
Prosopagnosia with bilateral obstruction of
the lingual and fusiform gyri.
Superior Alternating
Contralateral deficits of facial nerve, vagus
nerve and hypoglossal nerve
Ipsilateral deficit of oculomotor nerve
Horner's Syndrome

13
Lenticulostriate Arteries

본 과제의 기본 정보

Lenticulostriate Arteries
Small, deep penetrating arteries
provides blood to the brain's deep
structures.

Branch from the middle cerebral artery
Refer to as lacunar strokes
high incidence in patients with chronic
hypertension. (20% of all stroke)

14
Summary

본 과제의 기본 정보

Common carotid arteries
Vertebro-basilar(Vertebral) Arteries

Common carotid arteries
Supply the head and neck with Oxygenated
Blood
paired structure
Divided by
Internal Carotid
External Carotid

Vertebro-basilar arteries
Vertebral artery (VA)
major arteries of the neck.
Basilar artery(BA)
one of the arteries that supplies the
brain(Brainstem) with oxygen-rich blood.

15
Summary

본 과제의 기본 정보

Circle of Willis
Carotid and vertebro-basilar arteries
form a circle of communicating arteries
Basilar artery(BA)

Blood vessels alternative rule at
occlusion
Creates redundancies or collaterals in the
cerebral circulation.
Collateral circulation
Collateral circulation
If one part of the circle becomes blocked or
narrowed (stenosed) or one of the arteries
supplying the circle is blocked or narrowed

16
Summary

본 과제의 기본 정보

ACA & MCA & PCA
Anterior Cerebral Artery
Extends upward and forward from the
internal carotid artery.
Supplied medial surface of the frontal
lobe and parietal lobes

Middle Cerebral Artery
The largest branch of the internal carotid
artery
Frontal lobes, lateral surface of the
temporal and parietal lobes

the artery most often occluded in stroke.

Posterior Cerebral Artery
a pair of blood vessels that supply
oxygenated blood to the posterior aspect
Supplied the Temporal and occipital lobes

Lenticulostriate Arteries
Small, deep penetrating arteries
provides blood to the brain's deep
structures.

17
Reference

본 과제의 기본 정보

Reference of this presentation
Main
“The Neuroscience of Clinical Psychiatry” (George, Mark – Lippincott)

Circle of Willis
Uston, Cagatay (February 20, 2004). "Dr. Thomas Willis' Famous Eponym: The Circle of Willis".
Turkish Journal of Medical Sciences 34: 271–274. Retrieved 16 July 2010.

Anterior Cerebral Artery
Harrison's Priciples of Internal Medicine 18th Edition vol. 2 Chapter 370, Cerebrovascular
Diseases,page 3286, Fig 370-8

Middle Cerebral Artery
Osborn, Anne G.; Jacobs, John M. (1999), Diagnostic Cerebral Angiography, Lippincott Williams &
Wilkins, pp. 143–144, ISBN 978-0-397-58404-8

Posterior Cerebral Artery
Wikipedia

Lenticulostriate Arteries
Wikipedia, internet Stroke Center

18
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Blood vessels of brain (2)

  • 1. Blood Vessels to Brain Neural Science [E-mail: jmyu@gist.ac.kr] Applied Computing Lab Course: Master Ph.D Integrated Presenter: Jongmin Yu
  • 2. Contents 본 과제의 기본 정보 Blood vessels to brain Major blood vessels Circle of Willis Anterior cerebral artery Middle cerebral artery Posterior cerebral artery Lenticulostriate arteries 2
  • 3. Blood vessels to brain 본 과제의 기본 정보 Brain blood vessels system  Blood vessels that carry blood to the brain from the heart  Carries the Oxygen and nutrients  With each heartbeat, arteries carry about 20 to 25 percent of your blood to your brain.  Common carotid arteries have two division. Blood supply to the anterior three-fifths of cerebrum, except for parts of the temporal and occipital lobes. Blood supply to Face and Scalp Blood supply the posterior two-fifths of the cerebrum, part of the cerebellum, and the brain stem. 3
  • 4. Blood vessels to brain 본 과제의 기본 정보 Common carotid arteries Supply the head and neck with Oxygenated Blood paired structure Divided by Internal Carotid the internal carotid artery supplies the brain. External Carotid nourishes other portions of the head(face, scalp, skull, and meninges) Decrease of blood supply is brings about some impairment in the function of the frontal lobes numbness, weakness, or paralysis on the side of the body opposite to the obstruction of the artery. 4
  • 5. Blood vessels to brain 본 과제의 기본 정보 Vertebro-basilar(Vertebral) Arteries Vertebral artery (VA) major arteries of the neck. branch from the subclavian arteries supplies blood to the posterior part of the circle of Willis Basilar artery(BA) one of the arteries that supplies the brain(Brainstem) with oxygen-rich blood. supplies blood to the posterior part of the circle of Willis VA(2) + BA(1) = Vertebro-basilar system 5
  • 6. Circle of Willis 본 과제의 기본 정보 Component & Physiologic significance Carotid and vertebro-basilar arteries form a circle of communicating arteries Basilar artery(BA) Blood vessels alternative rule at occlusion Creates redundancies or collaterals in the cerebral circulation. Collateral circulation Other arteries arise and travel to all parts of the brain.(Origin of arteries) The anterior cerebral artery (ACA) The middle cerebral artery (MCA) The posterior cerebral artery (PCA) 6
  • 7. Circle of Willis 본 과제의 기본 정보 Origin of arteries Other arteries arise and travel to all parts of the brain.(Origin of arteries) The anterior cerebral artery (ACA) The middle cerebral artery (MCA) The posterior cerebral artery (PCA) Common carotid arteries -> Internal carotid arteries Posterior communicating artery -> Internal carotid artery Posterior cerebral arteries -> Basilar artery Anterior communicating artery -> Anterior cerebral arteries Collateral circulation If one part of the circle becomes blocked or narrowed (stenosed) or one of the arteries supplying the circle is blocked or narrowed 7
  • 8. Anterior Cerebral Artery 본 과제의 기본 정보 Anterior Cerebral Artery (ACA) Extends upward and forward from the internal carotid artery. ACA arise from the internal carotid artery and are part of the Circle of Willis. Areas supplied The medial surface of the frontal lobe by the medial orbito-frontal artery, and parietal lobes Control logical thought, personality and voluntary movement(leg) both anterior cerebral territories are affected, profound mental symptoms (Akinetic mutism) The anterior four- fifths of the corpus callosum 8
  • 9. Anterior Cerebral Artery 본 과제의 기본 정보 Occlusion in ACA If stroke occurs prior to the anterior communicating artery it is usually well tolerated secondary to collateral circulation. Occlusion of A2 segment Paralysis or weakness of the contralateral foot and leg Cortical Sensory loss in the contralateral foot and leg Gait apraxia Impairtment of gait and stance Abulia akinetic mutism, slowness and lack of spontaneity Urinary incontinence which usually occurs with bilateral damage in the acute phase Frontal Cortical release reflexes: Contralateral grasp reflex, sucking reflex, gegenhalten(paratonic rigidity) 9
  • 10. Middle Cerebral Artery 본 과제의 기본 정보 Middle Cerebral Artery (MCA) The largest branch of the internal carotid artery The middle cerebral artery is the artery most often occluded in stroke. Areas supplied The bulk of the lateral surface of the hemisphere; except for the superior inch of the frontal and parietal lobe (anterior cerebral artery), and the inferior part of the temporal lobe. Superior division supplies lateroinferior frontal lobe Inferior division supplies lateral temporal lobe Deep branches supply the basal ganglia as well as the internal capsule 10
  • 11. Middle Cerebral Artery 본 과제의 기본 정보 Occlusion in MCA Areas supplied Frontal lobes, lateral surface of the temporal and parietal lobes Paralysis or weakness of the contralateral face and arm. Sensory loss of the contralateral face and arm. Damage to the dominant hemisphere (usually the left hemisphere)results in aphasia Damage to the non-dominant hemisphere (usually the right hemisphere) results in contralateral neglect syndrome 11
  • 12. Posterior Cerebral Artery 본 과제의 기본 정보 Posterior Cerebral Artery (PCA) One of a pair of blood vessels that supply oxygenated blood to the posterior aspect of the brain Near the intersection of the posterior communicating artery and the basilar artery Most individuals from the basilar artery. Areas supplied The Temporal and occipital lobes of the left cerebral hemisphere and the right hemisphere. 12
  • 13. Posterior Cerebral Artery 본 과제의 기본 정보 Occlusion in PCA Areas supplied The Temporal and occipital lobes of the left cerebral hemisphere and the right hemisphere. Then if occur Occlusion. Contralateral loss of pain and temperature sensations. Visual field defects Prosopagnosia with bilateral obstruction of the lingual and fusiform gyri. Superior Alternating Contralateral deficits of facial nerve, vagus nerve and hypoglossal nerve Ipsilateral deficit of oculomotor nerve Horner's Syndrome 13
  • 14. Lenticulostriate Arteries 본 과제의 기본 정보 Lenticulostriate Arteries Small, deep penetrating arteries provides blood to the brain's deep structures. Branch from the middle cerebral artery Refer to as lacunar strokes high incidence in patients with chronic hypertension. (20% of all stroke) 14
  • 15. Summary 본 과제의 기본 정보 Common carotid arteries Vertebro-basilar(Vertebral) Arteries Common carotid arteries Supply the head and neck with Oxygenated Blood paired structure Divided by Internal Carotid External Carotid Vertebro-basilar arteries Vertebral artery (VA) major arteries of the neck. Basilar artery(BA) one of the arteries that supplies the brain(Brainstem) with oxygen-rich blood. 15
  • 16. Summary 본 과제의 기본 정보 Circle of Willis Carotid and vertebro-basilar arteries form a circle of communicating arteries Basilar artery(BA) Blood vessels alternative rule at occlusion Creates redundancies or collaterals in the cerebral circulation. Collateral circulation Collateral circulation If one part of the circle becomes blocked or narrowed (stenosed) or one of the arteries supplying the circle is blocked or narrowed 16
  • 17. Summary 본 과제의 기본 정보 ACA & MCA & PCA Anterior Cerebral Artery Extends upward and forward from the internal carotid artery. Supplied medial surface of the frontal lobe and parietal lobes Middle Cerebral Artery The largest branch of the internal carotid artery Frontal lobes, lateral surface of the temporal and parietal lobes the artery most often occluded in stroke. Posterior Cerebral Artery a pair of blood vessels that supply oxygenated blood to the posterior aspect Supplied the Temporal and occipital lobes Lenticulostriate Arteries Small, deep penetrating arteries provides blood to the brain's deep structures. 17
  • 18. Reference 본 과제의 기본 정보 Reference of this presentation Main “The Neuroscience of Clinical Psychiatry” (George, Mark – Lippincott) Circle of Willis Uston, Cagatay (February 20, 2004). "Dr. Thomas Willis' Famous Eponym: The Circle of Willis". Turkish Journal of Medical Sciences 34: 271–274. Retrieved 16 July 2010. Anterior Cerebral Artery Harrison's Priciples of Internal Medicine 18th Edition vol. 2 Chapter 370, Cerebrovascular Diseases,page 3286, Fig 370-8 Middle Cerebral Artery Osborn, Anne G.; Jacobs, John M. (1999), Diagnostic Cerebral Angiography, Lippincott Williams & Wilkins, pp. 143–144, ISBN 978-0-397-58404-8 Posterior Cerebral Artery Wikipedia Lenticulostriate Arteries Wikipedia, internet Stroke Center 18
  • 19. Thank you for watching