SlideShare a Scribd company logo
THE CENTRAL NERVOUS SYSTEM
ANATOMICAL REFERENCES
                                              AXIAL
                     Caudal/     Rostral/
Lateral   Medial     Posterior   Anterior

                    Dorsal




                                            CORONAL

                    Ventral


                   Rostral/
                   Anterior



                                            SAGITTAL



                   Caudal/
          Medial   Posterior
Lateral
THE MENINGES




                                                space



                                                membrane


                                                space




                                                 Artery


                                                Brain




The meninges are filled with cerebrospinal fluid (CSF)
                                                           Insula
Whole Brain   GM   WM   CSF
THE CNS

Cerebrum




           Brainstem
                            Cerebellum
MAJOR SULCI
              Longitudinal sulcus
MAJOR SULCI
                                          Central sulcus




Lateral (sylvian) fissure
CEREBRAL LOBES
                                Parietal
Frontal




                                           Occipital




    Temporal
CEREBRAL LOBES




             Insula
CEREBELLUM




Left Cerebellar Hemisphere                     Right Cerebellar Hemisphere




                                          Insula
                                             Vermis
WHITE MATTER TRACTS




Left Cerebellar Hemisphere                        Right Cerebellar Hemisphere




                                             Insula
                                                Vermis
FUNCTIONAL CLASSIFICATION
BROADMANN’S CLASSIFICATION




                   Insula
THE CNS
                                   Thalamus
    Telencephalon




                                                                           Pineal body




Diencephalon



                    Hypothalamus

                                     Tegment
                                        Tectum                             Cerebellum
                     Midbrain
                                                 Pons
                                                        Medulla
                                                                  Insula
THE VENTRICULAR SYSTEM
Lateral
ventricles




                                            Third ventricle

                                                        Fourth ventricle

third                                                     Fourth ventricle
ventricle
                                                                           Fourth ventricle




   fourth
   ventricle




                       Lateral ventricles
                                                               Fourth ventricle
                                                         Insula
THALAMIC NUCLEI




              Insula
CEREBRAL CIRCULATION

    Anterior Cerebral Artery

    Anterior Communicating
    Artery


   Middle Cerebral Artery



 Internal Carotid Artery




Posterior
Communicating Artery

                                                                    Posterior Cerebral Artery

                                                                 Superior Cerebellar
                                                                 Artery

              Basilar
              Artery
                                                        Insula



                                   Vertebral Arteries
CEREBRAL CIRCULATION
 Terminal branches of
 Anterior Cerebral Artery




Middle Cerebral Artery                      Terminal branches of
                                            Posterior Cerebral Artery

                                         Insula
CEREBRAL CIRCULATION




Anterior Cerebral
Artery
                                          Posterior Cerebral Artery
                                               Insula
                               Posterior Communicating Artery
CEREBRAL CIRCULATION

         Anterior Cerebral Artery

         Surface branches supply cortex and white matter of :
         1)inferior frontal lobe
         2)medial surface of the frontal and parietal lobes
         3)anterior corpus callosum


         Posterior Cerebral Artery
         Surface branches supply cortex and white matter of:
         1)medial occipital lobes
         2)inferior temporal lobes
         3)posterior corpus callosum



         Middle Cerebral Artery
         Surface branches supply cortex and white matter of:
         hemispheric convexity (all four lobes and insula).



                                    Insula
CEREBRAL CIRCULATION
Middle Cerebral Artery Stroke


Most common stroke syndrome. Symptoms:
-contralateral weakness (face, arm, and hand more than legs)
-contralateral sensory loss (face, arm, and hand more than legs)
-visual field cut (damage to optic radiations)
-aphasia: language disturbances (more likely with L. Hemi. Damage)
-impaired spatial perception (more likely after R. Hemi. Damage)




                                                                     Insula
CEREBRAL CIRCULATION

                                                       Anterior Cerebral Artery

                                                     - Motor disturbance 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 (central vision is often spared)
-L. Hemi: lesions alexia (with or without agraphia)
-Bilateral lesions: cortical blindness : patients unaware they cannot see
-Memory impairment if temporal lobe is affected

                                                                             Insula
CRANIAL NERVES




                        Insula
        Posterior Communicating Artery

More Related Content

What's hot

Clinical syndromes of vascular disease of the nervous
Clinical syndromes of vascular disease of the nervousClinical syndromes of vascular disease of the nervous
Clinical syndromes of vascular disease of the nervous
aditya romadhon
 
Brain blood supply
Brain blood supplyBrain blood supply
Brain blood supply
M S
 
Blood supply of the brain
Blood supply of the brainBlood supply of the brain
Blood supply of the brain
Dr. Noura El Tahawy
 
Cerebral circulation by DR.ARSHAD
Cerebral circulation by DR.ARSHADCerebral circulation by DR.ARSHAD
Cerebral circulation by DR.ARSHADSMS_2015
 
Blood Supply of Brain
Blood Supply of BrainBlood Supply of Brain
Blood Supply of Brain
Aditya D
 
The blood supply of the brain and spinal cord
The blood supply of the brain and spinal cordThe blood supply of the brain and spinal cord
The blood supply of the brain and spinal cord
Melad Bassim
 
Blood supply of the brain
Blood supply of the brainBlood supply of the brain
Blood supply of the brain
Ans Rehman
 
Blood supply-of-brain
Blood supply-of-brainBlood supply-of-brain
Blood supply-of-brain
Phanindra Malla
 
Blood supply of the brain, neuro anatomy .
Blood supply of the brain, neuro anatomy .Blood supply of the brain, neuro anatomy .
Blood supply of the brain, neuro anatomy .
Faarah Yusuf
 
Cerebral vasculature
Cerebral vasculatureCerebral vasculature
Cerebral vasculature
Rohit Paswan
 
Venous drainage of brain
Venous drainage of brainVenous drainage of brain
Venous drainage of brain
Rati Tandon
 
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
Monir Hossain
 
Arterial supply of brain
Arterial supply of brainArterial supply of brain
Arterial supply of brain
Jekadeshnaidu Panirselvam
 
Cerebrovascular anatomy
Cerebrovascular anatomyCerebrovascular anatomy
Cerebrovascular anatomy
Prisma Health Upstate
 
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
Amjad Ali
 
Brain vascularisation
Brain vascularisationBrain vascularisation
Brain vascularisation
El Verlain
 

What's hot (19)

Clinical syndromes of vascular disease of the nervous
Clinical syndromes of vascular disease of the nervousClinical syndromes of vascular disease of the nervous
Clinical syndromes of vascular disease of the nervous
 
Brain blood supply
Brain blood supplyBrain blood supply
Brain blood supply
 
Blood supply of the brain
Blood supply of the brainBlood supply of the brain
Blood supply of the brain
 
Blood supply of the brain
Blood supply of the brainBlood supply of the brain
Blood supply of the brain
 
Cerebral circulation by DR.ARSHAD
Cerebral circulation by DR.ARSHADCerebral circulation by DR.ARSHAD
Cerebral circulation by DR.ARSHAD
 
Blood Supply of Brain
Blood Supply of BrainBlood Supply of Brain
Blood Supply of Brain
 
The blood supply of the brain and spinal cord
The blood supply of the brain and spinal cordThe blood supply of the brain and spinal cord
The blood supply of the brain and spinal cord
 
Blood supply of the brain
Blood supply of the brainBlood supply of the brain
Blood supply of the brain
 
Blood supply-of-brain
Blood supply-of-brainBlood supply-of-brain
Blood supply-of-brain
 
Blood supply of the brain, neuro anatomy .
Blood supply of the brain, neuro anatomy .Blood supply of the brain, neuro anatomy .
Blood supply of the brain, neuro anatomy .
 
Cerebral vasculature
Cerebral vasculatureCerebral vasculature
Cerebral vasculature
 
Venous drainage of brain
Venous drainage of brainVenous drainage of brain
Venous drainage of brain
 
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
 
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
 
Cns blood supply
Cns blood supplyCns blood supply
Cns blood supply
 
Arterial supply of brain
Arterial supply of brainArterial supply of brain
Arterial supply of brain
 
Cerebrovascular anatomy
Cerebrovascular anatomyCerebrovascular anatomy
Cerebrovascular anatomy
 
Blood supply of brain
Blood supply of brainBlood supply of brain
Blood supply of brain
 
Brain vascularisation
Brain vascularisationBrain vascularisation
Brain vascularisation
 

Similar to Ch07

Brain dissection pictures
Brain dissection picturesBrain dissection pictures
Brain dissection picturesNancyDecker
 
Brainstem stroke syndromes ppt
Brainstem stroke syndromes pptBrainstem stroke syndromes ppt
Brainstem stroke syndromes pptKunal Mahajan
 
N806 and CT Head
N806 and CT HeadN806 and CT Head
N806 and CT Headjbmann
 
N806 and ct head
N806 and ct headN806 and ct head
N806 and ct headjbmann
 
N806 and ct head
N806 and ct headN806 and ct head
N806 and ct headjbmann
 
N806 and ct head
N806 and ct headN806 and ct head
N806 and ct headjbmann
 
Anatomy of meninges, ventricles, cerebrospinal fluid
Anatomy of meninges, ventricles, cerebrospinal fluidAnatomy of meninges, ventricles, cerebrospinal fluid
Anatomy of meninges, ventricles, cerebrospinal fluidMBBS IMS MSU
 
Anterior cerebral circulation
Anterior cerebral circulationAnterior cerebral circulation
Anterior cerebral circulation
Dr. Mohammed Sadiq Azam M.D.
 
MBB Review
MBB ReviewMBB Review
MBB Review
Jess Little
 
Normal & abnormal radiology of brain part i
Normal & abnormal radiology of brain part iNormal & abnormal radiology of brain part i
Normal & abnormal radiology of brain part i
Mohammed Fathy
 
Anatomy..brain
Anatomy..brainAnatomy..brain
Anatomy..brainafasfa
 
Cns Anatomy Slides
Cns Anatomy SlidesCns Anatomy Slides
Cns Anatomy Slidesguest11eb343
 
Skull, dura & sinuses
Skull, dura & sinusesSkull, dura & sinuses
Skull, dura & sinuses
Dr. Noura El Tahawy
 
Nervio Vago/Wilson Pawels/idiomainglés
Nervio Vago/Wilson Pawels/idiomainglésNervio Vago/Wilson Pawels/idiomainglés
Nervio Vago/Wilson Pawels/idiomainglés
regina_estrella_14
 
Lab practice 3
Lab practice 3Lab practice 3
Lab practice 3
zernwoman
 
Anatomy of cerebellum
Anatomy of cerebellumAnatomy of cerebellum
Anatomy of cerebellumMBBS IMS MSU
 
Cerebellum
CerebellumCerebellum

Similar to Ch07 (20)

Brain dissection pictures
Brain dissection picturesBrain dissection pictures
Brain dissection pictures
 
Brainstem stroke syndromes ppt
Brainstem stroke syndromes pptBrainstem stroke syndromes ppt
Brainstem stroke syndromes ppt
 
Cerebellum
CerebellumCerebellum
Cerebellum
 
1
11
1
 
N806 and CT Head
N806 and CT HeadN806 and CT Head
N806 and CT Head
 
N806 and ct head
N806 and ct headN806 and ct head
N806 and ct head
 
N806 and ct head
N806 and ct headN806 and ct head
N806 and ct head
 
N806 and ct head
N806 and ct headN806 and ct head
N806 and ct head
 
Anatomy of meninges, ventricles, cerebrospinal fluid
Anatomy of meninges, ventricles, cerebrospinal fluidAnatomy of meninges, ventricles, cerebrospinal fluid
Anatomy of meninges, ventricles, cerebrospinal fluid
 
Anterior cerebral circulation
Anterior cerebral circulationAnterior cerebral circulation
Anterior cerebral circulation
 
MBB Review
MBB ReviewMBB Review
MBB Review
 
Normal & abnormal radiology of brain part i
Normal & abnormal radiology of brain part iNormal & abnormal radiology of brain part i
Normal & abnormal radiology of brain part i
 
Anatomy..brain
Anatomy..brainAnatomy..brain
Anatomy..brain
 
Cns Anatomy Slides
Cns Anatomy SlidesCns Anatomy Slides
Cns Anatomy Slides
 
Skull, dura & sinuses
Skull, dura & sinusesSkull, dura & sinuses
Skull, dura & sinuses
 
Nervio Vago/Wilson Pawels/idiomainglés
Nervio Vago/Wilson Pawels/idiomainglésNervio Vago/Wilson Pawels/idiomainglés
Nervio Vago/Wilson Pawels/idiomainglés
 
Lab practice 3
Lab practice 3Lab practice 3
Lab practice 3
 
Venous sinuses
Venous  sinusesVenous  sinuses
Venous sinuses
 
Anatomy of cerebellum
Anatomy of cerebellumAnatomy of cerebellum
Anatomy of cerebellum
 
Cerebellum
CerebellumCerebellum
Cerebellum
 

More from Jan Stern

Vo8 2010-short
Vo8 2010-shortVo8 2010-short
Vo8 2010-shortJan Stern
 
Vo5 2010-short
Vo5 2010-shortVo5 2010-short
Vo5 2010-shortJan Stern
 
Vo4 2010 neu
Vo4 2010 neuVo4 2010 neu
Vo4 2010 neuJan Stern
 

More from Jan Stern (20)

Kapitel 13
Kapitel 13Kapitel 13
Kapitel 13
 
Kapitel 11
Kapitel 11Kapitel 11
Kapitel 11
 
Kapitel 10
Kapitel 10Kapitel 10
Kapitel 10
 
Kapitel 9
Kapitel 9Kapitel 9
Kapitel 9
 
Kapitel 8
Kapitel 8Kapitel 8
Kapitel 8
 
Kapitel 7
Kapitel 7Kapitel 7
Kapitel 7
 
Kapitel 6
Kapitel 6Kapitel 6
Kapitel 6
 
Kapitel 5
Kapitel 5Kapitel 5
Kapitel 5
 
Kapitel 4
Kapitel 4Kapitel 4
Kapitel 4
 
Kapitel 3
Kapitel 3Kapitel 3
Kapitel 3
 
Kapitel 2
Kapitel 2Kapitel 2
Kapitel 2
 
Kapitel 1
Kapitel 1Kapitel 1
Kapitel 1
 
Kapitel 14
Kapitel 14Kapitel 14
Kapitel 14
 
Kapitel 12
Kapitel 12Kapitel 12
Kapitel 12
 
Statistik
StatistikStatistik
Statistik
 
Vo8 2010-short
Vo8 2010-shortVo8 2010-short
Vo8 2010-short
 
Vo7 2010
Vo7 2010Vo7 2010
Vo7 2010
 
Vo6 2010neu
Vo6 2010neuVo6 2010neu
Vo6 2010neu
 
Vo5 2010-short
Vo5 2010-shortVo5 2010-short
Vo5 2010-short
 
Vo4 2010 neu
Vo4 2010 neuVo4 2010 neu
Vo4 2010 neu
 

Recently uploaded

BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdfBENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
DR SETH JOTHAM
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Savita Shen $i11
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
Dr. Vinay Pareek
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
DR SETH JOTHAM
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
Little Cross Family Clinic
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
Anujkumaranit
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
greendigital
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
NEHA GUPTA
 
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 UpakalpaniyaadhyayaCharaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Dr KHALID B.M
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
bkling
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
i3 Health
 

Recently uploaded (20)

BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdfBENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
 
Are There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdfAre There Any Natural Remedies To Treat Syphilis.pdf
Are There Any Natural Remedies To Treat Syphilis.pdf
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
 
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 UpakalpaniyaadhyayaCharaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
 

Ch07

  • 2. ANATOMICAL REFERENCES AXIAL Caudal/ Rostral/ Lateral Medial Posterior Anterior Dorsal CORONAL Ventral Rostral/ Anterior SAGITTAL Caudal/ Medial Posterior Lateral
  • 3. THE MENINGES space membrane space Artery Brain The meninges are filled with cerebrospinal fluid (CSF) Insula
  • 4. Whole Brain GM WM CSF
  • 5. THE CNS Cerebrum Brainstem Cerebellum
  • 6. MAJOR SULCI Longitudinal sulcus
  • 7. MAJOR SULCI Central sulcus Lateral (sylvian) fissure
  • 8. CEREBRAL LOBES Parietal Frontal Occipital Temporal
  • 9. CEREBRAL LOBES Insula
  • 10. CEREBELLUM Left Cerebellar Hemisphere Right Cerebellar Hemisphere Insula Vermis
  • 11. WHITE MATTER TRACTS Left Cerebellar Hemisphere Right Cerebellar Hemisphere Insula Vermis
  • 14. THE CNS Thalamus Telencephalon Pineal body Diencephalon Hypothalamus Tegment Tectum Cerebellum Midbrain Pons Medulla Insula
  • 15. THE VENTRICULAR SYSTEM Lateral ventricles Third ventricle Fourth ventricle third Fourth ventricle ventricle Fourth ventricle fourth ventricle Lateral ventricles Fourth ventricle Insula
  • 16. THALAMIC NUCLEI Insula
  • 17. CEREBRAL CIRCULATION Anterior Cerebral Artery Anterior Communicating Artery Middle Cerebral Artery Internal Carotid Artery Posterior Communicating Artery Posterior Cerebral Artery Superior Cerebellar Artery Basilar Artery Insula Vertebral Arteries
  • 18. CEREBRAL CIRCULATION Terminal branches of Anterior Cerebral Artery Middle Cerebral Artery Terminal branches of Posterior Cerebral Artery Insula
  • 19. CEREBRAL CIRCULATION Anterior Cerebral Artery Posterior Cerebral Artery Insula Posterior Communicating Artery
  • 20. CEREBRAL CIRCULATION Anterior Cerebral Artery Surface branches supply cortex and white matter of : 1)inferior frontal lobe 2)medial surface of the frontal and parietal lobes 3)anterior corpus callosum Posterior Cerebral Artery Surface branches supply cortex and white matter of: 1)medial occipital lobes 2)inferior temporal lobes 3)posterior corpus callosum Middle Cerebral Artery Surface branches supply cortex and white matter of: hemispheric convexity (all four lobes and insula). Insula
  • 21. CEREBRAL CIRCULATION Middle Cerebral Artery Stroke Most common stroke syndrome. Symptoms: -contralateral weakness (face, arm, and hand more than legs) -contralateral sensory loss (face, arm, and hand more than legs) -visual field cut (damage to optic radiations) -aphasia: language disturbances (more likely with L. Hemi. Damage) -impaired spatial perception (more likely after R. Hemi. Damage) Insula
  • 22. CEREBRAL CIRCULATION Anterior Cerebral Artery - Motor disturbance 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 (central vision is often spared) -L. Hemi: lesions alexia (with or without agraphia) -Bilateral lesions: cortical blindness : patients unaware they cannot see -Memory impairment if temporal lobe is affected Insula
  • 23. CRANIAL NERVES Insula Posterior Communicating Artery