This document summarizes a seminar on the vascular supply and drainage of the orbit. It describes the key arteries supplying the orbit, including the ophthalmic artery and its branches, which provide blood to the eye muscles, lacrimal gland, retina and other orbital structures. It also discusses the venous drainage pathways, with the two ophthalmic veins and angular vein draining into the cavernous sinus and facial veins respectively. Clinical implications of diseases affecting these arterial and venous structures are presented.
The document describes several types of persistent fetal carotid-vertebral anastomoses, including the persistent trigeminal artery, persistent otic artery, persistent hypoglossal artery, and persistent proatlantal artery. During typical embryonic development, these arteries regress after other anastomoses form, but in some cases they can persist into postnatal life. The persistent trigeminal artery is the most common variant and can connect the cavernous internal carotid artery to the basilar artery. The document provides detailed descriptions and images of each type of persistent fetal anastomosis.
This document contains an atlas of neurovascular anatomy with several figures and keys describing the major arteries of the head and neck, as well as the intracranial circulation including the anterior and posterior circulations. The figures show angiographic views of the arteries and their branches, labeled with numerical keys identifying each vessel. The document provides detailed angiographic views and labels for the major extracranial and intracranial arteries.
This document discusses the anatomy and physiology of the ocular circulation. It notes that the eye has two distinct vascular systems: the retinal and uveal systems. The ophthalmic artery, a branch of the internal carotid, gives rise to these systems. It describes the branches of the ophthalmic artery that contribute to the ocular circulation, including the central retinal artery and posterior ciliary arteries. It also details the unique structure and branching patterns of arteries, capillaries, and veins that make up the retinal and uveal circulations.
The internal carotid artery has 7 segments from its origin at the common carotid artery bifurcation to where it enters the cranium. Each segment has unique anatomic features and branches. The segments are named cervical, petrous, lacerum, cavernous, clinoid, ophthalmic, and communicating. The petrous, cavernous, and ophthalmic segments each have important branches including the vidian artery, meningohypophyseal trunk, and ophthalmic artery respectively.
The document summarizes the arterial and venous anatomy of the brain. It describes the major arteries that supply blood to the brain, including the internal carotid, vertebral, and basilar arteries. It discusses the circle of Willis and territories supplied by the anterior, middle, and posterior cerebral arteries. It also outlines the dural venous sinuses and cerebral veins that drain blood from the brain. Key structures mentioned include the cavernous sinus and superior sagittal sinus.
This document provides an overview of the normal anatomy and variants of intracranial arteries, with a focus on the internal carotid artery. It describes the typical course and branches of the internal carotid artery and its major divisions including the anterior, middle, and posterior cerebral arteries. Various anatomical variants are also discussed, such as fenestrations, hyperplastic anterior choroidal arteries, fetal-type posterior cerebral arteries, posterior communicating artery infundibula, and persistent carotid-basilar anastomoses like the trigeminal artery. Clinical correlations including aneurysm formation and hemorrhagic risk are also mentioned.
This document provides an overview of the blood supply and venous drainage of the brain. It describes the major arteries including the vertebral, basilar, internal carotid, middle cerebral and anterior cerebral arteries. It also discusses the circle of Willis and its variations. The document outlines the branches and course of these arteries. It concludes with a description of the superficial and deep cerebral veins that drain into the venous sinuses.
The document describes several types of persistent fetal carotid-vertebral anastomoses, including the persistent trigeminal artery, persistent otic artery, persistent hypoglossal artery, and persistent proatlantal artery. During typical embryonic development, these arteries regress after other anastomoses form, but in some cases they can persist into postnatal life. The persistent trigeminal artery is the most common variant and can connect the cavernous internal carotid artery to the basilar artery. The document provides detailed descriptions and images of each type of persistent fetal anastomosis.
This document contains an atlas of neurovascular anatomy with several figures and keys describing the major arteries of the head and neck, as well as the intracranial circulation including the anterior and posterior circulations. The figures show angiographic views of the arteries and their branches, labeled with numerical keys identifying each vessel. The document provides detailed angiographic views and labels for the major extracranial and intracranial arteries.
This document discusses the anatomy and physiology of the ocular circulation. It notes that the eye has two distinct vascular systems: the retinal and uveal systems. The ophthalmic artery, a branch of the internal carotid, gives rise to these systems. It describes the branches of the ophthalmic artery that contribute to the ocular circulation, including the central retinal artery and posterior ciliary arteries. It also details the unique structure and branching patterns of arteries, capillaries, and veins that make up the retinal and uveal circulations.
The internal carotid artery has 7 segments from its origin at the common carotid artery bifurcation to where it enters the cranium. Each segment has unique anatomic features and branches. The segments are named cervical, petrous, lacerum, cavernous, clinoid, ophthalmic, and communicating. The petrous, cavernous, and ophthalmic segments each have important branches including the vidian artery, meningohypophyseal trunk, and ophthalmic artery respectively.
The document summarizes the arterial and venous anatomy of the brain. It describes the major arteries that supply blood to the brain, including the internal carotid, vertebral, and basilar arteries. It discusses the circle of Willis and territories supplied by the anterior, middle, and posterior cerebral arteries. It also outlines the dural venous sinuses and cerebral veins that drain blood from the brain. Key structures mentioned include the cavernous sinus and superior sagittal sinus.
This document provides an overview of the normal anatomy and variants of intracranial arteries, with a focus on the internal carotid artery. It describes the typical course and branches of the internal carotid artery and its major divisions including the anterior, middle, and posterior cerebral arteries. Various anatomical variants are also discussed, such as fenestrations, hyperplastic anterior choroidal arteries, fetal-type posterior cerebral arteries, posterior communicating artery infundibula, and persistent carotid-basilar anastomoses like the trigeminal artery. Clinical correlations including aneurysm formation and hemorrhagic risk are also mentioned.
This document provides an overview of the blood supply and venous drainage of the brain. It describes the major arteries including the vertebral, basilar, internal carotid, middle cerebral and anterior cerebral arteries. It also discusses the circle of Willis and its variations. The document outlines the branches and course of these arteries. It concludes with a description of the superficial and deep cerebral veins that drain into the venous sinuses.
This document provides an overview of brain anatomy and vascular supply. It begins by describing the protective coverings, brain parenchyma structures, and vascular anatomy. It then discusses the arterial supply in more detail, covering the territories of the internal carotid, middle cerebral, anterior cerebral, anterior choroidal, vertebrobasilar, posterior cerebral, and circle of Willis arteries. It also reviews the vascular territories of the cerebral hemispheres, cerebellum/brainstem, and basal ganglia/internal capsule. Finally, it discusses watershed areas and their appearance on neuroimaging.
The brain receives its arterial blood supply from two internal carotid arteries and two vertebral arteries. These vessels form an anastomosis called the circle of Willis at the base of the brain. The internal carotid arteries supply the anterior circulation to most of the forebrain, while the vertebral arteries contribute to the posterior or vertebrobasilar circulation to the brainstem and cerebellum. Disruption of blood flow to the brain for more than a few minutes can cause permanent neurological damage through ischemic strokes or hemorrhages such as those from aneurysms.
radiology Arterial and venous supply of brain neuroimaging part 1Sameeha Khan
The document discusses the anatomy and imaging of cerebral vasculature. It begins by covering the major vessels arising from the aortic arch, including the brachiocephalic trunk, right and left common carotid arteries, and right subclavian artery. It then details the branches and course of the external carotid artery. The remainder discusses the segments and branches of the internal carotid artery as it passes through the petrous, cavernous, and supraclinoid regions. Key branches include the ophthalmic artery and inferior hypophyseal artery. Various angiographic views and MRI/CT techniques for visualizing these vessels are also summarized.
Cranial Anastomoses and Dangerous Vascular Connections. Important for Neuroradiologists and Neurointerventionalists. You should know before embolization.
Blood supply of the brain, neuro anatomy .Faarah Yusuf
The two main arteries supplying the brain are the internal carotid arteries and vertebral arteries. Within the skull, these arteries and their branches form a circle of connected blood vessels called the Circle of Willis. The Circle of Willis supplies different regions of the brain and helps ensure adequate blood flow if one artery is blocked. Strokes occur when blood flow to the brain is disrupted, such as from a blood clot blocking an artery.
Venous drainage system of brain - Dr Sameep Koshti (Consultant Neurosurgeon)Sameep Koshti
The venous drainage of the brain occurs through a complex system of deep and superficial veins. The superficial system drains the superficial fifth of the cerebrum while the deep system drains the remaining four-fifths. These veins pierce the arachnoid mater and dura mater to open into dural venous sinuses. The major veins include the superior and inferior cerebral veins, internal cerebral veins, basal vein of Rosenthal, vein of Galen, and petrosal and galenic vein groups which drain into dural sinuses like the superior sagittal sinus and transverse sinus. The brain's venous system lacks valves and has thin walls to facilitate drainage.
The common carotid artery divides into the internal and external carotid arteries. The internal carotid artery supplies structures within the cranium including the eye. The external carotid artery supplies the superficial head and neck. The ophthalmic artery, a branch of the internal carotid, gives rise to numerous branches that supply the eye and surrounding structures. These branches anastomose to form networks that provide the eye and orbit with their blood supply. Venous drainage from the eye and orbit occurs primarily through the superior and inferior ophthalmic veins which drain into the cavernous sinus.
The document provides details on the arterial supply of the head and neck region. It begins with an introduction and then describes the anatomy of the common carotid artery, external carotid artery, and their branches. The external carotid artery gives off 6 branches before entering the parotid gland, including the lingual, facial, occipital, and posterior auricular arteries. Its two terminal branches are the superficial temporal and maxillary arteries. The maxillary artery supplies structures in the face, jaws, and teeth and gives off the middle meningeal artery which supplies the dura mater.
The document describes the anatomy and course of the internal carotid artery (ICA). It discusses the anterior and posterior circulations fed by the ICA and vertebrobasilar trunk. Key points include the ICA coursing through the cavernous sinus and giving off branches like the ophthalmic artery. The posterior communicating artery connects the ICA to the vertebrobasilar system.
The brain receives its arterial blood supply from the internal carotid arteries and vertebral arteries. The internal carotid artery enters the cranium and gives off branches including the anterior cerebral artery and middle cerebral artery. The vertebral arteries join to form the basilar artery which splits into the posterior cerebral arteries. These arteries anastomose to form the Circle of Willis, which provides an alternative blood supply if one of the arteries is occluded. Occlusion of specific arteries can cause deficits in regions supplied by that artery.
The document summarizes the cerebral blood supply system. It describes that the brain receives blood from two main arterial systems - the internal carotid and vertebral arteries. These arteries are connected via the circle of Willis, which allows for collateral blood flow if one artery is blocked. It then proceeds to describe each of the major arteries in detail, including their branches and the brain regions they supply.
Case of 71 year old female, a retired school teacher from Camarines Sur, Philippines who complained of severe headache.
Diagnostic CT cerebral angiogram showed bilobulated aneurysm at the distal end of right ICA.
The document discusses the anterior cerebral circulation, including the internal carotid artery, anterior cerebral artery, and middle cerebral artery. It describes the typical vascular territories and clinical deficits that can result from occlusions or infarctions in different segments of these arteries. Key points include that unilateral middle cerebral artery occlusion can cause contralateral hemiplegia and homonymous hemianopia, while bilateral anterior cerebral artery occlusion can lead to paraplegia and urinary incontinence.
The eye receives its blood supply from two vascular systems - the retinal vessels and the ciliary (uveal) vessels. The retinal vessels include the central retinal artery and vein, which arise from the ophthalmic artery, a branch of the internal carotid artery. The ciliary vessels include the anterior and posterior ciliary arteries. Both systems anastomose to form circulations in the retina and choroid. The choroid has a dense capillary network called the choriocapillaris that supplies the outer retina. The retina and optic nerve have autoregulatory mechanisms to maintain constant blood flow despite changes in perfusion pressure, while the choroid has limited autoregulation.
The spinal cord receives its blood supply from the anterior and posterior spinal arteries as well as radicular arteries. Venous drainage occurs through six irregular plexiform channels along the midlines and roots that drain into the epidural venous plexus and Batson's plexus, which may transport tumor cells. The anterior spinal artery arises from the vertebral artery and supplies the anterior two-thirds of the cord. Posterior spinal arteries from the vertebra arteries supply the posterior horns and dorsal funiculi. Radicular arteries from the intercostal arteries supply peripheral areas and anastomose with the anterior and posterior spinal arteries.
Cerebral Venous anatomy from the neuroradiology point of view. Anatomy of the cerebral veins and venous sinuses. Important for Neuroradiologists and Neurointerventionalists.
This document discusses the blood supply of the eye. It begins by outlining the main arteries involved - the ophthalmic artery, cerebral arteries, circle of Willis, and external carotid artery. It then provides detailed descriptions of each artery's origin, course, branches and clinical significance as they relate to supplying structures of the eye. This includes descriptions of the central retinal artery and its branches within the retina, as well as the conjunctival and episcleral arteries. It also briefly discusses the arteries of the brain including the internal and vertebral arteries, basilar artery, and circle of Willis.
The document discusses the blood supply of the orbit. The key arteries that supply the orbit and ocular structures are the ophthalmic artery, internal carotid artery, and external carotid artery. The ophthalmic artery arises from the internal carotid artery and gives off several important branches in the orbit including the central retinal artery, posterior ciliary arteries, and muscular branches. It anastomoses with branches of the external carotid artery to form the circulus arteriosus iridis major which supplies the iris and ciliary body. Veins in the orbit drain into the superior and inferior ophthalmic veins which empty into the cavernous sinus.
This document provides an overview of brain anatomy and vascular supply. It begins by describing the protective coverings, brain parenchyma structures, and vascular anatomy. It then discusses the arterial supply in more detail, covering the territories of the internal carotid, middle cerebral, anterior cerebral, anterior choroidal, vertebrobasilar, posterior cerebral, and circle of Willis arteries. It also reviews the vascular territories of the cerebral hemispheres, cerebellum/brainstem, and basal ganglia/internal capsule. Finally, it discusses watershed areas and their appearance on neuroimaging.
The brain receives its arterial blood supply from two internal carotid arteries and two vertebral arteries. These vessels form an anastomosis called the circle of Willis at the base of the brain. The internal carotid arteries supply the anterior circulation to most of the forebrain, while the vertebral arteries contribute to the posterior or vertebrobasilar circulation to the brainstem and cerebellum. Disruption of blood flow to the brain for more than a few minutes can cause permanent neurological damage through ischemic strokes or hemorrhages such as those from aneurysms.
radiology Arterial and venous supply of brain neuroimaging part 1Sameeha Khan
The document discusses the anatomy and imaging of cerebral vasculature. It begins by covering the major vessels arising from the aortic arch, including the brachiocephalic trunk, right and left common carotid arteries, and right subclavian artery. It then details the branches and course of the external carotid artery. The remainder discusses the segments and branches of the internal carotid artery as it passes through the petrous, cavernous, and supraclinoid regions. Key branches include the ophthalmic artery and inferior hypophyseal artery. Various angiographic views and MRI/CT techniques for visualizing these vessels are also summarized.
Cranial Anastomoses and Dangerous Vascular Connections. Important for Neuroradiologists and Neurointerventionalists. You should know before embolization.
Blood supply of the brain, neuro anatomy .Faarah Yusuf
The two main arteries supplying the brain are the internal carotid arteries and vertebral arteries. Within the skull, these arteries and their branches form a circle of connected blood vessels called the Circle of Willis. The Circle of Willis supplies different regions of the brain and helps ensure adequate blood flow if one artery is blocked. Strokes occur when blood flow to the brain is disrupted, such as from a blood clot blocking an artery.
Venous drainage system of brain - Dr Sameep Koshti (Consultant Neurosurgeon)Sameep Koshti
The venous drainage of the brain occurs through a complex system of deep and superficial veins. The superficial system drains the superficial fifth of the cerebrum while the deep system drains the remaining four-fifths. These veins pierce the arachnoid mater and dura mater to open into dural venous sinuses. The major veins include the superior and inferior cerebral veins, internal cerebral veins, basal vein of Rosenthal, vein of Galen, and petrosal and galenic vein groups which drain into dural sinuses like the superior sagittal sinus and transverse sinus. The brain's venous system lacks valves and has thin walls to facilitate drainage.
The common carotid artery divides into the internal and external carotid arteries. The internal carotid artery supplies structures within the cranium including the eye. The external carotid artery supplies the superficial head and neck. The ophthalmic artery, a branch of the internal carotid, gives rise to numerous branches that supply the eye and surrounding structures. These branches anastomose to form networks that provide the eye and orbit with their blood supply. Venous drainage from the eye and orbit occurs primarily through the superior and inferior ophthalmic veins which drain into the cavernous sinus.
The document provides details on the arterial supply of the head and neck region. It begins with an introduction and then describes the anatomy of the common carotid artery, external carotid artery, and their branches. The external carotid artery gives off 6 branches before entering the parotid gland, including the lingual, facial, occipital, and posterior auricular arteries. Its two terminal branches are the superficial temporal and maxillary arteries. The maxillary artery supplies structures in the face, jaws, and teeth and gives off the middle meningeal artery which supplies the dura mater.
The document describes the anatomy and course of the internal carotid artery (ICA). It discusses the anterior and posterior circulations fed by the ICA and vertebrobasilar trunk. Key points include the ICA coursing through the cavernous sinus and giving off branches like the ophthalmic artery. The posterior communicating artery connects the ICA to the vertebrobasilar system.
The brain receives its arterial blood supply from the internal carotid arteries and vertebral arteries. The internal carotid artery enters the cranium and gives off branches including the anterior cerebral artery and middle cerebral artery. The vertebral arteries join to form the basilar artery which splits into the posterior cerebral arteries. These arteries anastomose to form the Circle of Willis, which provides an alternative blood supply if one of the arteries is occluded. Occlusion of specific arteries can cause deficits in regions supplied by that artery.
The document summarizes the cerebral blood supply system. It describes that the brain receives blood from two main arterial systems - the internal carotid and vertebral arteries. These arteries are connected via the circle of Willis, which allows for collateral blood flow if one artery is blocked. It then proceeds to describe each of the major arteries in detail, including their branches and the brain regions they supply.
Case of 71 year old female, a retired school teacher from Camarines Sur, Philippines who complained of severe headache.
Diagnostic CT cerebral angiogram showed bilobulated aneurysm at the distal end of right ICA.
The document discusses the anterior cerebral circulation, including the internal carotid artery, anterior cerebral artery, and middle cerebral artery. It describes the typical vascular territories and clinical deficits that can result from occlusions or infarctions in different segments of these arteries. Key points include that unilateral middle cerebral artery occlusion can cause contralateral hemiplegia and homonymous hemianopia, while bilateral anterior cerebral artery occlusion can lead to paraplegia and urinary incontinence.
The eye receives its blood supply from two vascular systems - the retinal vessels and the ciliary (uveal) vessels. The retinal vessels include the central retinal artery and vein, which arise from the ophthalmic artery, a branch of the internal carotid artery. The ciliary vessels include the anterior and posterior ciliary arteries. Both systems anastomose to form circulations in the retina and choroid. The choroid has a dense capillary network called the choriocapillaris that supplies the outer retina. The retina and optic nerve have autoregulatory mechanisms to maintain constant blood flow despite changes in perfusion pressure, while the choroid has limited autoregulation.
The spinal cord receives its blood supply from the anterior and posterior spinal arteries as well as radicular arteries. Venous drainage occurs through six irregular plexiform channels along the midlines and roots that drain into the epidural venous plexus and Batson's plexus, which may transport tumor cells. The anterior spinal artery arises from the vertebral artery and supplies the anterior two-thirds of the cord. Posterior spinal arteries from the vertebra arteries supply the posterior horns and dorsal funiculi. Radicular arteries from the intercostal arteries supply peripheral areas and anastomose with the anterior and posterior spinal arteries.
Cerebral Venous anatomy from the neuroradiology point of view. Anatomy of the cerebral veins and venous sinuses. Important for Neuroradiologists and Neurointerventionalists.
This document discusses the blood supply of the eye. It begins by outlining the main arteries involved - the ophthalmic artery, cerebral arteries, circle of Willis, and external carotid artery. It then provides detailed descriptions of each artery's origin, course, branches and clinical significance as they relate to supplying structures of the eye. This includes descriptions of the central retinal artery and its branches within the retina, as well as the conjunctival and episcleral arteries. It also briefly discusses the arteries of the brain including the internal and vertebral arteries, basilar artery, and circle of Willis.
The document discusses the blood supply of the orbit. The key arteries that supply the orbit and ocular structures are the ophthalmic artery, internal carotid artery, and external carotid artery. The ophthalmic artery arises from the internal carotid artery and gives off several important branches in the orbit including the central retinal artery, posterior ciliary arteries, and muscular branches. It anastomoses with branches of the external carotid artery to form the circulus arteriosus iridis major which supplies the iris and ciliary body. Veins in the orbit drain into the superior and inferior ophthalmic veins which empty into the cavernous sinus.
The aortic arches are arteries that arise from the aortic sac during embryonic development and supply the pharyngeal arches. Initially, six pairs form but then regress except for the third, fourth, and sixth pairs which give rise to major arteries like the common carotid, subclavian, and pulmonary arteries. The external carotid artery branches include the lingual, facial, maxillary, and occipital arteries. It supplies structures in the head and neck. The maxillary artery gives off branches like the middle meningeal artery and branches that supply the oral cavity.
The key arteries supplying the visual pathway include the internal carotid artery, posterior cerebral artery, anterior cerebral artery, ophthalmic artery, and posterior ciliary arteries. The central retinal artery supplies the retina. The optic nerve receives blood supply from the posterior ciliary arteries and branches of the ophthalmic artery. The optic chiasm, tract, lateral geniculate body, and visual cortex are supplied by branches of the internal carotid, anterior cerebral, and posterior cerebral arteries. Venous drainage is primarily through the central retinal vein, ophthalmic veins, basal veins and internal cerebral veins.
Thyroid, facial and lingual artery -- Anatomy and anastomosisSarbesh Tiwari
This document describes the anatomy of the superior thyroid artery and its branches. It notes that the superior thyroid artery typically arises from the external carotid artery and supplies the thyroid gland, infrahyoid muscles, larynx and sternocleidomastoid muscle. It anastomoses with the opposite superior thyroid artery and inferior thyroid artery. The document discusses the typical course and branches of the superior thyroid artery, including the infrahyoid, sternocleidomastoid, superior and inferior laryngeal, and cricothyroid arteries. It also summarizes the anatomy of related arteries like the lingual and facial arteries.
The document discusses the arterial supply of the head and neck region. It begins with an introduction to arteries and the carotid arteries, which are the main suppliers of blood to the head and neck. It then describes the common, external, and internal carotid arteries and their branches in detail. Key branches include the superior thyroid, lingual, facial, occipital, maxillary, and superficial temporal arteries. The document emphasizes the clinical significance and applications of ligating or exposing these arteries during surgical procedures.
This document provides an overview of the arterial supply of the head and neck. It begins with the embryological development of the aortic arches, which give rise to many major arteries. It then discusses the histology of arteries and describes the major arteries originating from the common carotid, external carotid, and internal carotid arteries. These include the lingual, facial, maxillary, and occipital arteries. It provides details on the branches, course, and anatomical relationships of these arteries.
The document summarizes the orbital blood supply. The ophthalmic artery is the first main branch of the internal carotid artery and gives rise to numerous branches that supply the orbit and eye. These branches include the central retinal artery, lacrimal artery, muscular branches, and ciliary arteries. The central retinal artery supplies the retina. The lacrimal artery supplies the lacrimal gland and eyelids. Venous drainage is mainly through the superior and inferior ophthalmic veins which drain into the cavernous sinus.
The scalp is made up of 5 layers - skin, dense connective tissue, aponeurotic layer, loose connective tissue, and pericranium. It is supplied by branches of the internal and external carotid arteries and drains venously into the superficial temporal and posterior auricular veins. The scalp is innervated by branches of the trigeminal and cervical nerves and drains lymphatically to occipital, mastoid, pre-auricular and parotid lymph nodes.
1. The orbit is a pyramidal cavity containing the eyeball and associated structures. It has openings for nerves, vessels and muscles. The walls are formed by several bones with thin medial wall.
2. The optic nerve passes through the optic canal to enter the orbit. Several nerves like oculomotor and abducens also pass through openings to innervate extraocular muscles.
3. The ophthalmic artery is the main artery supplying the orbit and eye. It gives off branches like lacrimal and supraorbital arteries. Veins drain via superior and inferior ophthalmic veins.
1. The brain receives blood supply from the internal carotid arteries and vertebral arteries, whose branches anastomose to form the circle of Willis at the base of the brain.
2. The internal carotid artery enters the skull through the carotid canal and gives off branches including the anterior cerebral artery, middle cerebral artery, and posterior communicating artery.
3. Occlusion of the internal carotid or its major branches can cause symptoms such as hemiparesis, aphasia, or visual field defects depending on the location of occlusion.
The bony orbit is a quadrangular pyramidal cavity housing the eyeball and other structures. It is formed by 7 bones and has 4 walls - medial, lateral, roof and floor. The medial wall is formed by the frontal process of maxilla, lacrimal bone and orbital plates of ethmoid and sphenoid bones. The floor is formed by maxilla, zygoma and palatine bones. The lateral wall is formed by zygoma anteriorly and sphenoid wing posteriorly. The roof is formed mainly by frontal bone. The orbital cavity contains the eyeball, 6 extraocular muscles, lacrimal gland, blood vessels and nerves.
Blood supply of head & neck and periodontal tissuesDr. Ayushi Naagar
The document discusses the blood supply of the head and neck region. It begins by introducing the main arteries - the internal and external carotid arteries, which both branch directly from the common carotid arteries. It then goes into extensive detail about the branches and anatomy of the external carotid artery, which supplies structures outside of the skull. It also discusses the branches of the internal carotid artery and its course within the skull. The document closes by discussing the venous drainage of the head and neck region, primarily via the internal and external jugular veins.
The document summarizes the major arteries of the head and neck, including their embryological development, course, branches, and clinical significance. It describes the carotid system, internal carotid artery, and external carotid artery in detail. Key branches discussed include the superior thyroid, lingual, facial, and maxillary arteries. Variations in artery origins are also noted.
The document describes the anatomy and variations of veins in the head and neck region. It notes that the main venous drainage from the face is through the superficial facial vein which joins the retromandibular vein. The retromandibular vein then divides into anterior and posterior divisions, with the anterior joining the facial vein and posterior forming the external jugular vein. The external jugular vein drains into the subclavian vein. The document also describes variations seen in 6 out of 35 specimens studied, where the retromandibular veins did not divide and the common facial vein drained directly into the subclavian vein without forming an external jugular vein.
The document summarizes the cerebral blood supply system. It describes that the brain receives blood from two main arterial systems - the internal carotid and vertebral arteries. These arteries are connected via the circle of Willis, which allows for collateral blood flow if one artery is blocked. It then proceeds to describe each of the major arteries in detail, including their branches and the regions of the brain they supply.
The ophthalmic artery originates from the internal carotid artery as it leaves the cavernous sinus. It passes through the optic canal and orbits the eye, dividing into branches that supply the eye and surrounding structures. The central artery of the retina arises in the optic canal and supplies the retina. The lacrimal artery runs to the lacrimal gland. Other branches include the supraorbital, anterior and posterior ethmoidal, meningeal, muscular, and dorsal nasal and supratrochlear arteries which supply the surrounding areas. The ciliary arteries pierce the sclera to supply the choroid, iris, and ciliary body. The ophthalmic artery and its branches provide the main blood supply to
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 vitreous body pushes the retina into place. If it shrinks due to dehydration, the retina can detach from the eye wall, damaging vision. The optic disc is a blind spot where the optic nerve and blood vessels exit the retina. The macula lutea contains the highest concentration of cones, providing sharp central vision. Fibers from the nasal retina cross at the optic chiasm, while temporal fibers remain uncrossed. The lateral geniculate body relays visual information to the visual cortex.
لقطة شاشة ٢٠٢٣-١١-١٢ في ١١.٤٥.٤٨ ص.pdfahmad2100799
The document summarizes the vascularization of the brain. There are two main arterial circuits that supply the brain - the anterior circulation supplied by the internal carotid arteries, and the posterior circulation supplied by the vertebrobasilar system. These arteries anastomose to form the Circle of Willis at the base of the brain. The anterior circulation includes the internal carotid arteries, anterior cerebral arteries, anterior communicating artery, and middle cerebral arteries. The posterior circulation is supplied by the vertebral arteries, basilar artery, posterior cerebral arteries, and posterior communicating arteries.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Orbit dr.sami
1. SEMINAR ON VASCULAR SUPPLY
AND DRAINAGE OF THE ORBIT
Presenter- Dr. Samuael G.(Ophta. R1)
Moderator- Dr. Haftamu A.(Ophthalmologist)
5/4/2020 1
2. CONTENTS;
Arterial supply of the orbit
Venous drainage of the orbit
Cavernous sinus and its clinical significance
Lymphatic drainage of the orbit
REFERENCE
5/4/2020 2
3. Arterial Supply of the Orbit
The arteries of the orbit correspond
essentially to the ophthalmic artery and its
branches;
The orbit is also supplied by the infraorbital
artery, a branch of the maxillary artery which
is itself the terminal branch of the external
carotid artery.
5/4/2020 3
4. The internal carotid
arteries arise in the neck
from the common carotid
arteries . The cervical part
of each artery ascends
vertically through the
neck, without branching,
to the cranial base. Each
internal carotid artery
enters the cranial cavity
through the carotid canal
in the petrous part of the
temporal bone
Common ca A.
Origin of
Ophthalmic A.
Internal Carotid A.
Carotid canal
5/4/2020 4
5. 5/4/2020 5
Cerebral part of internal
carotid artery (will join
cerebral arterial circle
Cavernous part of
internal carotid artery
in cavernous sinus
Petrous part of
internal carotid artery
in carotid canal
Cervical part of
internal carotid artery
and sympathetic plexus
6. CLINICAL COMMENT: SCLEROSIS OF THE
INTERNAL CAROTID ARTERY
Compression of the optic nerve caused by sclerosis of
the internal carotid artery was found, with pathologic
changes such as atrophy, evident in the optic nerve.
Visual field defects may be caused by this
compression and should be one of the differential
diagnoses when optic nerve head atrophy
accompanies a field defect.
5/4/2020 6
7. The ophthalmic artery,
Diameter of 1.5 mm,
Arising anteriorly where it emerges from the
cavernous sinus medial to the anterior clinoid
process.
Makes its way through the subarachnoid
space below the optic nerve and then
continues on into the optic canal, carrying on
laterally to perforate the sheath at the exit of
the canal.(Infero-laterally)
5/4/2020 7
9. In the orbital cavity,
Initially lateral to the optic nerve and medial
to the ciliary ganglion.
Next, obliquely and accompanied by the
nasociliary nerve, it crosses the top side of the
optic nerve below the superior rectus muscle,
ultimately reaching the medial orbital wall.
5/4/2020 9
11. From there it makes its way forward between
the superior oblique and the medial rectus
muscles, passes under the trochlea and then
climbs back up again to pass between the
orbital rim and the medial palpebral ligament.
5/4/2020 11
13. It terminates by splitting into two different
arteries, the supratrochlear artery and the
angular artery (which forms an anastomosis
with the dorsal artery of the nose).
It should be noted that in about 15% of
subjects, the ophthalmic artery passes
underneath optic nerve.
5/4/2020 13
14. ICA Internal carotid artery,
OphA ophthalmic artery,
SOV superior ophthalmic vein,
PEA posterior ethmoidal artery,
AEA anterior ethmoidal artery,,
SOA supra orbital artery,
STA supra trochlear artery,
DNA dorsal nasal artery,
MusA muscle artery
LA lacrymal artery
LPCA long posterior ciliary artery
CAR
SPCA
Fig.1, superior view of right orbit showing ophthalmic
artery and its branches5/4/2020 14
15. Collateral branches of the ophthalmic artery;
Variable in number from 10 to 19,
most of these arise in the intraorbital
segment of the artery.
Anatomical variations are very common.
5/4/2020 15
17. 1. The central artery of the
retina —one of the
smallest—is present in
all cases. It arises from
the ophthalmic artery in
50% of subjects, and
from one of its branches
(the posterior long
ciliary artery) in the
other 50%.
5/4/2020 17
18. It often arises below and outside the optic
nerve and then skirts over its lower side
before penetrating at a distance of 10–15 mm
from the posterior pole of the eyeball. It then
continues as far as the papilla where it splits
to form its terminal branches.
5/4/2020 18
22. CLINICAL COMMENT: RETINAL VENOUS BRANCH
OCCLUSION
The branches of the central retinal artery and vein are
joined in a common connective tissue sheath.
The artery crosses over the vein and, in such disease
processes as arteriosclerosis, may compress the vein at
the crossing, causing at first a deflection of the vessel,
which in time may progress to a venous occlusion.
Restriction of flow in the vein results in retinal edema
and hemorrhage in the area surrounding the occlusion.
5/4/2020 22
23. CAR is an end artery like the arteries of the
brain because from an embryologic point of
view the retina is a part of the brain. It has a
dual supply like the brain, the outer one-third
by choriocapillaris and the inner two-thirds by
branches of the CRA.
Since it is an end artery, its occlusion will
result in a total loss of vision.
5/4/2020 23
24. 2. The lacrimal artery, one of
the largest branches, arises
near the exit of the optic
canal above and outside
the optic nerve. It passes
forwards, upwards and in a
lateral direction, coming
out of the cone to continue
to the lateral wall of the
orbit where it carries on
with the lacrimal nerve
above the lateral rectus
muscle as far as the
lacrimal gland.
5/4/2020 24
26. This artery gives rise to one or two zygomatic
branches. One of these passes across the
zygomatico-temporal foramen and forms an
anastomosis with the deep temporal arteries.
The lacrimal artery gives a recurrent
anastomotic branch that passes through the
lateral part of the superior orbital fissure to
rejoin a branch of the middle meningeal
artery.
5/4/2020 26
28. Supply –the lacrimal gland and the upper eye
lid.(lateral palpebrar aa.)
- May supply branches to lateral rectus
muscle
5/4/2020 28
29. 3, Muscular branches; are numerous.
These often arise from one or two arterial
trunks.
The inferior muscular artery—one of the
largest of the branches of the ophthalmic
artery—is the most commonly found. Other
muscular branches exist, arising in the
ophthalmic artery or one of its branches.
5/4/2020 29
31. • lateral (or superior) - branch supplies the
lateral rectus, superior rectus, superior
oblique and levator muscle
• the medial (or inferior)- supplies medial
rectus, inf. Rectus and inf. Oblique muscle
5/4/2020 31
32. 4, The ciliary arteries ; can be divided into three
different groups:
The posterior long ciliary arteries, commonly
two in number, arise in the ophthalmic artery
at the point at which it crosses over the optic
nerve.
• These enter the sclera not far from where the
optic nerve enters it.
5/4/2020 32
34. The posterior short ciliary arteries; seven in
number, pass in a forward direction around the
optic nerve. 10-20 branches
• They enter the sclera in a ring around the optic
nerve and form the arterial network within the
choroidal stroma . Other branches from the short
posterior ciliary arteries anastomose to form the
circle of Zinn (Zinn-Haller) which encircles the
optic nerve at the level of the choroid.
5/4/2020 34
36. The anterior ciliary arteries; arise from
muscular branches and pass in front, over the
tendons of the rectus muscles.
These arteries anastomose to form the
greater arterial circle of the iris.(sends
branches posteriorly into ciliary body as well
as forward into iris )
5/4/2020 36
37. 5, The supraorbital artery; (which is absent in 12%
of subjects)
Arises from the ophthalmic artery, often in its
medio-optic part.
It passes up and forwards, comes out of the cone
between the levator palpebrae superior muscle
and the superior oblique muscle, and then meets
the supraorbital nerve, which it accompanies
between the levator muscle and the periorbita
until the supraorbital incisure or foramen.
5/4/2020 37
38. Inside the orbit, it gives rise to muscular
branches (s.rectus, s.oblique, levator mus.)
and, in some cases, the supratrochlear artery.
5/4/2020 38
39. • 6, The posterior ethmoidal artery; arises within
the muscular cone medial and above the optic
nerve then leaves the cone between the superior
oblique muscle underneath and the levator
muscle above to carry on over the trochlear
nerve towards the posterior ethmoid canal.
• Supply the posterior ethmoid sinus and the
sphenoid sinus; it sends branches into the nasal
cavity to supply the upper part of the nasal
mucosa..
5/4/2020 39
41. • 7, The anterior ethmoidal artery, which is
present more often than the preceding vessel,
arises near the anterior ethmoid canal: when
it enters this canal, it is accompanied by the
nerve of the same name.
• Supplies the anterior and middle ethmoid
sinuses, the sphenoid sinus, the frontal sinus,
the nasal cavity, and the skin of the nose
5/4/2020 41
42. 8, The meningeal branch; is a small branch that
passes behind, across the superior orbital
fissure, into the middle cerebral fossa to form
an anastomosis with the middle and accessory
meningeal arteries.
9, The medial palpebral arteries, two in number
(the superior and the inferior), arise from the
ophthalmic artery below the trochlea.
@ SUPPLY BOTH EYE LIDS.
5/4/2020 42
44. 10, The supratrochlear artery, a terminal branch
of the ophthalmic artery, leaves the orbit in
the superomedial part together with the
nerve of the same name.
11, The dorsal artery of the nose, another
terminal branch of the ophthalmic artery,
emerges from the orbit between the trochlea
and the medial palpebral ligament.
5/4/2020 44
45. Venous Drainage of the Orbit
There is a very dense
venous network in the
orbit, organized around
the two ophthalmic
veins that drain into the
cavernous sinus.
These veins are valve-
less.
5/4/2020 45
46. Periorbital drainage also occurs towards the
facial system via the angular vein. Thus, for
the venous system, as with the arterial
system, the orbit is a site of anastomosis
between the endocranial and exocranial
systems.
5/4/2020 46
49. The superior
ophthalmic vein,
A large-caliber vein
present in all subjects,
It is formed by the
union behind the
trochlea of two rami,
the first from the
frontal veins and the
other from the angular
vein.
5/4/2020 49
51. superior ophth..
• This vessel then crosses
the orbit from the front
towards the back
accompanying the
artery and passing
under the superior
rectus muscle.
5/4/2020 51
52. superior ophth..
The veins that drain into the superior
ophthalmic vein are the anterior and posterior
ethmoid veins, the muscular veins draining
the superior and medial muscles, the lacrimal
vein, the central retinal vein, and the upper
vortex veins.
5/4/2020 52
53. superior ophth..
It passes below the superior rectus muscle
and crosses the optic nerve to the upper part
of the superior orbital fissure, where it leaves
the orbit to empty into the cavernous sinus.
5/4/2020 53
55. The inferior ophthalmic
vein ,
that is not present in all
subjects, is the result of
a venous anastomosis
in the anterior
inferomedial part of the
orbit.
It receives rami from
muscles, the lacrimal
sac and the eyelids.
5/4/2020 55
56. inferior op…
• It carries on behind, above the inferior rectus
muscle, whence it often rejoins the superior
ophthalmic vein, although in some subjects, it
carries on to the cavernous sinus as a distinct
vessel.
• It communicates with the pterygoid plexus by
small veins crossing the walls of the orbit.
5/4/2020 56
58. CENTRAL RETINAL VEIN
The venous branches located in the retinal
tissue come together and exit the eyeball as a
single central retinal vein.
This vessel leaves the optic nerve
approximately 10 to 12 mm behind the lamina
cribrosa alongside the central retinal artery.
It leaves optic nerve and either joins the
superior ophthalmic vein or exits the orbit
and drains directly into the cavernous sinus.
5/4/2020 58
61. Vorte…
The vortex veins drain the choroid, and
usually one of the four or five vortex veins is
located in each quadrant.
Exit the globe 6 mm posterior to the equator.
The vortex veins can be seen with an indirect
ophthalmoscope and a dilated pupil.
5/4/2020 61
62. Vorte…
Anterior and posterior uvea drains through
vortex veins then to____ superior and inferior
orbital veins to____ cavernous sinus.
Eyelids drain through facial vein and angular
veins.
5/4/2020 62
63. ANTERIOR CILIARY VEINS
The anterior ciliary veins receive branches
from the conjunctival capillary network and
then accompany the anterior ciliary arteries,
pierce the sclera, and join with the muscular
veins
5/4/2020 63
64. Infraorbital vein
The infraorbital vein is formed by several
veins that drain the face..
It receives branches from some structures in
the inferior part of the orbit and may
communicate with the inferior ophthalmic
vein.
The infraorbital vein drains into the pterygoid
venous plexus.
5/4/2020 64
66. Cavernous sinus
The CS are venous
structures in the middle
cranial base, directly
behind the SOF.
surrounded by dural
walls,
contain neurovascular
structures.
5/4/2020 66
67. Cavernous…
Covers the lateral aspects of the
sphenoid body with a height of
about 1 cm and a length of about
2 cm
Serves as a conduit for most of
the neurovascular supply the
orbit
The sinus receives venous blood
from the superior ophthalmic
vein
5/4/2020 67
69. Cavernous…
A cavernous sinus has five walls:
The roof faces the basal cisterns;
The lateral wall faces the temporal lobe;
The medial wall faces the sella turcica, pituitary
gland, and sphenoid bone;
The posterior wall faces the posterior cranial
fossa, and
The narrow anterior edge borders the superior
orbital fissure
5/4/2020 69
71. Cavernous…
The medial and lateral walls join inferiorly at
the level of the superior margin of the second
division of the trigeminal nerve (maxillary
nerve).
5/4/2020 71
72. Structures passing through CS
ICA surrounded by veins and
sympathetic plexus
Abducent nerve- inferior and
lateral to carotid A.
Occulomotor nerve
Trochlear n.
Ophthalmic n.
Maxilary n.
5/4/2020 72
73. Cavernous…
The cavernous sinus drains into the superior
petrosal sinus, and inferior petrosal sinus.
Both drain either directly or indirectly into
the internal jugular vein.
5/4/2020 73
74. Clinical significance!!!!
Infections of the face or orbit can be dangerous
An infected embolus that forms in a facial or orbital
vein can directly pass into the cavernous sinus via an
ophthalmic vein(??veins are valve less)
CVT must be treated promptly
Carotid–cavernous sinus fistula
– Abnormal communication b/n CA & CS
5/4/2020 74
75. Lymphatic Drainage of the orbit
No lymphatic vessels
occur in the globe
proper;
Lymphatics are found in
the conjunctiva and the
eyelids.
5/4/2020 75
76. Lymphatic Drai…
Most of the upper eye lid, lateral third of the
lower eyelid, and lateral canthus drain into the
pre auricular and deep parotid nodes.
5/4/2020 76
77. Lymphatic Drai…
The medial portion of the upper eyelids, the
medial canthus and the medial two thirds of
the lower lid and conjunctiva drain into the
sub mandibular nodes.
5/4/2020 77
79. EFFECT OF AGING ON
OCULAR CIRCULATION
The density and diameter of the
choriocapillaris decrease with age.
Because there is a coincident decrease in
retinal cells, this decrease in blood flow may
be a response to decreased metabolic need.
5/4/2020 79
80. Reference
• Moore, 7th edition
• Atlas of the ocular system
• Anatomy of the visual system
• Duan's Ophthalmology
• BCSC 2018/19
• NETTER ATLAS OF HUMAN ANATOMY
SEVENTH EDITION 2019
• Internet…..
5/4/2020 80