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ANATOMY OF BRAINANATOMY OF BRAIN
BRAINSTEMBRAINSTEM  HeartHeart
rate and breathingrate and breathing
CEREBELLUMCEREBELLUM
 CoordinationCoordination
and balanceand balance
Parts of the BrainParts of the Brain
amygdalaamygdala
pituitarypituitary
hippocampushippocampus
THALAMUSTHALAMUS
 RelaysRelays
messagesmessages
The BrainThe Brain
 BrainstemBrainstem
responsible forresponsible for
automatic survivalautomatic survival
functionsfunctions
 MedullaMedulla
controls heartbeatcontrols heartbeat
and breathingand breathing
Reticular FormationReticular Formation
Widespread connectionsWidespread connections
Arousal of the brain asArousal of the brain as
a wholea whole
Reticular activatingReticular activating
system (RAS)system (RAS)
MaintainsMaintains
consciousness andconsciousness and
alertnessalertness
Functions in sleep andFunctions in sleep and
arousal from sleeparousal from sleep
The CerebellumThe Cerebellum
helps coordinatehelps coordinate
voluntaryvoluntary
movement andmovement and
balancebalance
The Limbic SystemThe Limbic System
 Hypothalamus, pituitary,Hypothalamus, pituitary,
amygdala, and hippocampusamygdala, and hippocampus
all deal with basic drives,all deal with basic drives,
emotions, and memoryemotions, and memory
 HippocampusHippocampus  MemoryMemory
processingprocessing
 AmygdalaAmygdala  AggressionAggression
(fight) and fear (flight)(fight) and fear (flight)
 HypothalamusHypothalamus  Hunger,Hunger,
thirst, body temperature,thirst, body temperature,
pleasure; regulates pituitarypleasure; regulates pituitary
gland (hormones)gland (hormones)
 ``
The Limbic SystemThe Limbic System
 HypothalamusHypothalamus
 neural structure lyingneural structure lying
below (below (hypohypo) the) the
thalamus; directs severalthalamus; directs several
maintenance activitiesmaintenance activities
 eatingeating
 drinkingdrinking
 body temperaturebody temperature
 helps govern thehelps govern the
endocrine system via theendocrine system via the
pituitary glandpituitary gland
 linked to emotionlinked to emotion
The Limbic SystemThe Limbic System
 AmygdalaAmygdala
two almond-two almond-
shaped neuralshaped neural
clusters that areclusters that are
components ofcomponents of
the limbic systemthe limbic system
and are linked toand are linked to
emotion and fearemotion and fear
He killed his wife andHe killed his wife and
mother before going to themother before going to the
top of the university towertop of the university tower
and opened fire on personsand opened fire on persons
crossing the campus andcrossing the campus and
on nearby streets. Heon nearby streets. He
ended up killing 16 peopleended up killing 16 people
and wounded 31, beforeand wounded 31, before
being killed by policebeing killed by police
officers. The shootingofficers. The shooting
spree lasted 96 minutes.spree lasted 96 minutes.
Post-mortem revealed aPost-mortem revealed a
brain tumor near hisbrain tumor near his
amygdala.amygdala.
The BrainThe Brain
 ThalamusThalamus
 the brains sensorythe brains sensory
switchboard, locatedswitchboard, located
on top of theon top of the
brainstembrainstem
 it directs messages toit directs messages to
the sensory receivingthe sensory receiving
areas in the cortexareas in the cortex
and transmits repliesand transmits replies
to the cerebellum andto the cerebellum and
medullamedulla
The Cerebral CortexThe Cerebral Cortex
 Cerebral CortexCerebral Cortex
the bodysthe bodys
ultimate controlultimate control
and informationand information
processingprocessing
centercenter
The lobes of the cerebral hemispheresThe lobes of the cerebral hemispheres
The lobes of the cerebral hemispheresThe lobes of the cerebral hemispheres
Planning, decisionPlanning, decision
making speechmaking speech
SensorySensory
AuditoryAuditory
VisionVision
The Cerebral CortexThe Cerebral Cortex
 Frontal LobesFrontal Lobes
 involved in speaking and muscle movementsinvolved in speaking and muscle movements
and in making plans and judgmentsand in making plans and judgments
 the executivethe executive
 Parietal LobesParietal Lobes
 include the sensory cortexinclude the sensory cortex
 Occipital LobesOccipital Lobes
 include the visual areas, which receive visualinclude the visual areas, which receive visual
information from the opposite visual fieldinformation from the opposite visual field
 Temporal LobesTemporal Lobes
 include the auditory areas, each of whichinclude the auditory areas, each of which
receives auditory information primarily from thereceives auditory information primarily from the
opposite earopposite ear
The Cerebral CortexThe Cerebral Cortex
 FrontalFrontal (Forehead to top)(Forehead to top)  Motor CortexMotor Cortex
 ParietalParietal (Top to rear)(Top to rear)  Sensory CortexSensory Cortex
 OccipitalOccipital (Back)(Back)  Visual CortexVisual Cortex
 TemporalTemporal (Above ears)(Above ears)  Auditory CortexAuditory Cortex
Motor/Sensory CortexMotor/Sensory Cortex
 ContralateralContralateral
 HomunculusHomunculus
 UnequalUnequal
representationrepresentation
Blood supply-of-brain
Sensory Areas  Sensory HomunculusSensory Areas  Sensory Homunculus
Figure 13.10Figure 13.10
BLOOD SUPPLY OFBLOOD SUPPLY OF
BRAINBRAIN
BLOOD SUPPLY OF BRAINBLOOD SUPPLY OF BRAIN
ARTERIAL SUPPLY OF BRAINARTERIAL SUPPLY OF BRAIN
COMMON CAROTID ARTERYCOMMON CAROTID ARTERY
 70% blood is delivered to ICA
 Carotid bifurcation is a physiological
stenosis.
 CCA divides lateral to upper border of
thyriod cartilage: C3-4 intervertebral
disc.
 ECA arises anterior and medial to
ICA(95%)
CAROTID VESSELSCAROTID VESSELS
ARTERIAL SUPPLY OF BRAINARTERIAL SUPPLY OF BRAIN
INTERNAL CAROTID ARTERYINTERNAL CAROTID ARTERY
1.1. CERVICAL SEGMENTCERVICAL SEGMENT
2.2. PETROUS SEGMENTPETROUS SEGMENT
3.3. CAVERNOUS SEGMENTCAVERNOUS SEGMENT
4.4. SUPRACLINOID SEGMENTSUPRACLINOID SEGMENT
SUPRACLINOID SEGMENTSUPRACLINOID SEGMENT::
 Ascends posterior + lateral b/w
oculomotor and optic nerv.
 BRANCHES:
1. OPHTHALMIC A.
2. SUPERIOR HYPOPHYSEAL A. (not routinely
visualized)
3. PCOM
4. ANTERIOR CHOROIDAL A.
5. MCA
6. ACA
 CAROTID SIPHON: (3CAROTID SIPHON: (3rdrd
+ 4+ 4thth
part of ICA)part of ICA)
 FLOW DIRECTION: C4---C1
a) C4 SEGMENT= Before origin of
ophthalmic a.
b) C3 SEGMENT= Genu of ICA.
c) C2 SEGMENT= Supraclinoid segment
after origin of ophthalmic a.
d) C1 SEGMENT= Terminal segment of
ICA b/w pCom + ACA.
CAROTID SIPHONCAROTID SIPHON
ANTERIOR CEREBRAL ARTERYANTERIOR CEREBRAL ARTERY
1.1. A1 SEGMENT= HORIZONTALA1 SEGMENT= HORIZONTAL
PORTIONPORTION b/w origin and aCom.b/w origin and aCom.
 Inferior branches to optic nerve and chiasmaInferior branches to optic nerve and chiasma
 Superior branches to ant hypothalamus,Superior branches to ant hypothalamus,
septum pellucidum, ant commisure, fornix,septum pellucidum, ant commisure, fornix,
columns,columns, medial lenticulostriate artery tomedial lenticulostriate artery to
anteroinferior portion of corpus striatum.anteroinferior portion of corpus striatum.
1.1. A2 SEGMENT= INTERHEMISPHERICA2 SEGMENT= INTERHEMISPHERIC
PORTIONPORTION after the origin of aCom.after the origin of aCom.
 BRANCHES:BRANCHES:
1.1. Medial orbitofrontal artery.Medial orbitofrontal artery.
2.2. Frontopolar artery.Frontopolar artery.
3.3. Callosomarginal artery.Callosomarginal artery.
4.4. Pericallosal artery.Pericallosal artery.
 SUPPLY:SUPPLY: anterior 2/3 of medial cerebral
surface and 1cm of superomedial brain over
convexity.
Blood supply-of-brain
Blood supply-of-brain
MIDDLE CEREBRAL ARTERYMIDDLE CEREBRAL ARTERY
 LLargest branch of ICA, arises lat to optic
chiasma, passes horizontal and lateral direction
to enter in sylvian fissure and divides into 2/3/4
branches
 SUPPLY:SUPPLY:
 Lateral cerebrumLateral cerebrum
 InsulaInsula
 Anterior and Lateral temporal lobesAnterior and Lateral temporal lobes
 M1 SEGMENT:M1 SEGMENT:
 Origin to MCA bifurcationOrigin to MCA bifurcation
 Lateral lenticulostriateLateral lenticulostriate
 M2 SEGMENT:M2 SEGMENT:
 Insular branchesInsular branches
 M3 SEGMENT:M3 SEGMENT:
 MCA branches beyond sylvian fissure
INTERNAL CAROTID ARTERYINTERNAL CAROTID ARTERY
INTERNAL CAROTID ARTERYINTERNAL CAROTID ARTERY
Blood supply-of-brain
Blood supply-of-brain
VERTEBRAL ARTERYVERTEBRAL ARTERY
 11stst
branch of subclavian(95%)branch of subclavian(95%)
 Left vertebral arises directly from aorticLeft vertebral arises directly from aortic
arch in 5%.arch in 5%.
 Left artery is dominant in 50%, in 25%Left artery is dominant in 50%, in 25%
co dominant, in 25% right is dominant.co dominant, in 25% right is dominant.
VERTEBRAL ARTERYVERTEBRAL ARTERY
A.A. PREVERTEBRAL SEGMENT:PREVERTEBRAL SEGMENT: EntersEnters
transverse foramina at C6, only musculartransverse foramina at C6, only muscular
branches.branches.
B.B. CERVICAL SEGMENT: AnteriorCERVICAL SEGMENT: Anterior
meningeal artery.meningeal artery.
C.C. ATLANTIC SEGMENT:ATLANTIC SEGMENT: exits throughexits through
transverse foramina of atlas till ittransverse foramina of atlas till it
peierces dura to enter cranial cavity.peierces dura to enter cranial cavity.
Branch: Post. Meningeal.Branch: Post. Meningeal.
D.D. INTRACRANIAL SEGMENT:INTRACRANIAL SEGMENT:
INTRACRANIAL SEGMENTINTRACRANIAL SEGMENT
 BRANCHES:BRANCHES:
1.1. ANTERIOR + POSTERIOR SPINAL A.ANTERIOR + POSTERIOR SPINAL A.
2.2. PICAPICA
 BASILAR ARTERY BRANCHES:BASILAR ARTERY BRANCHES:
1.1. AICAAICA
2.2. INTERNAL AUDITORY A.INTERNAL AUDITORY A.
3.3. SUPERIOR CEREBELLAR A.SUPERIOR CEREBELLAR A.
4.4. POSTERIOR CEREBRAL A.POSTERIOR CEREBRAL A.
5.5. MEDULLARY AND PONTINE PERFORATINGMEDULLARY AND PONTINE PERFORATING
ARTERIESARTERIES
Blood supply-of-brain
POSTERIOR CEREBRAL ARTERYPOSTERIOR CEREBRAL ARTERY
 P1 SEGMENT:P1 SEGMENT:
 Origin to PCOM.Origin to PCOM.
 Posterior thalamoperforatorsPosterior thalamoperforators
 P2 SEGMENT:P2 SEGMENT:
 Distal to PCOMDistal to PCOM
 ThalamogeniculateThalamogeniculate
 Posterior choroidal arteries.Posterior choroidal arteries.
 TERMINAL CORTICAL BRANCHES.TERMINAL CORTICAL BRANCHES.
Blood supply-of-brain
Blood supply-of-brain
ARTERIAL ANASTOMOSES OFARTERIAL ANASTOMOSES OF
BRAINBRAIN
A.A. AT BASE OF BRAIN:AT BASE OF BRAIN:
I.I. CIRCLE OF WILLISCIRCLE OF WILLIS
II.II. DEVELOPMENTAL ANOMALIES: (3DEVELOPMENTAL ANOMALIES: (3
transient carotid-basilar anastomosestransient carotid-basilar anastomoses
appear in fetal life)appear in fetal life)
 Primitive hypoglossal arteryPrimitive hypoglossal artery
 Primitive acoustic arteryPrimitive acoustic artery
 Persistent primitive trigeminal arteryPersistent primitive trigeminal artery
CIRCLE OF WILLISCIRCLE OF WILLIS
 Complete in 25%,Complete in 25%,
incomplete in 75%.incomplete in 75%.
 Made byMade by
 Supraclinoid ICAsSupraclinoid ICAs
 A1 segment ofA1 segment of
ACAACA
 ACOMsACOMs
 PCOMsPCOMs
 P1 segment ofP1 segment of
PCAsPCAs
Blood supply-of-brain
Blood supply-of-brain
ANTERIOR CEREBRAL ARTERYANTERIOR CEREBRAL ARTERY
MIDDLE CEREBRAL ARTERYMIDDLE CEREBRAL ARTERY
POSTERIOR CEREBRAL ARTERYPOSTERIOR CEREBRAL ARTERY
Blood supply-of-brain
Blood supply-of-brain
EXTERNAL CEREBRAL VEINS:EXTERNAL CEREBRAL VEINS:
1.Superior cerebral veins.1.Superior cerebral veins.
2.Superficial middle cerebral veins.2.Superficial middle cerebral veins.
3.Deep middle crebral veins.3.Deep middle crebral veins.
4.Inferior cerebral veins.4.Inferior cerebral veins.
5.Anterior cerebral veins.5.Anterior cerebral veins.
INTERNAL CEREBRAL VEINS:INTERNAL CEREBRAL VEINS:
There is one vein on each side formed by union ofThere is one vein on each side formed by union of
lenticulostraite and choroidal veinslenticulostraite and choroidal veins..
TERMINAL VEINS:TERMINAL VEINS:
1.Great cerebral vein.1.Great cerebral vein.
2.Basal vein.2.Basal vein.
CEREBRAL VEINSCEREBRAL VEINS
Blood supply-of-brain
Blood supply-of-brain
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Blood supply-of-brain

  • 2. BRAINSTEMBRAINSTEM HeartHeart rate and breathingrate and breathing CEREBELLUMCEREBELLUM CoordinationCoordination and balanceand balance Parts of the BrainParts of the Brain amygdalaamygdala pituitarypituitary hippocampushippocampus THALAMUSTHALAMUS RelaysRelays messagesmessages
  • 3. The BrainThe Brain BrainstemBrainstem responsible forresponsible for automatic survivalautomatic survival functionsfunctions MedullaMedulla controls heartbeatcontrols heartbeat and breathingand breathing
  • 4. Reticular FormationReticular Formation Widespread connectionsWidespread connections Arousal of the brain asArousal of the brain as a wholea whole Reticular activatingReticular activating system (RAS)system (RAS) MaintainsMaintains consciousness andconsciousness and alertnessalertness Functions in sleep andFunctions in sleep and arousal from sleeparousal from sleep
  • 5. The CerebellumThe Cerebellum helps coordinatehelps coordinate voluntaryvoluntary movement andmovement and balancebalance
  • 6. The Limbic SystemThe Limbic System Hypothalamus, pituitary,Hypothalamus, pituitary, amygdala, and hippocampusamygdala, and hippocampus all deal with basic drives,all deal with basic drives, emotions, and memoryemotions, and memory HippocampusHippocampus MemoryMemory processingprocessing AmygdalaAmygdala AggressionAggression (fight) and fear (flight)(fight) and fear (flight) HypothalamusHypothalamus Hunger,Hunger, thirst, body temperature,thirst, body temperature, pleasure; regulates pituitarypleasure; regulates pituitary gland (hormones)gland (hormones) ``
  • 7. The Limbic SystemThe Limbic System HypothalamusHypothalamus neural structure lyingneural structure lying below (below (hypohypo) the) the thalamus; directs severalthalamus; directs several maintenance activitiesmaintenance activities eatingeating drinkingdrinking body temperaturebody temperature helps govern thehelps govern the endocrine system via theendocrine system via the pituitary glandpituitary gland linked to emotionlinked to emotion
  • 8. The Limbic SystemThe Limbic System AmygdalaAmygdala two almond-two almond- shaped neuralshaped neural clusters that areclusters that are components ofcomponents of the limbic systemthe limbic system and are linked toand are linked to emotion and fearemotion and fear
  • 9. He killed his wife andHe killed his wife and mother before going to themother before going to the top of the university towertop of the university tower and opened fire on personsand opened fire on persons crossing the campus andcrossing the campus and on nearby streets. Heon nearby streets. He ended up killing 16 peopleended up killing 16 people and wounded 31, beforeand wounded 31, before being killed by policebeing killed by police officers. The shootingofficers. The shooting spree lasted 96 minutes.spree lasted 96 minutes. Post-mortem revealed aPost-mortem revealed a brain tumor near hisbrain tumor near his amygdala.amygdala.
  • 10. The BrainThe Brain ThalamusThalamus the brains sensorythe brains sensory switchboard, locatedswitchboard, located on top of theon top of the brainstembrainstem it directs messages toit directs messages to the sensory receivingthe sensory receiving areas in the cortexareas in the cortex and transmits repliesand transmits replies to the cerebellum andto the cerebellum and medullamedulla
  • 11. The Cerebral CortexThe Cerebral Cortex Cerebral CortexCerebral Cortex the bodysthe bodys ultimate controlultimate control and informationand information processingprocessing centercenter
  • 12. The lobes of the cerebral hemispheresThe lobes of the cerebral hemispheres
  • 13. The lobes of the cerebral hemispheresThe lobes of the cerebral hemispheres Planning, decisionPlanning, decision making speechmaking speech SensorySensory AuditoryAuditory VisionVision
  • 14. The Cerebral CortexThe Cerebral Cortex Frontal LobesFrontal Lobes involved in speaking and muscle movementsinvolved in speaking and muscle movements and in making plans and judgmentsand in making plans and judgments the executivethe executive Parietal LobesParietal Lobes include the sensory cortexinclude the sensory cortex Occipital LobesOccipital Lobes include the visual areas, which receive visualinclude the visual areas, which receive visual information from the opposite visual fieldinformation from the opposite visual field Temporal LobesTemporal Lobes include the auditory areas, each of whichinclude the auditory areas, each of which receives auditory information primarily from thereceives auditory information primarily from the opposite earopposite ear
  • 15. The Cerebral CortexThe Cerebral Cortex FrontalFrontal (Forehead to top)(Forehead to top) Motor CortexMotor Cortex ParietalParietal (Top to rear)(Top to rear) Sensory CortexSensory Cortex OccipitalOccipital (Back)(Back) Visual CortexVisual Cortex TemporalTemporal (Above ears)(Above ears) Auditory CortexAuditory Cortex
  • 16. Motor/Sensory CortexMotor/Sensory Cortex ContralateralContralateral HomunculusHomunculus UnequalUnequal representationrepresentation
  • 18. Sensory Areas Sensory HomunculusSensory Areas Sensory Homunculus Figure 13.10Figure 13.10
  • 19. BLOOD SUPPLY OFBLOOD SUPPLY OF BRAINBRAIN
  • 20. BLOOD SUPPLY OF BRAINBLOOD SUPPLY OF BRAIN
  • 21. ARTERIAL SUPPLY OF BRAINARTERIAL SUPPLY OF BRAIN COMMON CAROTID ARTERYCOMMON CAROTID ARTERY 70% blood is delivered to ICA Carotid bifurcation is a physiological stenosis. CCA divides lateral to upper border of thyriod cartilage: C3-4 intervertebral disc. ECA arises anterior and medial to ICA(95%)
  • 23. ARTERIAL SUPPLY OF BRAINARTERIAL SUPPLY OF BRAIN
  • 24. INTERNAL CAROTID ARTERYINTERNAL CAROTID ARTERY 1.1. CERVICAL SEGMENTCERVICAL SEGMENT 2.2. PETROUS SEGMENTPETROUS SEGMENT 3.3. CAVERNOUS SEGMENTCAVERNOUS SEGMENT 4.4. SUPRACLINOID SEGMENTSUPRACLINOID SEGMENT
  • 25. SUPRACLINOID SEGMENTSUPRACLINOID SEGMENT:: Ascends posterior + lateral b/w oculomotor and optic nerv. BRANCHES: 1. OPHTHALMIC A. 2. SUPERIOR HYPOPHYSEAL A. (not routinely visualized) 3. PCOM 4. ANTERIOR CHOROIDAL A. 5. MCA 6. ACA
  • 26. CAROTID SIPHON: (3CAROTID SIPHON: (3rdrd + 4+ 4thth part of ICA)part of ICA) FLOW DIRECTION: C4---C1 a) C4 SEGMENT= Before origin of ophthalmic a. b) C3 SEGMENT= Genu of ICA. c) C2 SEGMENT= Supraclinoid segment after origin of ophthalmic a. d) C1 SEGMENT= Terminal segment of ICA b/w pCom + ACA.
  • 28. ANTERIOR CEREBRAL ARTERYANTERIOR CEREBRAL ARTERY 1.1. A1 SEGMENT= HORIZONTALA1 SEGMENT= HORIZONTAL PORTIONPORTION b/w origin and aCom.b/w origin and aCom. Inferior branches to optic nerve and chiasmaInferior branches to optic nerve and chiasma Superior branches to ant hypothalamus,Superior branches to ant hypothalamus, septum pellucidum, ant commisure, fornix,septum pellucidum, ant commisure, fornix, columns,columns, medial lenticulostriate artery tomedial lenticulostriate artery to anteroinferior portion of corpus striatum.anteroinferior portion of corpus striatum. 1.1. A2 SEGMENT= INTERHEMISPHERICA2 SEGMENT= INTERHEMISPHERIC PORTIONPORTION after the origin of aCom.after the origin of aCom.
  • 29. BRANCHES:BRANCHES: 1.1. Medial orbitofrontal artery.Medial orbitofrontal artery. 2.2. Frontopolar artery.Frontopolar artery. 3.3. Callosomarginal artery.Callosomarginal artery. 4.4. Pericallosal artery.Pericallosal artery. SUPPLY:SUPPLY: anterior 2/3 of medial cerebral surface and 1cm of superomedial brain over convexity.
  • 32. MIDDLE CEREBRAL ARTERYMIDDLE CEREBRAL ARTERY LLargest branch of ICA, arises lat to optic chiasma, passes horizontal and lateral direction to enter in sylvian fissure and divides into 2/3/4 branches SUPPLY:SUPPLY: Lateral cerebrumLateral cerebrum InsulaInsula Anterior and Lateral temporal lobesAnterior and Lateral temporal lobes M1 SEGMENT:M1 SEGMENT: Origin to MCA bifurcationOrigin to MCA bifurcation Lateral lenticulostriateLateral lenticulostriate M2 SEGMENT:M2 SEGMENT: Insular branchesInsular branches M3 SEGMENT:M3 SEGMENT: MCA branches beyond sylvian fissure
  • 37. VERTEBRAL ARTERYVERTEBRAL ARTERY 11stst branch of subclavian(95%)branch of subclavian(95%) Left vertebral arises directly from aorticLeft vertebral arises directly from aortic arch in 5%.arch in 5%. Left artery is dominant in 50%, in 25%Left artery is dominant in 50%, in 25% co dominant, in 25% right is dominant.co dominant, in 25% right is dominant.
  • 38. VERTEBRAL ARTERYVERTEBRAL ARTERY A.A. PREVERTEBRAL SEGMENT:PREVERTEBRAL SEGMENT: EntersEnters transverse foramina at C6, only musculartransverse foramina at C6, only muscular branches.branches. B.B. CERVICAL SEGMENT: AnteriorCERVICAL SEGMENT: Anterior meningeal artery.meningeal artery. C.C. ATLANTIC SEGMENT:ATLANTIC SEGMENT: exits throughexits through transverse foramina of atlas till ittransverse foramina of atlas till it peierces dura to enter cranial cavity.peierces dura to enter cranial cavity. Branch: Post. Meningeal.Branch: Post. Meningeal. D.D. INTRACRANIAL SEGMENT:INTRACRANIAL SEGMENT:
  • 39. INTRACRANIAL SEGMENTINTRACRANIAL SEGMENT BRANCHES:BRANCHES: 1.1. ANTERIOR + POSTERIOR SPINAL A.ANTERIOR + POSTERIOR SPINAL A. 2.2. PICAPICA BASILAR ARTERY BRANCHES:BASILAR ARTERY BRANCHES: 1.1. AICAAICA 2.2. INTERNAL AUDITORY A.INTERNAL AUDITORY A. 3.3. SUPERIOR CEREBELLAR A.SUPERIOR CEREBELLAR A. 4.4. POSTERIOR CEREBRAL A.POSTERIOR CEREBRAL A. 5.5. MEDULLARY AND PONTINE PERFORATINGMEDULLARY AND PONTINE PERFORATING ARTERIESARTERIES
  • 41. POSTERIOR CEREBRAL ARTERYPOSTERIOR CEREBRAL ARTERY P1 SEGMENT:P1 SEGMENT: Origin to PCOM.Origin to PCOM. Posterior thalamoperforatorsPosterior thalamoperforators P2 SEGMENT:P2 SEGMENT: Distal to PCOMDistal to PCOM ThalamogeniculateThalamogeniculate Posterior choroidal arteries.Posterior choroidal arteries. TERMINAL CORTICAL BRANCHES.TERMINAL CORTICAL BRANCHES.
  • 44. ARTERIAL ANASTOMOSES OFARTERIAL ANASTOMOSES OF BRAINBRAIN A.A. AT BASE OF BRAIN:AT BASE OF BRAIN: I.I. CIRCLE OF WILLISCIRCLE OF WILLIS II.II. DEVELOPMENTAL ANOMALIES: (3DEVELOPMENTAL ANOMALIES: (3 transient carotid-basilar anastomosestransient carotid-basilar anastomoses appear in fetal life)appear in fetal life) Primitive hypoglossal arteryPrimitive hypoglossal artery Primitive acoustic arteryPrimitive acoustic artery Persistent primitive trigeminal arteryPersistent primitive trigeminal artery
  • 45. CIRCLE OF WILLISCIRCLE OF WILLIS Complete in 25%,Complete in 25%, incomplete in 75%.incomplete in 75%. Made byMade by Supraclinoid ICAsSupraclinoid ICAs A1 segment ofA1 segment of ACAACA ACOMsACOMs PCOMsPCOMs P1 segment ofP1 segment of PCAsPCAs
  • 49. MIDDLE CEREBRAL ARTERYMIDDLE CEREBRAL ARTERY
  • 53. EXTERNAL CEREBRAL VEINS:EXTERNAL CEREBRAL VEINS: 1.Superior cerebral veins.1.Superior cerebral veins. 2.Superficial middle cerebral veins.2.Superficial middle cerebral veins. 3.Deep middle crebral veins.3.Deep middle crebral veins. 4.Inferior cerebral veins.4.Inferior cerebral veins. 5.Anterior cerebral veins.5.Anterior cerebral veins. INTERNAL CEREBRAL VEINS:INTERNAL CEREBRAL VEINS: There is one vein on each side formed by union ofThere is one vein on each side formed by union of lenticulostraite and choroidal veinslenticulostraite and choroidal veins.. TERMINAL VEINS:TERMINAL VEINS: 1.Great cerebral vein.1.Great cerebral vein. 2.Basal vein.2.Basal vein. CEREBRAL VEINSCEREBRAL VEINS

Editor's Notes

  1. Brainstem the central core of the brain, beginning where the spinal cord swells as it enters the skull responsible for automatic survival functions Medulla [muh-DUL-uh] base of the brainstem controls heartbeat and breathing Brainstem, controls for heartbeat and breathingswell is called the medulla. Vital Functions : Breathing Blood circulation Swallowing Urination
  2. Reticular formation The brainstem also contains networks of neurons, known collectively as the reticular formation, that project up into the cerebral cortex and basal ganglia and affect general arousal. The reticular formation is also involved in inducing and terminating the different stages of sleep. The autonomy of the brain stem can be dramatically illustrated by severing an animals brain stem from the entire brain above it, including its entire cerebral cortex. Cats that receive this treatment can still walk around and direct attacks at noises; if they then find themselves holding on to food, they will eat it. Some cases have been reported of humans born without cerebral cortices, and their behaviors are extremely basic and reflexive. Such infants tend not to develop normally and also do not tend to survive
  3. the little brain attached to the rear of the brainstem, cerebellum actually means little brain. Also helps involved in nonverbal learning and memory (will discuss in later chapters), if you injured your cerebellum you would have difficulty walking, keeping your balance, shaking hands. Note: these lower brain functions occur without any conscious effort.
  4. The limbic system is an older term for a group of subcortical structures dealing with basic drives, emotions and memory The diencefpahlon (or between brain) the hypothalamus and thalamus The hippocampus and amygdala The basal ganglia The dreebral cortex
  5. Researchers began to find evidence that the amygdala was involved in the emotion of fear in the late 1930s. Monkeys with damage to the brain cluster and surrounding areas had a dramatic drop of fearfulness. Later, studies showed that rats with targeted amygdala damage would snuggle up to cats. But if you electrically stimulate the amygdala in a normally placid domestic animal such as a cat, the cat prepares to attach by hissing, arching its back, pupils dilate, and its hair stands up on end. Accumulating revelations about this fear system led researchers recently to examine the human brain's response to fear with imaging studies. One study showed that pictures of frightening faces initiate a quick rise and fall of activity in the amygdala. In the future, scientists believe imaging techniques may help determine the course of treatment for disorders involving a malfunction in fear processing. For example, a person with an extreme fear of germs who continuously washes, known as an obsessive-compulsive disorder,
  6. Thalamus- located on top of the brainstem, a joined pair of egg-shaped structures, Receives sensory info, routes it to higher brain regions that deal with seeing, tasting, touching etc. directs messages to the sensory receiving areas in the cortex and transmits replies to the cerebellum and medulla
  7. the intricate fabric of interconnected neural cells that covers the cerebral hemispheres
  8. Figure 4.14 page 110 The lobes of the cerebral hemispheres: parietal, occipital, temporal, and frontal.
  9. Figure 4.14 page 110 The lobes of the cerebral hemispheres: parietal, occipital, temporal, and frontal.
  10. The cerebral cortex is organized or divided into 4 regions or lobes. frontal lobe- behind your forehead, executive functions. -parietal lobe- at the top and to the rear of the head