Basilar Artery Anterior inferior cerebellar artery Superior cerebellar artery Posterior cerebral artery –Posterior choroidal arteries Blood supply to the thalamus, midbrain, pons, medulla, cerebellum
Vertebral Artery Dural entry Anterior spinal artery Ant/post meningeal arteries Posterior inferior cerebellar artery –Anterior medullary segment –Lateral medullary segment –Tonsillomedullary –Telovelotonsillar –Cortical
Venous Anatomy Superficial vs deep veins Sinuses Symptoms with venous congestion
Clinical Cases
Subarachnoid Hemorrhage 71 year old man Headache, no deficit Interpeduncular blood
Cause of Subarachnoid Hemorrhage?
Pre-nidal Aneurysm
Selective Posterior Cerebral Arteries
Post- treatment
Risk of Bleed Eliminated? Incomplete L IIIrd n palsy No other deficits Treatment of AVM