2) Vessels of The Head and The Face
2) Vessels of The Head and The Face
2) Vessels of The Head and The Face
the Head
CEREBRAL VASCULAR SYSTEM
The vascular walls of the arteries in the brain are thin and weak. The veins of
the brain do not contain valves. This lack of valves allows the blood to flow in
either direction, creating a route for blood-borne pathogens to pass from the
body to the head and vice versa.
The capillaries of the brain do not allow movement of certain molecules from
their vascular compartment into the surrounding brain tissue. This unique
quality of impermeability is termed the blood-brain barrier (BBB).
The brain receives arterial blood from two main pair of vessels the internal carotid arteries
and the vertebral arteries.
Arterial Supply
Anterior and middle cerebral artery
CT coronal sagittal
Anterior and middle cerebral artery
sagittal coronal
Middle cerebral artery, CT
Circle of Willis
CT angiogram MRI
INTERNAL CAROTID ARTERIES
The internal carotid arteries supply the frontal, parietal, and temporal lobes of the brain and orbital structures. These arteries
arise from the bifurcation of the carotid arteries in the neck. They ascend through the base of the skull and enter the carotid
canals of the temporal bones
The internal carotid artery then turns forward within the cavernous sinus, then up and backward through the dura
mater, forming an S shape (which is referred to as the carotid siphon) before it reaches the base of the brain
As the internal carotid artery exits the cavernous sinus, it branches into the ophthalmic artery just inferior to the anterior
clinoid process
The internal carotid artery then runs lateral to the optic chiasm and branches into the anterior cerebral artery
and the larger middle cerebral artery. The anterior cerebral artery and its branches supply the anterior frontal lobe and the
medial aspect of the parietal lobe
The anterior communicating artery joins the two anterior cerebral arteries just anterior to the optic chiasm
The A2 seg extends from the anterior communicating artery to course around the genu of the corpus callosum. The major
branches of the A2 segment are the orbitofrontal, frontopolar, pericallosal, callosomarginal, and splenial arteries
The middle cerebral artery is by far the largest of the cerebral arteries and is considered a direct continuation of the
internal carotid artery. The middle cerebral artery gives off many branches, as it supplies much of the lateral surface of th e
cerebrum, insula, and anterior and lateral aspects of temporal lobe; nearly all the basal ganglia; and the posterior and ante rior
Cranial veins CT angiography
Ophthalmic artery supplied orbit, frontal scalp and ethmoid sinus