Cerebrovascular Anatomy

M. Christopher Wallace M.D. The Toronto Western Hospital, University Health Network University of Toronto
Postgraduate Lecture Series Division of Neurosurgery Friday October 6, 2000

Collateral Circulation

Circle of Willis Variation Leptomeningeal Collateral

Cerebral Autoregulation
Maintenance of blood flow during variation in blood pressure Change in blood flow related to metabolic activity

Mechanism for Cerebral Autoregulation?

Myogenic Neurogenic Metabolic

Measurement of Cerebral Blood Flow

Seymour Kety Delivery of blood flow to given wt of brain per time period
50ml/100grams/minute

Brain takes 12-15% of cardiac output

Internal Carotid Artery

Divisions: cervical, petrous, cavernous, infraclinoid, supraclinoid Branches: meningohypophyseal trunk
dorsal meningeal artery, tentorial artery, inferior hypophyseal

artery of the inferior cavernous sinus capsular arteries of McConnell

Internal Carotid Artery

Internal Carotid Artery

Supraclinoid Branches
Ophthalmic Posterior communicating Anterior choroidal

Bifurcation

Middle Cerebral Artery

Variation Divisions (M1-M4) Lenticulostriate arteries medial lateral
putamen, caudate, sup internal capsule

Anterior Cerebral Artery

Variation Divisions (A1-A4) Anterior communicating artery Lamina terminalis, septal region, fornix, preoptic/hypothalamus Recurrent artery of Heubner Anterior putamen, pallidum and internal capsule