BRAIN BLOOD SUPPLY

Ghada M. Wageih Felfela

Vertebro-Basilar
System
 Terminal branches to
Po a. Mid brain, Temporal lobe, Occipital lobe
st .C ral
er e reb
bra Ce
l st.
a. Po

Sup. Cerebellar a. Sup. Cerebellar a.

Labyrinthine a. Labyrinthine a.

Basilar a.
AICA AICA
Cerebellum Cerebellum
PICA PICA

Vertebral a. Lt.
Post. Spinal a.

Post. Spinal a.
Rt.

Vertebral a.
Ant. Spinal a.
Rt.
Subcl
avian
A.

Brachiocephalic Trunk Lt. Subclavian A.

 Main cochlear artery
supplies Apical ¾ of cochlea

I. Common Cochlear a.

It irrigates the ganglion cells, nerves,

dura, and arachnoid membranes in
IAC
Vestibulocochlear artery
Basilar a.

IAC
or Labyrinthine a. or IAA Posterior Vestibular a. Cochlear Ramus
• Inferior part of saccule Basal ¼ of
• Ampulla of PSCC cochlea

AICA • Utricle,
Anterior Vestibular a. • Superior part of saccule
II. • Ampullae of ASCC, HSCC.
 2. Anterior Vestibular a.

Main cochlear artery

Cochlear Ramus
Posterior Vestibular a. 1. Common Cochlear a.
Vestibulocochlear artery
Internal Carotid System
 Ant. Cerebral a. Lenticulostriatal a. in lateral Sulcuc
(to Frontal lobe & Parietal lobe) (Basal ganglia, corpus striatum, internal capsule, ..)

Middle cerebral a. Terminal Cortical Branches

for Frontal & Parietal lobes
Ant. Choroidal a.
Optic
Post. Communicating a. Ophthalmic a. Central retinal a.
canal

Cavernous Sinus

F.
Lacerum
ICA

ECA

Rt.
Subcla
vian A.

Brachiocephalic Trunk Lt. Subclavian A.

 PCA
Ant. Communicating a.

MCA MCA
PCA
Post. Communicating
Posta.
Choroidal a. Post Choroidal a.
OA OA
Post. Communicating a.

ICA ICA

Ve
a.
al

rte
br

br
te

a
er

la
V

• Rt. Carotid system + Lt. Carotid system

Circle of Willis connecting: • Carotid system + Vertebro-basilar circulation
• Anterior circulation + Posterior circulation
 Ant Communicating a.

MCA

ICA ICA

.
ga
g a.

atin
atin

nic
ic
un

mu
m Circle of Willis

om
m
Co

st C
st (top view)

po
Po A unique collateral supply system
PCA

PC
•COW is the commonest site of aneurysm

A
in our body
•Ant communicating a. aneurysm is the
commonest in it  compress optic chiasma
•Post. Communicating a. aneurysm 
compress 3rd Cr. N.
Venous drainage
Into:

1.Internal Auditory vein,

2.veins of cochlear aqueduct & vestibular aqueduct

 into Inferior Petrosal & Sigmoid sinus.

Thank You