Arterial Supply of the Brain

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    Resin cast of the arterial supply of the brain.

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    Internal carotid arteriogram. This image is a lateral projection obtained by intra-arterial digital subtraction angiography.

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    Internal carotid arteriogram. This image is a Towne's projection obtained by intra-

    arterial digital subtraction angiography

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    The arteries on the base of the brain. The anterior part of the right temporal lobe has

    been removed to display the initial course of the middle cerebral artery within thelateral fissure.

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    The circulus arteriosus on the base of the brain showing the distribution of central(perforating or ganglionic) branches. The anteromedial, posteromedial,posterolateral and anterolateral (lateral striate) vessels are shown. The medial striate

    and anterior choroidal arteries are also shown

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    Major arteries of the brain. A,medial aspect

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    lateral aspect

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    A,The lateral surface of the left cerebral hemisphere, showing the areas suppliedby the cerebral arteries. B,The medial surface of the left cerebral hemisphere,showing the areas supplied by the cerebral arteries. In these figures the areasupplied by the anterior cerebral artery is coloured blue, that by the middle

    cerebral artery pink and that by the posterior cerebral artery is yellow.

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    Vertebral arteriogram. This image is a lateral projection obtained by intra-arterial

    digital subtraction angiography

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    Vertebral arteriogram. This image is a Towne's projection obtained by intra-arterial

    digital subtraction angiography.

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    Intra-arterial digital subtraction angiogram of the right internal carotid artery in apatient with a complete right IIIrd nerve palsy. Lateral projection. Note the

    difference in the size of the posterior communicating artery in comparison to thatin

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    Intra-arterial digital subtraction angiogram of the right internal carotid artery in a

    patient with a complete right IIIrd nerve palsy. Towne's projection.

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    Arterial supply to the internal capsule and parts of the basal ganglia of the leftcerebral hemisphere. The outer layers of the hemisphere have been removed toreveal these structures. The putamen and globus pallidus are displaced downwardsto display the internal capsule. Territory supplied by branches of the anterior and

    middle cerebral arteries is shown in red. Territory supplied by the anteriorchoroidal arter is shown in reen.

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    The cerebral venous system (viewed from the left side) showing the principalsuperficial and deep veins of the brain and their relationship to the dural venous

    sinuses. The more deeply placed veins are shown in blue and those inside the brainare shown in interrupted blue

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    VENOUS DRAINAGEOF THE BRAIN

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    The external (superficial) cerebral veins of the left hemisphere and their

    relationship to the dural venous sinuses.

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    The internal (deep) cerebral veins, viewed from above after removal of the central

    portion of the corpus callosum

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    Lateral projection from a magnetic resonance venogram using time-of-flightmethods

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    Frontal projection from a magnetic resonance venogram using time-of-flightmethods

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    Origin and courses of the internal carotid and vertebral arteries as they ascend the neck

    to enter the skull

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    Arteries of the inferior surface of the brain. Note the formation of the circle of Willis.

    Part of the right temporal lobe has been removed to show the course of the middlecerebral artery

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    Areas supplied by thecerebral arteries. A:The lateral surface ofthe right cerebralhemisphere. B: The

    medial surface of theright cerebralhemisphere. The areasupplied by theanterior cerebralartery is colored blue,

    the area supplied bythe middle cerebralartery is pink, and thearea supplied by theposterior cerebralartery is brown.

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    Coronal section of the cerebral hemispheres showing the arterial supply to the deepcerebral structures from the middle cerebral artery.

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    Venous drainage of the right

    cerebral hemisphere. A: Lateralsurface. B: Medial surface

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    Circle of Willis showing the distribution of blood from the four main arteries

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    A: Arterial supply of the spinal cord showing the formation of two posterior spinalarteries and one anterior spinal artery. B: Transverse section of the spinal cord

    showing the segmental spinal arteries and the radicular arteries

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    Lateral internal carotid arteriogram. Male aged 20 years

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    Anteroposterior internal carotid arteriogram. Male aged 20years

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    Lateral vertebral arteriogram. Male aged 20 years

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    Anteroposterior (angled) vertebral arteriogram. Woman aged 35ears.

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    Anterior spinal artery occlusion. Pink area denotes region of spinal cordaffected.

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    The arteries of the inferior surface of the brain.

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