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Dural venous sinuses bordered by hard meninges (shown in blue) direct blood outflow from cerebral veins to the internal jugular vein at the base of skull. Cerebral blood flow (CBF) is the blood supply to the brain in a given period of time. [8] In an adult, CBF is typically 750 millilitres per minute or 15.8 ± 5.7% of the cardiac output. [9]
The middle meningeal artery is the largest of the three (paired) arteries that supply the meninges, the others being the anterior meningeal artery and the posterior meningeal artery. The anterior branch of the middle meningeal artery runs beneath the pterion. It is vulnerable to injury at this point, where the skull is thin.
An epidural hematoma is a collection of blood between the dura and the inner surface of the skull, and is usually due to arterial bleeding. Intradural procedures, such as removal of a brain tumour or treatment of trigeminal neuralgia via a microvascular decompression , require that an incision is made to the dura mater.
Injuries involving the meninges, can result in a hemorrhage and two types of hematoma. [14] A subarachnoid hemorrhage is acute bleeding under the arachnoid; it may occur spontaneously or as a result of trauma. [15] A subdural hematoma is a hematoma (collection of blood) located in a separation of the arachnoid from the dura mater.
The circle of Willis was named after his investigations into the blood supply of the brain, and he was the first to use the word "neurology". [240] Willis removed the brain from the body when examining it, and rejected the commonly held view that the cortex only consisted of blood vessels, and the view of the last two millennia that the cortex ...
Pia mater (/ ˈ p aɪ. ə ˈ m eɪ t ər / or / ˈ p iː ə ˈ m ɑː t ər /), [1] often referred to as simply the pia, is the delicate innermost layer of the meninges, the membranes surrounding the brain and spinal cord. Pia mater is medieval Latin meaning "tender mother". [1] The other two meningeal membranes are the dura mater and the ...
This compensatory effect is however usually inadequate to maintain a normal blood supply. [11] Therapies that attempt to optimize leptomeningeal collateral circulation appear to improve outcomes following acute ischaemic stroke. [2] MRI and CT brain imaging is used to determine the severity of a stroke, and help guide treatment. Fluid ...
[34] [36] The presence of red blood cells and xanthochromia may indicate subarachnoid hemorrhage; whereas central nervous system infections such as meningitis, may be indicated by elevated white blood cell levels. [36] A CSF culture may yield the microorganism that has caused the infection, [34] or PCR may be used to identify a viral cause. [36]