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24.12.2013
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Territories of Major arteries of Circle of Willis ICA enters through carotid canal to the cavernous sinus as shown in picture above.5.


Suprasylvian branches supply lateral and inferior frontal lobe and anterior lateral parts of parietal lobe. Strokes in these areas (watershed stroke or infarction) occurs during severe hypotension when the cerebral autoregulation fails and these border zones are starved of blood.The somatotopic sensorimotor area between the middle and anterior cerebral arteries encodes the proximal arms and legs. So patients with watershed strokes often manifest with “man in a barrel syndrome,” meaning they have trouble lifting their arms and legs but their hands and feet are fine.Anterior Cerebral Artery (ACA)The sensorimotor homnculus for leg and foot are in the paracentral lobule in the medial aspect of brain. Hence, the lesion leads to contralateral leg-foot motor and sensory loss.ACA also supplies the majority of anterior portion of corpus callosum, the damage of which leads to transcortical apraxia (a disconnect syndrome).


Learning is not memorizing but conceptualizing.Epomedicine also provides quick access to case discussion on interesting medical cases, videos for developing correct clinical skills and a blog to go beyond notes and research articles to explore the inner-self of medical students and healthcare professionals.



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