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The pontine arteries are a number of small arteries which come off at right angles from either side of the basilar artery and supply the pons and adjacent parts of the brain. The pontine arteries include the paramedian arteries, the short circumferential, and the long circumferential arteries. [1] [a]
The main supply of blood to the brainstem is provided by the basilar arteries and the vertebral arteries. [14]: 740 It is important to note that there is a bit of variability in how these arteries connect and supply blood to the brain, such as where the arteries fuse or are reinforced. The variability that exists allows for syndromes to be ...
The pons is also called the pons Varolii ("bridge of Varolius"), after the Italian anatomist and surgeon Costanzo Varolio (1543–75). [1] This region of the brainstem includes neural pathways and tracts that conduct signals from the brain down to the cerebellum and medulla, and tracts that carry the sensory signals up into the thalamus .
The amount of tissue receiving blood supply from the AICA is variable, depending upon whether the PICA is more or less dominant, but usually includes the anteroinferior surface of the cerebellum, the flocculus, middle cerebellar peduncle and inferolateral portion of the pons. [1]
Human brainstem blood supply description. Basilar artery is #7, and pons is visible below it. Medial pontine syndrome results from occlusion of paramedian branches of the basilar artery .
The basilar part of the pons makes up two thirds of the pons. [1] It has a ridged appearance with a shallow groove at the midline. This groove is the basilar sulcus and is covered by the basilar artery. [2] The basilar artery feeds into the circle of Willis providing blood supply to the brainstem and cerebellum. [3]
The basilar artery is the main blood supply to the brainstem and connects to the Circle of Willis to potentially supply the rest of the brain if there is compromise to one of the carotids. At each cervical level, the vertebral artery sends branches to the surrounding musculature via the anterior spinal arteries .
The middle cerebellar peduncle is the largest of the three cerebellar peduncles. It connects the pons and cerebellum.It consists almost entirely of fibers passing from the pons to the cerebellum (fibrocerebellar fibers); the fibers arise from the pontine nuclei and decussate within the pons before entering the peduncle [1] to end in the contralateral cerebellar hemisphere.