By James D. Fix

Designed essentially for scientific and dental scholars getting ready for the USMLE Step 1 and different examinations, this ebook provides the necessities of human neuroanatomy in a succinct define layout with plentiful illustrations. Over six hundred USMLE-style questions with entire solutions and factors are incorporated, a few on the finish of every bankruptcy and a few in an end-of-book accomplished exam. This version makes use of colour to delineate neuroanatomical pathways and spotlight medical correlations. New medical MRI and MRA photographs were further. Questions stick with the medical vignette-based structure of the present USMLE. A significant other site on thePoint bargains quick entry to the whole, absolutely searchable textual content and all questions from the booklet.

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Venous Drainage of the Spinal Cord • follows, in general, the arterial pattern. • passes from spinal veins within the subarachnoid space to the epidural internal venous plexus before draining into intracranial, cervical, thoracic, intercostal, or abdominal veins. • is conducted by valveless veins that permit bidirectional flow, depending on the existing pressure gradients. • is a pathway for transmission of infectious agents and tumor cells. qxd 6/7/07 01:35 AM Page 41 Techbooks (PPG Quark) BLOOD SUPPLY OF THE CENTRAL NERVOUS SYSTEM (CNS) Basilar artery Medulla Anterior spinal artery Vertebral artery 41 Medulla Posterior inferiorcerebellar artery C3 Posterior spinal artery C3 C5 C5 C6 Ascending cervical artery T1 Ascending cervical artery T2 T3 Intercostal artery T5 T6 Intercostal artery D T7 T9 T10 C T11 L1 L2 (Adamkiewicz) L3 Lumbar artery L5 Lumbar artery Lumbar artery Conus medullaris Conus medullaris A B Figure 3-1.

Schematic drawing of a coronal (frontal) section through the cerebral hemisphere at the level of the internal capsule and thalamus, showing the major vascular territories. (Modified with permission from Fix JD: High-Yield Neuroanatomy, 3rd ed. qxd 6/7/07 01:35 AM Page 45 Techbooks (PPG Quark) BLOOD SUPPLY OF THE CENTRAL NERVOUS SYSTEM (CNS) 45 6. Anterior communicating artery • connects the two anterior cerebral arteries. • is the most common site of berry aneurysms. 7. Middle cerebral artery (see Figures 3-3 and 3-5) • begins at the bifurcation of the internal carotid artery.

Qxd 06/06/2007 6:20 AM Page 25 TechBooks [PPG -QUARK] MENINGES AND CEREBROSPINAL FLUID (CSF) 25 Dura mater Epidural space and veins Subdural space Pia mater Denticulate ligament Ligamentum flavum Spinal ganglion Arachnoid and post. arach. septum Subarachnoid space Dorsal root Ventral root Dorsal ramus White ramus Ventral ramus Gray ramus Vertebral veins Rami communicantes Vertebral artery Figure 2-1. Cross-section of the spinal cord and its meningeal investments. The subarachnoid, subdural, and epidural spaces are visible.

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