从影像梗死部位推测责任供血血管.pptVIP

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从影像梗死部位推测责任供血血管.ppt

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从影像梗死部位推测责任供血血管

大脑后动脉桥脑旁正中支双侧小脑上动脉小脑前下动脉小脑前下动脉小脑前下动脉小脑后下动脉小脑后下动脉双侧小脑后下动脉双侧小脑后下动脉基底动脉旁正中支脊髓前动脉和椎旁正中动脉脊髓前动脉脊髓前动脉脊髓前动脉 stenosis of the vertebral arteries 脊髓前动脉脊髓后动脉更多— 说明 Patients 6 and 15 represent the anteromedial group, Patient 6 had a small deep infarct, whereas Patient 15 had a similar lesion but it extended to the medial surface. MR angiography of this patient showed occlusion of the left posterior cerebral artery (arrow). Patient 24, representing the combined group, had an infarct that involved both the anteromedial and anterolateral areas. MR angiography showed stenosis in the P2 portion of the left posterior cerebral artery (arrow). The right posterior cerebral artery was also stenosed. Patient 31, representing the anterolateral group, showed an infarct in the left anterolateral area. MR angiography demonstrated stenosis in the P2 portion of the posterior cerebral artery (arrow). Patient 37, representing the lateral group, had an infarct in the lateral area. Patient 40 had bilateral infarction. MR angiography showed nonvisualization of the basilar artery (arrow). 说明 (Top) Patient 1. T2-weighted MRI shows dorsal infarcts at the lower pons and rostral medullary areas. Angiogram shows occlusion of the left distal vertebral artery (white arrow) and retrograde filling of the basilar artery from the posterior communicating arteries (black arrow). There was also an occlusion of the proximal portion of the right vertebral artery (not shown here). (Middle) Patient 10. Diffusion-weighted MRI shows a dorsal pontine infarction that extends ventrally. MR angiogram shows focal stenosis of the right superior cerebellar artery (arrow). (Bottom) Patient 16. T2-weighted MRI shows dorsal isthmus lesion that extends to the midbrain area. MR angiogram shows focal stenosis of the right posterior cerebral artery (arrow). Numbers indicate patients’ numbers. Lesions responsible for internuclear ophthalmoplegia are marked as R. 更多精彩…… 从影像梗死部位推测责任供血血管大脑前动脉大脑前动脉