脑梗定位（Localization of cerebral infarction）.doc

脑梗定位（Localization of cerebral infarction） Anterior circulation infarction 1 、 internal carotid artery: Collateral circulation is well compensated: no symptoms or signs are produced. Poor collateral circulation: can cause the ipsilateral hemisphere from the TIA to the infarction area, from the side of light, light hemiplegia paralysis, homonymous hemianopia to complete aphasia, hemiplegia and hemianesthesia. They represent different types of middle cerebral artery syndrome 2 、 middle cerebral artery Complete MCA syndrome (MCA proximal trunk occlusion): deep MCA syndrome - contralateral hemiparesis, hemisensory + shallow MCA syndrome - the contralateral homonymous hemianopia and gaze obstacle to the side, in the dominant hemisphere with complete aphasia. According to OCSP, complete MCA syndrome is the total anterior circulation syndrome (TACS): (1), brain damage of the contralateral hemiplegia, (2), with contralateral hemianopia, (3), new advanced cortical dysfunction (verbal, spatial disorientation. There are usually disorders of consciousness that often make neurological tests impossible. Deep MCA syndrome (single to several MCA central block): contralateral hemiplegia, partial sensory impairment. If the blood flow from the cortex of the anastomosis is very effective, can only show the symptoms of central branch occlusion of contralateral hemiplegia (head, upper and lower limbs) and hemianesthesia, dysarthria, and no cortical function defect symptoms. Shallow MCA syndrome: upper cortical branch occlusion can appear central facial paralysis and tongue paralysis, upper limb in lower extremity hemiplegia, with dominant hemisphere motor aphasia; lower cortical branch occlusion with sensory aphasia, head and eyes to the ipsilateral (or contralateral gaze palsy), contralateral homonymous hemianopia or limit blind, or spatial neglect. 3 、 anterior cerebral artery The main block causes the contralateral lower limb to be more than the upper limb hemiparalysis, the partial bo