课件：脑血管解剖定位精.ppt

MCA 终末支 ACA终末支 ACA终末支 案例 左枕叶梗死 PCA终末支 Figure 1: (a) Normal initial CT of the patient; (b) The cranial CT two days after the incident shows signal changes consistent with simultaneous infarcts in the right MCA and PCA areas; (c) In the digital subtraction angiography of the right ICA, PCA is seen to originate from the right ICA through PCoA i.e. fetal type PCA right MCA and PCA PICA On the left CT-images of a left-sided PICA-infarction. Notice the posterior extention. The infarction was the result of a dissection (blue arrow). 小脑后下动脉梗塞 On the left CT-images of a left-sided PICA-infarction. In unilateral infarcts there is always a sharp delineation in the midline because the superior vermian branches do not cross the midline, but have a sagittal course. This sharp delineation may not be evident until the late phase of infarction. In the early phase, edema may cross the midline and create diagnostic difficulties. Infarctions at pontine level are usually paramedian and sharply defined because the branches of the basilar arery have a sagittal course and do not cross the midline. Bilateral infarcts are rarely observed because these patients do not survive long enough to be studied, but sometimes small bilateral infarcts can be seen. 左侧小脑后下动脉梗塞 ACA： ?A1 segment: from origin to anterior communicating artery and gives rise to medial lenticulostriate arteries (inferior parts of the head of the caudate and the anterior limb of the internal capsule). ?A2 segment: from anterior communicating artery to bifurcation of pericallosal and callosomarginal arteries. ?A3 segment: major branches (medial portions of frontal lobes, superior medial part of parietal lobes, anterior part of the corpus callosum). Middle cerebral artery The MCA has cortical branches and deep penetrating branches, which are called the lateral lenticulostriate arteries. The territory of the lateral lenticulo-striate perforating arteries of the MCA is indicated with a different color from the rest of the t