缺血性脑血管病学基础影像临床展望分析.ppt

浏览缺血性脑血管病 杨保忠2010 2009邯郸—2010南宫冀南长城医院 *急性脑梗死*解剖、影像*诊断、鉴别*临床分型、分期治疗（个 体化治疗）*前景 脑梗塞的相关基础复习 需要明白几个概念： 缺血时间窗，缺血的血流量阈值，半暗带（电衰竭，膜衰竭），再灌注损伤。 脑梗塞损伤的机理：兴奋性氨基酸学说、氧自由基学说、钙超载学说、酸中毒学说、NO学说、内皮素学说、基因学说等。 Horizontal M1-segmentgives rise to the lateral lenticulostriate arteries which supply part of head and body of caudate, globus pallidus, putamen and the posterior limb of the internal capsule.Notice that the medial lenticulostriate arteries arise from the A1-segment of the anterior cerebral artery. Sylvian M2-segment Branches supply the temporal lobe and insular cortex (sensory