分水岭区梗死及影像学表现.pptVIP

分水岭区梗死及影像学表现演示文稿当前第1页\共有34页\编于星期三\0点 优选分水岭区梗死及影像学表现当前第2页\共有34页\编于星期三\0点 当前第3页\共有34页\编于星期三\0点 当前第4页\共有34页\编于星期三\0点 当前第5页\共有34页\编于星期三\0点 Watershed Infarcts www.radiologyassistant.nl/images/48e9bb7f02d66Basis-waterscheiding2.png as a result of hypoperfusion.  There are two patterns of border zone infarcts: Cortical border zone infarctionsInfarctions of the cortex and adjacent subcortical white matter located at the border zone of ACA/MCA and MCA/PCA Internal border zone infarctions Infarctions of the deep white matter of the centrum semiovale and corona radiata at the border zone between lenticulostriate perforators and the deep penetrating cortical branches of the MCA or at the border zone of deep white matter branches of the MCA and the ACA. 当前第6页\共有34页\编于星期三\0点 Cortica watershed strokes (CWS), or outer brain infarcts, are located between the cortical territories of the anterior cerebral artery (ACA), middle cerebral artery (MCA), and posterior cerebral artery (PCA). Internal watershed strokes (IWS), or subcortical brain infarcts, are located in the white matter,along and slightly above the lateral ventricle,between the deep and the superficial arterial systems of the MCA, or between the superficial systems of the MCA and ACA.当前第7页\共有34页\编于星期三\0点 当前第8页\共有34页\编于星期三\0点 当前第9页\共有34页\编于星期三\0点 Watersheds or border zones are areas that lie at the junction of two different drainage areas. The vascular supply of the cerebral parenchyma can be envisioned in a similar manner, with defined boundaries between different arterial systems. Cerebral infarcts in border zones were first discussed in 1883 and were defined as ischemic lesions in an area between two neighboring vascular territories . These territories can be further classified in two broad categories as (a) external (cortical) or (b) internal (subcortical) border zones. Border zone infarcts constitute approximately 10% of all cerebral infarcts . Various theories have been