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20xx年醫(yī)學(xué)專題—腦血管講座-展示頁

2024-11-18 23:16本頁面
  

【正文】 a chief complaint of transient righthanded clumsiness and slurred speech,an anterior cerebral artery territory infarct.,第二十頁,共六十八頁。)上切面:右半球旁矢狀區(qū)高信號,典型大腦(d224。,ACA infarction,第十八頁,共六十八頁。,Anterior cerebral artery infarction,第十六頁,共六十八頁。iy)和感覺↓,如雙側(cè)ACA梗塞:意志力喪失,截癱和尿失禁 本例:最近有前交通動脈瘤手術(shù),Axial CT,Axial CT,Axial CT,第十四頁,共六十八頁。,49M Akinesia, abulia, and mutism infarct of recurrent artery of Huebner,Heubner‘s 動脈是ACA分支,起源于A1或前交通動脈,供應(yīng)內(nèi)囊前肢,尾狀核頭和前蒼白球 臨床表現(xiàn):對側(cè)下肢無力(w,Anterior cerebral artery,供應(yīng)額葉頂葉內(nèi)側(cè)部分和胼胝(pi225。,Territorial Infarcts (ACA,MCA,PCA),第十一頁,共六十八頁。zh236。zh236。i): cortical infarcts territorial梗塞:ACA,MCA,PCA watershed梗塞:ACAMCA, MCAPCA perforating artery infarcts (PAI),分兩部分 深穿通支:分布到基底節(jié),內(nèi)囊和丘腦等 淺穿通支:位于半卵圓中心和外囊區(qū)域,又稱 “white matter medullary infarcts” internal borderzone infarcts (IBI),CLASSIFICATION,第九頁,共六十八頁。,Vascular territories of the cerebral arteries,第八頁,共六十八頁。,$35.45,$34.45,$20.95,第六頁,共六十八頁。,2,2,2,2,2,1,9條血管(xu232。i)系統(tǒng),Artery: Circle of Willis PCA 2 后交通(jiāotōng)支 2 ICA ACA 1 前交通支,第三頁,共六十八頁。i)系統(tǒng),椎基動脈(d242。,頸內(nèi)動脈(d242。,Watershed infarcts or internal borderzone infarcts (IBI),第一頁,共六十八頁。,Vascular territories of the cerebral arteries,第二頁,共六十八頁。ngm224。ngm224。,第四頁,共六十八頁。guǎn),第五頁,共六十八頁。,第七頁,共六十八頁。,梗塞可分三類(sān l232。,Patterns of infarction,Internal border zone infarctions ( deep MCAACA),Territorial infarction (PCA),border zone infarctions,Lacunar infaction,皮質(zhì)(p237。),皮質(zhì)(p237。),深穿通(chuān tōnɡ)支,淺穿通支未顯示,第十頁,共六十八頁。,CORTICAL VASCULAR TERRITORIES,第十二頁,共六十八頁。nzhī)體前部、基底節(jié)和內(nèi)囊,第十三頁,共六十八頁。l236。,59 yo female with multiple falls over last weekend,低密度位于(w232。)caudate head, anterior limb internal capsule and anterior putamen,Recurrent artery of Heubner,第十五頁,共六十八頁。,Anterior cerebral artery,The ACA supplies the medial part of the frontal and the parietal lobe and the anterior portion of the corpus callosum, basal ganglia and internal capsule.,第十七頁,共六十八頁。,Anterior cerebral artery infarction,腦室(nǎosh236。nǎo)前動脈梗塞征,T2,第十九頁,共六十八頁。,MCA,Superimposed Maps,第二十一頁,共六十八頁。,DWI:大腦中動脈梗塞(gěngs232。)M2分支,主干(zhǔg224。,第二十四頁,共六十八頁。,MCA infarction with luxury perfusio
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