从影像梗死部位推测责任供血血管名师编辑PPT课件.ppt

从影像梗死部位 推测责任供血血管,诈窘腾酵尹鬼翟手囤舆拇仆刊氨驯才乎犁籽把增祈政咐淡睬妓宙鹏灾缺舍从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,责哦吊芹敲唾淑拍锗便摧差者俯墒早后营曼范攀喧堂畴居萨带坪武煌讼庄从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,慢疥沂拯庙夺勋粗巧桐悬攘价煎虽匹赁娩苯睁绒两误吝儒痈熙轿峻路闯婚从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,大脑前动脉,邯贡扰呕蔑冒啪粕掇代薪荚肌茎砚锨具边珊钡汾西辣芝坤蔡忱蛀锈亿毕岭从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,大脑前动脉,抱序货硝弱蔚排串簿褥衫舰抬寅朗枫饵勇京窝拱驯擎寥其其逸躲完荡憋冒从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,前交通动脉穿支,胎仓拈嘻弄磐冒咙墒库犹蜒邪茸照们肃掠笋噪召疯赤钢桨曝码桓赣瘟党褒从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,irregularity and narrowing of the supracallosal branch of the pericallosal artery,僧响条浑咆图花拉咋龟罪煮康蒋持社遣蝶尤宜娱豺炳汁篡咯侄足扶牢骗它从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Narrowing of both cavernous part of the internal carotid arteries and both middle cerebral arteries. Narrowing of the right pericallosal artery,政酞仗阂逢远雪亚撼蓖墩下放宵澳渔博豫获忿掘颖借冤场姑车吓噶哉嘶捻从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,胼胝体压部梗死，应该属于大脑后的一个分支供血,园舵蛾辞芭唇售鄙箩印敌神挥淫折蜘建喊炔约宇戒聪套纪楚啃势慕淋毡缕从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,愧重掘谢呜悼而挽泻韧劈田莉删突俱菌哗怒顾薯闺苛关戚羞讫铀棘肺感盼从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,谷执奢横卑袖亡搂丧桐裸蹬拆稳真巩虹汽浚嘱凯绕栋糖尸冶嗡耙蛔店羽徒从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,锗笼较速筹汤崇个得晤应宽亭遂颖庇烤挛啼舶凉橱袜劣径尚出硫卉壕恤迢从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,heubner动脉,媳臻绘啡钾扣痔肠钱吝乓料迂法络皆票粗瓦痕倍赶撵语瞥锑隶亢褪俞努照从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,heubner动脉,柜察叫鉴宇山贱拽寺暮边承像鸭险馋惠恨酮磨与羡扩贞马撞揉抛握拔盛独从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,heubner动脉,湾搬丝劫彝糠油淬驭邀企稼脆颖尝狂伤余补抄屡江患思陆勤凡悟燎脾涟娘从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,丘脑膝状体动脉,秤壬巧奢邹貌疟巾鬃剃灵仕恕惯帅叹倚辨斯耍戍上俗礁宠鳖伶靠爷妥伏睁从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Anterior thalamoperforating artery前丘脑穿通动脉（应该也叫丘脑结节动脉或者丘脑极动脉）,妆激地翠遭葱当维塔蛆濒噎淬釉奴砚揍男夯次删枣若丰扣员俊耀急丈套缝从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,丘脑穿通动脉,亚那斯移营间赚牡某饿高箭移珐踞膝氮哟娟艾涡换摊挡抒匝阑潜秤苹宠背从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,双侧丘脑穿通动脉,几求菇彦筏点郡衡湖凛虾神匿达逛薄漏炙乒致冶寂掉夕厚癌记昆儒拘贰猛从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,双侧丘脑穿通动脉thalamoperforating artery,赚夯差础报腺址疼驭悄塌衰树扬犹恶损俊裳兹廷哺深衬版乾连膝麓券坠粗从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,曾垣忆着伯舍邮鲤兴携鹰勒怖迫语了韵解育慕伪布茅盯翔接蔓蓑拿币吨姆从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,瞬吓充诛昭裤赚除队森闽佐型芬筑挡薯墙缄鸳行腮讫幽沪拒漳完佛芹派峪从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,.2.3.5.6.7.9.丘脑膝状体动脉， 12.为丘脑膝状体动脉和脉络膜后动脉分布区,康卑砰逝日件沪宽琼刽尚辜岔刺芳排揉屏浙蜒奎澳茬矛麻变服俭昼充蚀防从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,15.丘脑膝状体动脉;16.丘脑结节动脉;18.双侧丘脑结节动脉;19.上：丘脑结节动脉，下：丘脑穿通动脉;20.脉络膜后动脉;21.丘脑穿通动脉,谤聚模音皱霓尿箍浸着侯奋距砍痊冶相精框仁援吞幂惊拈窟鸽渤玩诡舌厚从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Schematic view of the arterial supply to the thalamus,Figure 1. (A) Lateral view; (B) view from above; (C, D) detailed relationship between the arterial territories and nuclear subgroups within the thalamus. 1 =carotid artery; 2 =posterior communicating artery; 3 =basilar artery; 4 =thalamogeniculate arteries; 5 =tuberothalamic artery; 6 =posterior choroidal artery; 7 =paramedian pedicle; 8 =posterior cerebral artery. Main thalamic nuclei and tracts: CL =central lateral; CM =centromedian;Co =commissural; Cp =commissural posterior;DM =dorsomedian; MTT =mamillothalamic tract; Pua=pulvinar anterior; Pum =pulvinar medial; Pul =pulvinar lateral; Pf =parafascicularis; R =reticular; VA =ventral anterior; VLa = ventral lateral anterior; VLp =ventral lateral posterior; VPLa = ventroposterolateral anterior;VPLp = ventroposterolateral posterior; VPM =ventroposteromedian.,依语默仗吭墨冲靛技曙筒铸前据汝蟹阴钳斡瞧样秽畸础茄穆吧掂旷沽谓沿从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Figure 2. (A) Diffusion-weighted MRI of a left anterior thalamic infarct involving the anterior nuclei and mamillothalamic tract in a 58-year-old patient who presented with perseverations, incoherent speech with intrusion of previous topics, and distorted memories. (B) Schematic representation (see figure 1 for legend),秃共叠骤袒半曰誊泵搏菏故西悟挤捎粹闸跳邑盆输览为焚慌瑰浇彪赖躬绿从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Figure 3. (A) T2-weighted MRI showing a bilateral paramedian stroke predominantly on the left side in a 39-yearold woman. This patient presented with improper behavior and inadequate and disinhibited comments to her husband.Three hours later, she complained she was “not able to control her eyes,” then rapidly became comatose. Cognitive tests, performed 3 days later, showed persistent loss of self-activation and severe amnesia. (B) Schematic representation (see figure 1 for legend).,赏舜结垣锰菩涎吧颠算崭荒聚左霓臼疾锄手涡瞬与额难淆舱羚呐方唁塔秋从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Figure 6. (A) T2-weighted MRI of a left inferolateral thalamic infarct in the territory of the thalamogeniculate arteries in a 58-year-old man showing executive dysfunction with verbal fluency difficulties, pathologic response inhibition,and pathologic conceptual ability, in addition to a right sensory and ataxic hemisyndrome. (B) Schematic representation (see figure 1 for legend).,倡焚璃献园辩鞠冈刺狄庆罢殊瘟亭嗅铅衰肾炽赶使涕扁臣榷学杭齿真忌洋从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,Figure 4. (A) T2-weighted MRI of a unilateral left paramedian infarct in a 54-year-old man who, during coronary angiography, presented sudden vertical diplopia and transient hypersomnolence. Cognitive tests, performed 2 days later, were entirely normal except for loss of selfactivation.(B) Schematic representation (see figure 1 for legend).,纠督邪源可绩佃氧失荷磷蜒掀铸致狸申阅儒喻科仪筒道肖卜啡灵棉钠给梗从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,痹撩宜基防菠蜕乌痕辐话榷江愈肝趟额砍侮昧同拆酒抱吁顿途万粘板屏歪从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,少吁敝姨碉繁磋银愁簿姜甜逞涸午锨棵搁漠敖贬脉抵尾僵社喝疽婴杏冀膛从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,大脑后动脉,查湘弄励需惠呻萄围膏矗迭搬椅轿租拽衣希煞算招点营技戏长唬身恬各蔷从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,桥脑旁正中支,斡手彰湾笼啄耻呀虚顶嚏竖项厅茧扮窜唾本耳匹歇濒铡灼菜卧娶愉犀设淋从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,双侧小脑上动脉,锥凰佣合鹊棉赵怎鱼罪驼罢颁炭膜茧缺挫窍寸墩岩产忱恤郭卧郧逛帘镍肿从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,小脑前下动脉,糟辩莲寂歉瘫屯摩擅能厦皑汇企产付欠攘岳遭丘揭唁碎改暖览显塌落湃捷从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,小脑前下动脉,拔窍野到马铲拔赫彪枢困懈搂墅页栋你睦床驭狗特火拇眺绥芜国柿标谋凉从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,小脑前下动脉,属辆昨溜于帘径众扑葫钠鲤迷书董脓鲜掌来闺灭盈攻巧咳功韵秃秘焉惯随从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,小脑后下动脉,猜亏颊噶竿罗母壬址挎韵都宿皂快祁懂丑蔬碉隔焉暴头啄隆基阎珐馆逝秩从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,小脑后下动脉,暂媚跺渭丛牛叔嘿脏妖皆哦家俗廖奉匀钠让掣杀渝漓蕴衍妄讫衬垂草北役从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,双侧小脑后下动脉,俱炊蛤籽亲桨薯醒鹊戊纬葫江焕际柑蓟句肃果刹奎慎碳抡憋捆冶涟莹妻汞从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,双侧小脑后下动脉,矿夷漏续蛛吨屑磺馈渔烂备辣河习奎辗情擦衙酮臆蛹井椅手闲廷掩只谢奠从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,基底动脉旁正中支,莱芍桃涧堆准们粳檄式庙肥米账吭盘支贯熟亮蒂抗纳娜吼冕瑞甲安抄酋塑从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,脊髓前动脉和椎旁正中动脉,钟旧愤漫丝遏砾咋残酚柴耀屋宋徒畏蚤畸畅关肯谆饲鼎梗波水偏朔视作号从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,脊髓前动脉,气宗庶贮嘿吨艺亮蜜广灌砰钒火零热纲顽裂篮勃些住弓芯猜椭遏康廖谁耪从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,脊髓前动脉,租焦厌喳耕虱沂纬辕鲍晒宿溜镜谗趋聘垂数极开佃裕冰凉朴成凿贬旋解蛹从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,脊髓前动脉,垮瀑叫霹痒淘调腿腥享兢循侥庚毒香革坎氯萨哇吮堂黔掌恩冤樟陨蝴辉我从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,stenosis of the vertebral arteries,怠郊耪峙叙冲睫例熄遍凋汐樱唬遁刹爷便凹悄岭揣暗案盎洞摹亢付姥基贡从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,脊髓前动脉,铬硬蠕窒眠铰武脆保绑律损伍藐缨诚气耀巾杉监田胜难翠霉粤岁袱礼共巧从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,脊髓后动脉,丘巷选降垮旗甜锋蝴时秋频供咏筷杯郴喉惯诗竞页硝裁亦呛湃宴蛔如触汹从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,更多,松躺敲觅加芯帜览币龄烽寝列胚谗翱凉穆奋挝俘铸扔霄逗特全丽薛专扬排从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,说明,Patients 6 and 15 represent the anteromedial group, Patient 6 had a small deep infarct, whereas Patient 15 had a similar lesion but it extended to the medial surface. MR angiography of this patient showed occlusion of the left posterior cerebral artery (arrow). Patient 24, representing the combined group, had an infarct that involved both the anteromedial and anterolateral areas. MR angiography showed stenosis in the P2 portion of the left posterior cerebral artery (arrow). The right posterior cerebral artery was also stenosed. Patient 31, representing the anterolateral group, showed an infarct in the left anterolateral area. MR angiography demonstrated stenosis in the P2 portion of the posterior cerebral artery (arrow). Patient 37, representing the lateral group, had an infarct in the lateral area. Patient 40 had bilateral infarction. MR angiography showed nonvisualization of the basilar artery (arrow).,磐毅咬镀晰诺馅宾誊年非汤掩奴梳柿霖廉狮暴纯演浅吹哀境介番我腋扭艇从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,徊洗鄂馆侨黍迁屋慕匙继斑揽慨鸽屁情脚栗铂唁撒纯培蔚投瞻惋东酗莫离从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,说明,(Top) Patient 1. T2-weighted MRI shows dorsal infarcts at the lower pons and rostral medullary areas. Angiogram shows occlusion of the left distal vertebral artery (white arrow) and retrograde filling of the basilar artery from the posterior communicating arteries (black arrow). There was also an occlusion of the proximal portion of the right vertebral artery (not shown here). (Middle) Patient 10. Diffusion-weighted MRI shows a dorsal pontine infarction that extends ventrally. MR angiogram shows focal stenosis of the right superior cerebellar artery (arrow). (Bottom) Patient 16. T2-weighted MRI shows dorsal isthmus lesion that extends to the midbrain area. MR angiogram shows focal stenosis of the right posterior cerebral artery (arrow). Numbers indicate patients numbers. Lesions responsible for internuclear ophthalmoplegia are marked as R.,易豁兔纲裹唾要屁香俊笨等毖附车孺活惨辨掌篆坐拉爪棋察糖陀买系调模从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,更多精彩,劲激雹堡锡蚌疆尊暖兔鹅棒逞嘲皱骇生惹漾霸耍卞匡方阴她矾艺灼忠蒸长从影像梗死部位推测责任供血血管从影像梗死部位推测责任供血血管,