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1、從影像梗死部位推測責(zé)任供血血管大腦前動脈大腦前動脈前交通動脈穿支irregularityandnarrowingofthesupracallosalbranchofthepericallosalarteryNarrowingofbothcavernouspartoftheinternalcarotidarteriesandbothmiddlecerebralarteries.Narrowingoftherightpericallosalartery胼胝體壓部梗死,應(yīng)該屬于大腦后的一個分支供血h
2、eubner動脈heubner動脈heubner動脈丘腦膝狀體動脈Anteriorthalamoperforatingartery前丘腦穿通動脈(應(yīng)該也叫丘腦結(jié)節(jié)動脈或者丘腦極動脈)丘腦穿通動脈雙側(cè)丘腦穿通動脈雙側(cè)丘腦穿通動脈thalamoperforatingartery.2.3.5.6.7.9.丘腦膝狀體動脈,12.為丘腦膝狀體動脈和脈絡(luò)膜后動脈分布區(qū)15.丘腦膝狀體動脈;16.丘腦結(jié)節(jié)動脈;18.雙側(cè)丘腦結(jié)節(jié)動脈;19.上:丘腦結(jié)節(jié)動脈,下:丘腦穿通動脈;20.脈絡(luò)膜后動脈;21.丘腦穿通動脈S
3、chematicviewofthearterialsupplytothethalamusFigure1.(A)Lateralview;(B)viewfromabove;(C,D)detailedrelationshipbetweenthearterialterritoriesandnuclearsubgroupswithinthethalamus.1=carotidartery;2=posteriorcommunicatingartery;3=basilarartery;4=thalamogenicu
4、latearteries;5=tuberothalamicartery;6=posteriorchoroidalartery;7=paramedianpedicle;8=posteriorcerebralartery.Mainthalamicnucleiandtracts:CL=centrallateral;CM=centromedian;Co=commissural;Cp=commissuralposterior;DM=dorsomedian;MTT=mamillothalamictract;Pua
5、=pulvinaranterior;Pum=pulvinarmedial;Pul=pulvinarlateral;Pf=parafascicularis;R=reticular;VA=ventralanterior;VLa=ventrallateralanterior;VLp=ventrallateralposterior;VPLa=ventroposterolateralanterior;VPLp=ventroposterolateralposterior;VPM=ventroposteromedi
6、an.Figure2.(A)Diffusion-weightedMRIofaleftanteriorthalamicinfarctinvolvingtheanteriornucleiandmamillothalamictractina58-year-oldpatientwhopresentedwithperseverations,incoherentspeechwithintrusionofprevioustopics,anddistortedmemories.(B)Schematicrepresen
7、tation(seefigure1forlegend)Figure3.(A)T2-weightedMRIshowingabilateralparamedianstrokepredominantlyontheleftsideina39-yearoldwoman.Thispatientpresentedwithimproperbehaviorandinadequateanddisinhibitedcommentstoherhusband.Threehourslater,shecomplainedshewa
8、s“notabletocontrolhereyes,”thenrapidlybecamecomatose.Cognitivetests,performed3dayslater,showedpersistentlossofself-activationandsevereamnesia.(B)Schematicrepresentation(seefigure1forlegend).Figure6.(A)T2-weightedMRIofaleftinferol