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丘脑血供.doc


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丘脑血供丘脑的血液供应非常有意思,看看这一个病例几乎能够全面了解丘脑的血供。(a–c)showsinfarctsaffectingallfourarterialterritoriesofthethalamus(fordetailsseetext)andtemporo-occipitalareassuppliedbytherightposteriorcerebralartery,alacunaadjacenttothelateralpartoftheanteriorlimboftherightinternalcapsule,anddilatedVirchow–-dimensionaltime-of-icresonanceangiographywithcoronal(a)andaxial(b)lusionoftherightposteriorcerebralartery(arrowheads),:.(A)Lateralview;(B)viewfromabove;(C,D)=carotidartery;2=municatingartery;3=basilarartery;4=thalamogeniculatearteries;5=tuberothalamicartery;6=posteriorchoroidalartery;7=paramedianpedicle;8=:CL=centrallateral;CM=centromedian;missural;missuralposterior;DM=dorsomedian;MTT=mamillothalamictract;Pua=pulvinaranterior;Pum=pulvinarmedial;Pul=pulvinarlateral;Pf=parafascicularis;R=reticular;VA=ventralanterior;VLa=ventrallateralanterior;VLp=ventrallateralposterior;VPLa=ventroposterolateralanterior;VPLp=ventroposterolateralposterior;VPM=.(A)Diffusion-weightedMRIofaleftanteriorthalamicinfarctinvolvingtheanteriornucleiandmamillothalamictractina58-year-oldpatientwhopresentedwithperseverations,incoherentspeechwithintrusionofprevioustopics,anddistortedmemories.(B)Schematicrepresentation(seefigure1forlegend)Figure3.(A)T2-weightedMRIshowingabilateralparamedianstrokepredominantlyontheleftsideina39-,plainedshewas“notabletocontrolhereyes,”,performed3dayslater,showedpersistentlossofself-activationandsevereamnesia.(B)Schematicrepresentation(seefigure1forlegend).Figure4.(A)T2-weightedMRIofaunilateralleftparamedianinfarctina54-year-oldmanwho,duringcoronaryangiography,presentedsuddenverticaldiplop

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  • 时间2019-12-07