脑动静脉解剖

卒中影像学（2）NeuroimagingofStroke北京天坛医院神经放射高培毅薛静2009年首医研究生血管神经病学课程缺血性脑卒中分期„超急性期脑梗死6h„急性期脑梗死7-72h„亚急性期脑梗死3-10d„早期慢性期脑梗死11d-1m„晚期慢性期脑梗死1mSuperiorhypophysealarteriesOphthalmic(C6)ICAsegmentClinoid(C5)ICAsegmentInferiorhypophyesealarteryAnteriorgenu,cavernousICAInferolateraltrunkForamenrotundum(&artery)Foramenovale(&artery)Communicating(C7)ICAsegmentAnteriorchoroidalarteryPosteriorcommunicatingarteryTentorialbranch,MHT(cutoff)Meningohypophysealtrunk(MHT)Posteriorgenu,cavernousICACavernous(C4)ICAsegmentHorizontalsegment,petrous(C2)ICAGenu,petrous(C2)ICAVerticalsegment,petrous(C2)ICASuperiorhypophysealarteriesOphthalmic(C6)ICAsegmentClinoid(C5)ICAsegmentInferiorhypophyesealarteryAnteriorgenu,cavernousICAInferolateraltrunkForamenrotundum(&artery)Foramenovale(&artery)Communicating(C7)ICAsegmentAnteriorchoroidalarteryPosteriorcommunicatingarteryTentorialbranch,MHT(cutoff)Meningohypophysealtrunk(MHT)Posteriorgenu,cavernousICACavernous(C4)ICAsegmentHorizontalsegment,petrous(C2)ICAGenu,petrous(C2)ICAVerticalsegment,petrous(C2)ICAAnteriorcommunicatingarteryRightinternalcarotidarteryRightposteriorcommunicatingarteryPrecommunicating(p1)PCAsegmentsHorizontal(A1)ACAsgmentsLeftinternalcarotidarteryLeftposteriorcommunicatingarteryAnteriorcommunicatingarteryRightinternalcarotidarteryRightposteriorcommunicatingarteryPrecommunicating(p1)PCAsegmentsHorizontal(A1)ACAsgmentsLeftinternalcarotidarteryLeftposteriorcommunicatingarteryBasilararteryAnteriorcommunicatingarteryOpticnerveHorizontal(A1)ACAsegmentPosteriorcommunicatingarteryHorizontal(P1)PCAsegmentInterhemisphericfissurInfundibularstalk,hypothalamusMiddlecerebralartery(notpartofCOW)OptictractOculomotornerve(CN3)BasilararterybifurcationAnteriorcommunicatingarteryOpticnerveHorizontal(A1)ACAsegmentPosteriorcommunicatingarteryHorizontal(P1)PCAsegmentInterhemisphericfissurInfundibularstalk,hypothalamusMiddlecerebralartery(notpartofCOW)OptictractOculomotornerve(CN3)BasilararterybifurcationRightmiddlecerebralarteryPosteriorcerebralarteryParieto-occipitalarterySuperiorcerebellararteryAnteriorcerebralarteriesAnteriorcommunicatingarteryPosteriorcommunicatingarteryBasilararteryLeftanteriorinferiorcerebralarterySuperiorvermianarteries(branchesofSCA)CalcarinearteryRightmiddlecerebralarteryPosteriorcerebralarteryParieto-occipitalarterySuperiorcerebellararteryAnteriorcerebralarteriesAnteriorcommunicatingarteryPosteriorcommunicatingarteryBasilararteryLeftanteriorinferiorcerebralarterySuperiorvermianarteries(branchesofSCA)CalcarinearteryAnteriorclinoidprocessLefthorizontal(A1)ACABasilararterybifurcationLeftMCA(M1segment)SupraclinoidICADistalICAbifurcationHorizontal(M1)MiddlecerebralarterysegmentSupraclinoidinternalcarotidarteryOrbitofrontal(lateralfrontobasal)arteryAnteriortemporalCortical(M4)MCAbranchescarotidarteryOrbitofrontal(lateralfrontobasal)arteryAnteriortemporalartery(cutacross)Cortical(M4)MCAbranchesSylvian(lateralcerebral)fissureInsular(M2)MCAsegmentsMediallenticulostriatearteriesAnteriorcerebralartery(cutoff)withmediallenticulostriatearteriesInternalcarotidarteryCortical(M4)MCAbranchesToploopsofM2segmentsdelineateapexofsylvianfissureOpercular(M3)MCAsegmentsLaterallenticulostriatearteriesMCAbifurcation(genu)M1(horizontal)MCAsegmentAnteriortemporalarteryLateralposteriorchoroidalarteryPulvinarofthalamusMedialposteriorchoroidalarteryPosteriorThalamoperforatingarteriesPosteriorcommunicatingartery(cutoff)PosteriorCommunicatingartery(CN3)Anteriortemporalartery(cutoff)SuperiorcerebellararteryCalcarinearteryParietooccipitalarterySplenialarteryPosteriorcerebralarteryBasilararteryRightAICARightPICAExtraspinal(V3)VAsegmentSuperiorcerebellararteryPontineperforatingbranches,BALeftAICA-PICAtrunkAnteriorspinalarteryIntradural(V4)VAsegmentLateralposteriorchoroidalarteryMedialposteriorchoroidalarteryPosteriorthalamoperforatingarteriesSuperiorcerebellararteryBasilararterywithpontineperforatingarteriesAnteriormedullarysegment,PICACaudalloop,lateralmedullarysegment,PICAPosteriorcerebralarteryandsplenialbranchSuperiorhemisphericbranches(SCA)SuperiorvermianarteryGreathorizontalfissure,cerebellumInferiorvermianartery(PICA)Supratonsillarsegment,PICA,withchoroidalbranchesInferiorhemisphericbranches(PICA)PosteriormeningealarteryAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesAnteriorcerebralarteriesMiddlecerebralarteriesPosteriorcerebralarteriesCerebralArterialTerritoryPenetratingarteriesfromvertebral,anteriorspinalarteriesPosteriorinferiorcerebellararteriesMediallenticulostriatearteriesThalamoperforatingarteriesPontine,midbrainperformatingbranchesfrombasilararteryAnter