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Ebook Stroke syndromes (3/E): Part 2

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Nội dung chi tiết: Ebook Stroke syndromes (3/E): Part 2

Ebook Stroke syndromes (3/E): Part 2

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2tionThe advent of neuroimaging has allowed clinicians to improve clinicoanatomical correlations in stroke patients. Anatomical structures have been we

ll defined using magnetic resonance imaging (MRI), and knowledge of arterial territories is now required for the accurate localization of ischemic les Ebook Stroke syndromes (3/E): Part 2

ions.Magnetic resonance imaging studies have reevaluated the clinical spectrum of both anterior and posterior circulation strokes. Because topographic

Ebook Stroke syndromes (3/E): Part 2

al, etiological, and clinical spectrums vary, large prospective studies including well-documented patients arc of utmost importance. Classical syndrom

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2 anatomical references, in which case. MR1 may be considered as an effective means of identify ing etiologies according to the location of the infarct

ion. On the other hand, few reports exist in which the arterial vascular territories are well-identified by anatomical studies. This lack of standardi Ebook Stroke syndromes (3/E): Part 2

zation in terms of both arterial territory localization and the planes used to identify them largely undermines the accuracy of such reports. This rec

Ebook Stroke syndromes (3/E): Part 2

ent neuroimaging development calls for an accurate, standardized tool for anatomoradioclinical correlations.However, solid knowledge of the general or

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2e brain.In the present chapter, in order to discuss the arterial supply of blood to the brain in more detail, we have chosen the medium of brain mappi

ng. Arterial territories of the brain are depicted in a form that is directly applicable to neuroimaging slices in clinical practice.We present a morp Ebook Stroke syndromes (3/E): Part 2

hological description of the arteries outlined in maps of areas of distribution that have already been published and updated elsewhere |1- 4|. This fu

Ebook Stroke syndromes (3/E): Part 2

lfils two major requirements: first, by producing templates in the ccn-trobicommissural reference plane, and second, by delimiting the areas of distri

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2rough the center of the anterior and posterior commissures. The sections of the brainstem and cerebellum (sections I to XII) are 4 mm thick, whereas t

hose of the cerebral hemispheres (sections XIII lo XXIV) are 8 mm thick. The right side of the sections shows the anatomical structures. The arterial Ebook Stroke syndromes (3/E): Part 2

territories appear on the left side of the sections. Morphological data for the 24 sections arcbased on anatomical atlases by Du vernoy [5,6|. The art

Ebook Stroke syndromes (3/E): Part 2

erial territories outlined were based on an extensive overview of anatomical studies of cerebral blood supply. This overview included either vascular

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2temArterial trunks supplying the brainstem include: the vertebral artery, basilar artery, anterior and posterior spinal arteries, posterior inferior c

erebellar artery, anterior inferior cerebellar artery, superior cerebellar artery, posterior cerebral artery, and anterior choroidal artery (Figure 29 Ebook Stroke syndromes (3/E): Part 2

.1(d)).The collaterals of these arteries are divided into four arterial groups (anteromedial, anterolateral, lateral, and posterior) according to thei

Ebook Stroke syndromes (3/E): Part 2

r point of penetration into the parenchyma. This classification was made by Lazorthes who divided the superficial arteries into anterior, lateral, and

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2dial and anterolateral arteries |6,«|.Each of the anteromedial, anterolateral, lateral, and posterior arterial groups supplies corresponding arterial

territories in the brainstem. At each level of the brainstem, the origin of the arterial supply to each territory varies. The arterial territories hav Ebook Stroke syndromes (3/E): Part 2

e a variable extension at different levels of the brainstem. For example, the posterior group disappears in the lower pons due to the presence of the

Ebook Stroke syndromes (3/E): Part 2

fourth ventricle. Consequently, the nuclei and tracts that extend into the brainstem may be supplied by several arterial groups.Stroke Syndromes, Thir

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2aphic syndromesFigure 29.1. General arrangement of the bwistem and cerebelUr arteries. A medulte otfongaUi 8. pons; c mktxain; D. cerebellum1Vertebral

artery2Anterkx spiral artery3Posterior inferior ceieteUdi artery4Basilar artery _____________________________________________________________________ Ebook Stroke syndromes (3/E): Part 2

___________________________________________________5AnterKX infercr cerebpter artery6Supencr (.ereiretar artery/. Posterior cerebral artery8Cdlicular

Ebook Stroke syndromes (3/E): Part 2

artery Jf9Postetomedư clXKCkW arteryto Anterkx chcrodal artery11 Anterorradal group of medulUry arteries12Anterdateral grixip of medullary arteries13L

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Ebook Stroke syndromes (3/E): Part 2ery, c, superior ratni ansing from the anterior inferior cerebellar artery)14Anterornedal group of pontine arteries penetrating tile basilar sricus (1

4". arteries penetrating die foramen cecum; 14". arteries penetrating tfie interpeduncdar (osss, inferior rami of the riterpedcricular lossa)15 Anterd Ebook Stroke syndromes (3/E): Part 2

ateral group of pontine arteries16Lateral gtccp of pontine arteries17Anterorredal group of mesencephalic arteries (mddte rami of the interpeduncular f

Ebook Stroke syndromes (3/E): Part 2

ossa)18 Anterolateral group of mesencephalic arteries (superior rami of the hterpeduncdar fossa)19Lateral group of mesencephtfic arteries

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

Vascular topographic syndromesArterial territories of the human brainLaurent Tatu, Thierry Moulin, Fabrice Vuillier, and Julien BogousslavskyIntroduct

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