颈内动脉闭塞与侧枝循环.ppt

《颈内动脉闭塞与侧枝循环.ppt》由会员上传分享，免费在线阅读，更多相关内容在PPT专区-天天文库。

1、InternalcarotidarteryocclusionandEvaluationofcollateralcirculationfengyuCASEONE：Male,40yearsold,hospitalizedwiithspeech difficultiesand one-side limbsweaknessfor4hours,4yearsHeadachehistory,physical examinations:muscle strength grades ( MSG)isIII.NIHSSscoreis6.MRI（see cha

2、rt below），abnormalbloodlipidlevel。Question：Reasonofsmallinfarct size？Reasonofocclusion？Howtodeal？Reason:CollateralcirculationNoatherosclerosis plaque.HeadachehistoryConclusion:Artery DissectionArtery DissectionTreatment:High-operative-riskWell-developed collateralcirculati

3、onConclusion：non-operativetreatmentsImportantanceofcollateralcirculationDiagnosis.Treatment.Prognosisandrisk.Nocollateralcirculation:Internalcarotidarteryocclusion1：Chronicocclusion2：Acuteocclusion1）Collateralcirculation2）NocollateralcompensationSevereclinicalsymptoms?=Rev

4、iew：Which？WillsArterial network of the pia mater（皮层软膜代偿）Others（肌支及ECA）Wills：1：Posteriorcommunicatingartery（PCoA）2：Anteriorcommunicatingartery（ACoA）3：A1segmentofanteriorcerebralartery（A1）4：P1segmentofposteriorcerebralartery（P1）5：supraclinoidsegmentoftheinternalcarotidartery

5、DSA：WillsArterial network of the pia mater：前交通动脉代/额顶叶来源于患侧大脑前动脉软膜吻合，Others:1：Facialartery（面动脉）2：Superficialtemporalartery（颞浅动脉）3：Middlemeningealartery（脑膜中动脉）4：Posteriorcommunicatingartery（后交通动脉）5：Foramenartery（圆孔动脉）6：Ascendingpharyngealartery（咽升动脉）7：Occipitalartery（枕动脉）8：A

6、scendingcarotidartery（颈升动脉）10：SuperiorthyroidarteryInferiorthyroidartery（甲状腺上下动脉）DSA：Circulation：Collateralcirculation：Encircling the cities from rural areasSupplyingthegovernmentfromborder areas.THANKYOU