颈内动脉闭塞与侧枝循环

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2016/9/19,#,Internal carotid artery occlusionand Evaluation of collateral circulation,fengyu,CASE ONE,：,Male, 40 years old, hospitalized wiith speechdifficulties and one-sidelimbs weakness for 4 hours, 4 years Headache history , physicalexaminations:musclestrengthgrades(MSG) is III. NIHSS score is 6.MRI,（,seechartbelow,），,abnormal blood lipid level,。,Question,：,Reason of small infarctsize,？,Reason,of occlusion,？,How to deal,？,Reason:,Collateral circulation,No atherosclerosisplaque.,Headache history,Conclusion: ArteryDissection,ArteryDissection,Treatment:,High-operative-risk,Well-developedcollateral circulation,Conclusion,：,non-operative treatments,Importantance of collateral circulation,Diagnosis.,Treatment.,Prognosis and risk.,No collateral circulation:,Internal carotid artery occlusion,1,：,Chronic occlusion,2,：,Acute occlusion,1,）,Collateral circulation,2,）,No collateral compensation,Severe clinical symptoms,?,=,Review,：,Which,？,Wills,Arterialnetworkofthepiamater,（皮层软膜代偿）,Others,（肌支及,ECA,）,Wills,：,1,：,Posterior communicating artery,（,PCoA,）,2,：,Anterior communicating artery,（,ACoA,）,3,：,A1 segment of anterior cerebral artery,（,A1,）,4,：,P1 segment of posterior cerebral artery,（,P1,）,5,：,supraclinoid segment of the internal carotid artery,DSA,：,Wills,Arterialnetworkofthepiamater,：,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,：,Facial artery,（面动脉）,2,：,Superficial temporal artery,（颞浅动脉）,3,：,Middle meningeal artery,（脑膜中动脉）,4,：,Posterior communicating artery,（后交通动脉）,5,：,Foramen artery,（圆孔动脉）,6,：,Ascending pharyngeal artery,（咽升动脉）,7,：,Occipital artery,（枕动脉）,8,：,Ascending carotid artery,（颈升动脉）,10,：,Superior thyroid artery,Inferior thyroid artery,（甲状腺上下动脉）,DSA,：,Circulation,：,Collateral circulation,：,Encirclingthecitiesfromruralareas,Supplying the government from borderareas.,THANK YOU,