1. 从影像梗死部位 推测责任供血血管

4. 大脑前动脉

6. 前交通动脉穿支

7. irregularity and narrowing of the supracallosal branch of the pericallosal artery

8. Narrowing of both cavernous part of the internal carotid arteries and both middle cerebral arteries. Narrowing of the right pericallosal artery

9. 胼胝体压部梗死，应该属于大脑后的一个分支供血

13. heubner 动脉

16. 丘脑膝状体动脉

17. Anterior thalamoperforating artery 前丘脑穿通动脉 （应该也叫丘脑结节动脉或者丘脑极动脉）

18. 丘脑穿通动脉

19. 双侧丘脑穿通动脉

20. 双侧丘脑穿通动脉 thalamoperforating artery

23. .2.3.5.6.7.9. 丘脑膝状体动脉， 12. 为丘脑膝状体动脉和脉络膜后动脉分布区

24. 15. 丘脑膝状体动脉 ;16. 丘脑结节动脉 ;18. 双侧丘脑结节动 脉 ;19. 上：丘脑结节动脉，下：丘脑穿通动脉 ;20. 脉络膜 后动脉 ;21. 丘脑穿通动脉

25. Schematic view of the arterial supply to the thalamus Figure 1. (A) Lateral view; (B) view from above; (C, D) detailed relationship between the arterial territories and nuclear subgroups within the thalamus. 1 =carotid artery; 2 =posterior communicating artery; 3 =basilar artery; 4 =thalamogeniculate arteries; 5 =tuberothalamic artery; 6 =posterior choroidal artery; 7 =paramedian pedicle; 8 =posterior cerebral artery. Main thalamic nuclei and tracts: CL =central lateral; CM =centromedian;Co =commissural; Cp =commissural posterior;DM =dorsomedian; MTT =mamillothalamic tract; Pua=pulvinar anterior; Pum =pulvinar medial; Pul =pulvinar lateral; Pf =parafascicularis; R =reticular; VA =ventral anterior; VLa = ventral lateral anterior; VLp =ventral lateral posterior; VPLa = ventroposterolateral anterior;VPLp = ventroposterolateral posterior; VPM =ventroposteromedian.

26. Figure 2. (A) Diffusion- weighted MRI of a left anterior thalamic infarct involving the anterior nuclei and mamillothalamic tract in a 58-year-old patient who presented with perseverations, incoherent speech with intrusion of previous topics, and distorted memories. (B) Schematic representation (see figure 1 for legend)

27. Figure 3. (A) T2-weighted MRI showing a bilateral paramedian stroke predominantly on the left side in a 39-yearold woman. This patient presented with improper behavior and inadequate and disinhibited comments to her husband.Three hours later, she complained she was “not able to control her eyes,” then rapidly became comatose. Cognitive tests, performed 3 days later, showed persistent loss of self-activation and severe amnesia. (B) Schematic representation (see figure 1 for legend).

28. Figure 6. (A) T2-weighted MRI of a left inferolateral thalamic infarct in the territory of the thalamogeniculate arteries in a 58-year-old man showing executive dysfunction with verbal fluency difficulties, pathologic response inhibition,and pathologic conceptual ability, in addition to a right sensory and ataxic hemisyndrome. (B) Schematic representation (see figure 1 for legend).

29. Figure 4. (A) T2-weighted MRI of a unilateral left paramedian infarct in a 54- year-old man who, during coronary angiography, presented sudden vertical diplopia and transient hypersomnolence. Cognitive tests, performed 2 days later, were entirely normal except for loss of selfactivation.(B) Schematic representation (see figure 1 for legend).

32. 大脑后动脉

33. 桥脑旁正中支

34. 双侧小脑上动脉

35. 小脑前下动脉

38. 小脑后下动脉

40. 双侧小脑后下动脉

42. 基底动脉旁正中支

43. 脊髓前动脉和椎旁正中动脉

44. 脊髓前动脉

47. stenosis of the vertebral arteries

48. 脊髓前动脉

49. 脊髓后动脉

50. 更多 —

51. 说明 Patients 6 and 15 represent the anteromedial group, Patient 6 had a small deep infarct, whereas Patient 15 had a similar lesion but it extended to the medial surface. MR angiography of this patient showed occlusion of the left posterior cerebral artery (arrow). Patient 24, representing the combined group, had an infarct that involved both the anteromedial and anterolateral areas. MR angiography showed stenosis in the P2 portion of the left posterior cerebral artery (arrow). The right posterior cerebral artery was also stenosed. Patient 31, representing the anterolateral group, showed an infarct in the left anterolateral area. MR angiography demonstrated stenosis in the P2 portion of the posterior cerebral artery (arrow). Patient 37, representing the lateral group, had an infarct in the lateral area. Patient 40 had bilateral infarction. MR angiography showed nonvisualization of the basilar artery (arrow).

53. 说明 (Top) Patient 1. T2-weighted MRI shows dorsal infarcts at the lower pons and rostral medullary areas. Angiogram shows occlusion of the left distal vertebral artery (white arrow) and retrograde filling of the basilar artery from the posterior communicating arteries (black arrow). There was also an occlusion of the proximal portion of the right vertebral artery (not shown here). (Middle) Patient 10. Diffusion-weighted MRI shows a dorsal pontine infarction that extends ventrally. MR angiogram shows focal stenosis of the right superior cerebellar artery (arrow). (Bottom) Patient 16. T2-weighted MRI shows dorsal isthmus lesion that extends to the midbrain area. MR angiogram shows focal stenosis of the right posterior cerebral artery (arrow). Numbers indicate patients’ numbers. Lesions responsible for internuclear ophthalmoplegia are marked as R.

54. 更多精彩 ……