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The Cerebral Infarct Pathology, Pathogenesis, and Computed Tomography

作者
K. J. Zülch
摘要

I Cerebral Infarcts and Computed Tomograms.- 1 Introduction.- 2 Incidence of Cerebral Infarcts in a Series of Unselected Computed Cranial Tomograms.- 3 Concept of Cerebral Infarction.- 3.1 General Semiology of Infarction.- 3.2 The Hemorrhagic Type of Infarction.- 4 Technical Aspects of Interpreting Computed Tomograms.- 4.1 Time Course of the Changes in Density of the Tissue.- 4.2 Contrast Enhancement.- 4.3 The Fogging Effect.- 4.4 Increased Volume of the Tissue.- 4.5 Protein-Rich Edema.- 4.6 Improper Prognosis.- 4.7 Relating a Focal Lesion to a Transient Ischemic Attack.- 4.8 Flow Measurements.- II Correlations of CT Scan Patterns with Pathoanatomical Specimens.- III The Systematic Classification of Brain Infarcts.- 1 Carotid Territory.- 1.1 Superficial Infarcts in the Territory of the Middle Cerebral Artery.- 1.1.1 Infarcts of the Middle Cerebral Artery.- 1.1.1.1 Complete Infarct of the Middle Cerebral Artery Including the Striate and Anterior Choroidal Arteries.- 1.1.1.2 Infarct of the Middle Cerebral Artery Excluding the Striate Arteries.- 1.1.1.3 Infarct of the Middle Cerebral Artery, Anterior Third.- 1.1.1.4 Infarct of the Middle Cerebral Artery, Middle Third.- 1.1.1.5 Infarct of the Middle Cerebral Artery, Posterior Third.- 1.1.1.6 Four Special Types of Infarct Within the Territory of the Middle Cerebral Artery.- 1.1.1.7 Spotty Infarcts of the Territory of the Middle Cerebral Artery.- 1.1.1.8 Bilateral Infarcts of the Middle Cerebral Artery.- 1.1.1.9 Subcortical Infarct in the Territory of the Middle Cerebral Artery.- 1.1.2 Infarcts in the Anterior Cerebral Artery Territory.- 1.1.2.1 Infarcts of the Anterior Cerebral Artery, Anterior Division.- 1.1.2.2 Infarcts of the Anterior Cerebral Artery, Posterior Division.- 1.1.2.3 Total Infarction of the Anterior Cerebral Artery Territory.- 1.1.2.4 Spotty Infarcts in the Anterior Cerebral Artery Territory.- 1.1.2.5 Infarcts in the Territory of the Long Central Artery (Recurrent Artery of Heubner).- 1.1.3 Combined Infarcts.- 1.1.3.1 Combined Infarcts of the Anterior and Middle Cerebral Artery Territories.- 1.1.3.2 Combined Infarcts of the Middle and Posterior Cerebral Arteries.- 1.1.4 Total Infarcts of the Internal Carotid Artery Territory.- 1.2 Deep Infarcts in the Area of the Middle Cerebral Artery.- 1.2.1 Infarcts in Putamen and Head of Caudate Nucleus (Borderline Pattern).- 1.2.2 Total Infarcts of the Striatum.- 1.2.3 Terminal Infarcts in Putamen and/or Caudate Nucleus (Most Distant Field).- 1.2.4 Lacunar Infarcts.- 1.2.4.1 Lacunar Infarct in the Semioval Center.- 1.2.4.2 Lacunar Infarct in Thalamus.- 1.2.4.3 Lacunar Infarct in Putamen.- 1.2.4.4 Lacunar Infarct in Pons.- 1.2.4.5 Lacunar Infarct in Cerebellum.- 1.2.4.6 Lacunar Infarcts in the Territory of the Anterior Choroidal Artery.- 2 The Vertebrobasilar Circulation - Infarcts in the Territory of the Vertebral and Basilar Arteries 58.- 2.1 Infarcts in the Territory of the Posterior Cerebral Artery.- 2.1.1 Infarcts of the Calcarine Artery (Medial Occipital Infarct).- 2.1.2 Infarcts of the Occipitotemporal Artery (Lateral Occipital Infarct).- 2.1.3 Cortical Infarcts Within the Area of the Posterior Cerebral Artery.- 2.1.4 Total Infarct of the Posterior Cerebral Artery.- Bilateral Infarcts of the Posterior Cerebral Arteries.- 2.1.6 Infarcts in the Center of the Territory of the Posterior Cerebral Artery.- 2.2 Infarcts in Thalamus (Thalamogeniculate and Thalamoperforate Arteries).- 2.3 Infarcts in Cerebellum.- 2.3.1 Dorsal Cerebellar Infarct (Superior Cerebellar Artery).- 2.3.2 Ventral Cerebellar Infarcts (Anterior Inferior Cerebellar Artery).- 2.3.3 Infarcts at the Watersheds (Border Zone) of the Cerebellar Arteries.- 2.3.4 Infarcts in the Pedunculi (Perforating Arteries, Unilateral or Bilateral).- 2.3.5 Infarcts of Pons (Paramedian Pontine Artery, Short and Long Circumflex Arteries).- 2.3.5.1 Infarct of the Paramedian Pontine Artery.- 2.3.5.2 Infarct of the Long Circumflex Pontine Artery.- 2.3.5.3 Infarcts of the Posterior Inferior Cerebellar Artery (Wallenberg's Artery).- 3 The Watershed (Border Zone) Infarcts.- 3.1 Annular Infarcts.- 3.1.1 Annular Infarct of the Watersheds, Anterior Part.- 3.1.2 Annular Infarct of the Watersheds, Posterior Part.- 3.1.3 Three-Territory Border Infarct (Dreilandereck-Infarkt).- 4 The Multiinfarct Brain.- 5 Atrophic Processes: Ischemic Atrophies.- Addendum.- References.- Name Index.

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