1. MCA ANATOMISI VE
MCA ANEVRİZMALARINDA CERRAHI TEDAVI
Prof. Dr. Nihat
EGEMEN,
Beyin ve Sinir Cerrahi.
nihat_egemen@yahoo.com
2. 20. -21. Yuz yıl
Professor. MG.Yaşargil Professor A.L. Rhoton Jr.
4. MCA Anatomisi
MCA
Geniş ve kompleks
2.4- 4.6 mm
ACA nın 2 misli
M1- SPHENOIDAL
M2- INSULAR
M3- OPERCULAR
M4- CORTICAL
5. MCA Anatomisi
M1- PERFORATORLERİ
LENTİCULOSTRIATE A.
(1-21- (10)
% 80 bifurkasyon öncesi
i- MEDİAL
ANTERIOR PERFORATED SUBSTANCE
ii- INTERMEDIATE
M1 veya Erken dal
iii- LATERAL
Lateral of M1, M2
Erken dal
8. MCA Anatomisi
Erken dallar
Bifurkasyon
öncesi M1 den
çıkan küçük
Kortikal dallar
11. MCA Anatomisi
M4- Cortical
ST: Superior trunk
IT: Inferior trunk
IntT: Intermediate trunk
OF: Orbitofrontal artery
PF: Prefrontal artery
Pre S: Precentral artery
S: Central artery
PostCA=AP: Postcentral artery=
Anterior parietal artery
PP: Posterior pareital artery
A: Anguler artery
TO: Temporooccipital artery
TA: Temporal artery
PT: Posterior temporal artery
MT: Middle temporal artery
AT: Anterior temporal artery
TP: Temporopolar artery
EB: Early branch
MC: Motor cortex
14. MCA Anatomisi
Sup: Superior trunk
Inf: Inferior trunk
Int: Intermediate trunk
OF: Orbitofrontal artery
PF: Prefrontal artery
Pre S: Precentral artery
S: Central artery
PostCA=AP: Postcentral artery=
Anterior parietal artery
PP: Posterior pareital artery
A: Anguler artery
TO: Temporooccipital artery
TA: Temporal artery
PT: Posterior temporal artery
MT: Middle temporal artery
AT: Anterior temporal artery
TP: Temporopolar artery
EB: Early branch
MC: Motor cortex
25. MCA ANEVRİZMALARINDA CERRAHI TEDAVI
Klinik belirtiler
Subaraknoid kanama
i- Ani şiddetli baş ağrısı
ii- Şuur seviyesinin bulanması
iii- Ense sertliği
İv- kusma
