By Gianni Boris Bradac
Cerebral angiography presents specific anatomical imaging of the cerebral vasculature and its adaptations, with actual id of vascular territories and their particular functionality. It has facilitated either advances in our wisdom of cerebrovascular pathology and the advance of latest, basically endovascular tools of therapy. This publication is a finished and well-illustrated advisor to the diagnostic use of cerebral angiography. the 1st a part of the booklet depicts intimately the traditional visual appeal of the cerebral vessels on angiographic experiences. Sound wisdom of this general vascular anatomy and scientific functionality is key for proper interpretation of the scientific value of the pathological techniques addressed within the moment a part of the publication. The latter contain vascular abnormalities, together with angiomas, fistulas, and aneurysms; atherosclerotic and non-atherosclerotic stenosis and occlusion of the cerebral vessels; and venous thrombosis. In every one case, either ordinary and strange appearances are provided. whereas the emphasis all through is at the diagnostic worth of cerebral angiography, a couple of examples of endovascular remedy also are incorporated to focus on the evolving chances of treatment and the position of cerebral angiography in remedy choice.
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Extra info for Cerebral Angiography: Normal Anatomy and Vascular Pathology
These anastomoses can be minimal or large (Lasjaunias and Berenstein 1987; Morris 1997; Geibprasert et al. 2009). They can already be recognizable at the beginning of endovascular treatment or may enlarge and appear during it, following super-selective injection or opening of collateral paths as a consequence of occlusion of other arteries. Frequent angiographic control is mandatory. 2). This should be considered whenever a vascular treatment involves these branches. It is essential to take particular caution in the choice of embolic material in these cases.
C) Acute endovascular treatment with devascularization using polyvinyl alcohol (PVA). (d) Internal carotid artery in the same patient showing an asymptomatic arteriovenous malformation. There is a common trunk of the occipital and ascending pharyngeal arteries arising from the internal carotid artery. 20). Preoperative endovascular treatment with devascularization of the tumor is an important part of the therapy. Women in the fourth and fifth decades of life are predominantly affected. In up to 10% of patients, the tumors are multiple.
ICA) Anastomosis between the external carotid and vertebral arteries Hypoglossal a. A) – Radiculo-meningeal branch (Odontoid arch) (VA) C1–C2 musc. A) – C1–C2 musc. branches (VA) C1–C2 musc. ) – C1–C2 musc. branches (VA) C3–C4–C5 musc. ) – C3–C4–C5 musc. branches (VA) Anastomosis between the external carotid and ophthalmic arteries Middle meningeal a. ) Deep ant. temp. a. ) Sphenopalatine a. ) Superficial temporal a. ) Facial-infraorbital a. 2 Branches of the external carotid artery supplying cranial nerves Cranial nerve VII Tympanic branch of the petrosquamous artery (middle meningeal artery) and stylomastoid artery (occipital or posterior auricular artery) Cranial nerves IX, X, XI Jugular branch of the neuromeningeal trunk of the ascending pharyngeal artery.