Contents
 

Disorders of the blood supply



16  Patology of the CNS

16.3  Disorders of the blood supply

16.3.1  Brain ischemia

Pictures

Subclavial stenosis, MRI angiography:
Subclavial stenosis, MRI angiography, X-ray (71834)

Subclavial stenosis, MRI angiography, detail, X-ray (71835)

MR diffusion shows early ischemia, which cannot be shown using different methods:
Early cortical ischemia, MR, diffusion, X-ray (73429)

Cortical ischemia, MR, X-ray (73430)

Another example of MR diffusion in a patient with brain ischemia:
Early ischemia, brain, MR diffusion, X-ray (73574)

Rarely can metabolic anomalies cause brain ischemia, here MELAS:
MELAS, MR flair, X-ray (73490)

MELAS, MR T2 axial, X-ray (73491)

16.3.1.1  Regional ischemia, brain infarct
16.3.1.1.2  Extent and distribution of ischemic lesions

Pictures

Ischemia of the thalamus, MRI:
Ischemia of the thalamus, MRI, X-ray (70583)

Thrombosis of the deep veins, ischemia of the thalamus, MRI:
Thrombosis of the deep veins, ischemia of the thalamus, MRI, X-ray (70581)

Thrombosis of the deep blood vessels, ischemia of the thalamus, MRI phlebogram, MIP reconstruction, contrast X-ray (70594)

Embolism, left internal carotid:
Embolism, left internal carotid, Macro, autopsy (70801)

Embolism, carotid artery:
Embolism, carotid artery, Macro, autopsy (70881)

Infarction, brain:
Infarction, brain, Macro, autopsy (70830)

Infarction of the brain:
Infarction of the brain, Macro, autopsy (70831)

Infarction, brain:
Infarction, brain, Macro, autopsy (70832)

Infarction of the brain, parietooccipital region:
Infarction of the brain, parietooccipital region, Macro, autopsy (70833)

Venous thrombosis (caused infarction of the brain):
Venous thrombosis (caused infarction of the brain), Macro, autopsy (70834)

Infarction of the brain, 10 weeks old:
Infarction of the brain, 10 weeks old, Macro, autopsy (70835)

Brain infarction, hemorrhagic:
Brain infarction, hemorrhagic, Macro, autopsy (70836)

Large infarction of the brain:
Large infarction of the brain, Macro, autopsy (70840)

Multiple infarctions of the brain:
Multiple infarctions of the brain, Macro, autopsy (70849)

Multiple infarctions of the brain:
Multiple infarctions of the brain, Macro, autopsy (70850)

Large infarction, cerebellum:
Large infarction, cerebellum, Macro, autopsy (70886)

Small infarction, cerebellum:
Small infarction, cerebellum, Macro, autopsy (70887)

Hyperaemia and exudate over infarct:
Hyperaemia and exudate over infarct, Macro, autopsy (70896)

16.3.1.2  Chronic ischemic lesions

Pictures

Multiple foci of subcortical ischemia, MRI, axial:
Multiple foci of subcortical ischemia, MRI, axial, X-ray (70584)

Multiple foci of subcortical ischemia, MRI, koronal:
Multiple foci of subcortical ischemia, MRI, coronal, X-ray (70585)

16.3.2  Ischemia of the spinal cord

16.3.3  Intracranial bleeding

16.3.3.1  Epidural hematoma

Pictures

Epidural hematoma, fractures of the skull, CT:
Epidural hematomas, CT nativ, X-ray (73557)

Fracture of the calva, CT, X-ray (73558)

16.3.3.3  Subarachnoidal hematoma

Case study:

Aneurysm of basilary artery with subarachnoid hemorrhage
Věra Feitová
16.3.3.4  Intracerebellar hemorrhage

Pictures

Spontaneous intracerebral hemorrhage, CT:
Spontaneous intracerebral hemorrhage, CT, X-ray (70937)

Brain hemorrhage, old:
Brain hemorrhage, old, Macro, autopsy (70816)

Brain hemorrhage:
Brain hemorrhage, Macro, autopsy (70818)

Intracerebral hemorrhage:
Intracerebral hemorrhage, Macro, autopsy (70837)

Brain hemorrhage:
Brain hemorrhage, Macro, autopsy (70890)

Massive intracerebral hemorrhage:
Massive intracerebral hemorrhage, Macro, autopsy (70842)

Massive hemorrhage to the pons:
Massive hemorrhage to the pons, Macro, autopsy (70843)

Brain stem hemorrhage:
Brain stem hemorrhage, Macro, autopsy (70865)

Brain stem hemorrhage due to mycotic aneurysm:
Brain stem hemorrhage due to mycotic aneurysm, Macro, autopsy (70866)

Hemorrhage of the pons and 4th ventricle:
Hemorrhage of the pons and 4th ventricle, Macro, autopsy (70895)

Massive hemorrhage, cerebellum:
Massive hemorrhage, cerebellum, Macro, autopsy (70889)

Old brain hemorrhage:
Old brain hemorrhage, Macro, autopsy (70856)

Old brain hemorrhage, Macro, autopsy (70857)

Hemorrhage, hemisphere of the cebellum:
Hemorrhage, hemisphere of the cebellum, Macro, autopsy (70885)

Brain, purpura:
Brain, purpura, Macro, autopsy (70875)

Brain, purpura, Macro, autopsy (70876)

Brain, purpura, Macro, autopsy (70873)

Brain, purpura, HE 20x (70874)

Intracerebral hemorrhage, hemocephalus, SAC, CT:
Intracerebral hemorrhage, hemocephalus, SAC, CT, X-ray (71821)

Intracerebellar and intracerebral hematoma, CT native:
Intracerebellar and intracerebral hematoma, CT native, X-ray (71792)

Intracerebral hematoma, CT:
Intracerebral hematoma, CT, X-ray (71822)

Intracerebral hematoma, thrombosis of the aneurysm with spirals, artefact, CT:
Intracerebral hematoma, thrombosis of the aneurysm with spirals, artefact, CT, X-ray (71823)

16.3.3.5  Intraventricular hemorrhage

Pictures

Intraventricular hemorrhage:
Intraventricular hemorrhage, Macro, autopsy (70838)

16.3.4  Disorders of the blood vessels

16.3.4.1  Intracranial malformations of the blood vessels
16.3.4.1.1  Arteriovenous malformations

Pictures

Malformation of blood vessels, brain:
Malformation of blood vessels, brain, Macro, autopsy (70777)

Cavernous hemangioma of the right temporal lobe, MR T2W:
Cavernous hemangioma of the right temporal lobe, MR T2W, X-ray (70954)

Malformation of blood vessels and venous hemangioma, cerebellum, MRI, coronal:
Malformation of blood vessels and venous hemangioma, cerebellum, MRI, coronal, X-ray (70579)

Malformation of blood vessels, cerebellum, MRI, coronal:
Malformation of blood vessels, cerebellum, MRI, coronal, X-ray (70578)

Hemangioma, pons:
Hemangioma, pons, Macro, autopsy (70859)

Malformation of blood vessels, brain:
Malformation of blood vessels, brain, Macro, autopsy (70879)

AV malformation, DSA:
AV malformace, DSA, AP view, X-ray (73512)

AV malformace, DSA, lateral view, X-ray (73513)

16.3.4.2  Berry aneurysms

Pictures

Berry aneurysm, circle of Willis:
Berry aneurysm, circle of Willis, Macro, autopsy (70891)

Large aneurysm, circle of Willis:
Basilar aneurysm, brain, Macro, autopsy (73987)

Basilar aneurysm, brain, Macro, autopsy (73988)

Basilar aneurysm, brain, Macro, autopsy (73989)

Basilar aneurysm, brain, Macro, autopsy (73990)

Supraoptical saccular aneurysm, MRI angiography, native Several metrods are used to show the anuerysm, then the embolization of the aneurysm by small metallic spirals is shown; finally the situation after successful embolizastion (no aneurysm can be seen):
Supraoptical saccular aneurysm, MRI angiography, native, X-ray (70737)

Supraoptical saccular aneurysm, MRI angiography, MIP reconstruction, X-ray (70738)

Supraoptical saccular aneurysm, CT angiography, X-ray (70739)

Supraoptical saccular aneurysm, CT angiography, 4D reconstruction, HE 40x (70742)

Supraoptical saccular aneurysm, CT angiography, 4D reconstruction, HE 40x (70743)

Supraoptical saccular aneurysm, before embolisation, X-ray (70741)

Embolization of the aneurysm (microcatether), HE 40x (70744)

Embolization of the aneurysm (microcatether), HE 40x (70745)

Embolization of the aneurysm (aneurysm filled by spirals), HE 40x (70746)

Supraoptical saccular aneurysm, DSA, after embolization, X-ray (70740)

Large aneurysm of a. cerebri media dx, MRI, T2W:
Large aneurysm of a. cerebri media dx, MRI, T2W, X-ray (70951)

Large aneurysm of a. cerebri media dx, MRI, T1W gadolinium, X-ray (70953)

Large aneurysm of a. cerebri media dx, MRI, T2W, X-ray (70950)

Large aneurysm of a. cerebri media dx, MR angiography, X-ray (70952)

Aneurysm:
Aneurysm, rtg Macro, autopsy (70769)

Aneurysm of the a. communicans anterior prior to embolisation, DSA:
Aneurysm of the a. communicans anterior prior to embolisation, DSA, X-ray (71825)

Aneurysm of the a. communicans anterior after the embolisation, DSA, X-ray (71826)

Aneurysm of circulus arteriosus Willisi:
Aneurysm of circulus arteriosus Willisi, Macro, autopsy (70751)

Aneurysm of circulus arteriosus Willisi, Macro, autopsy (70752)

Aneurysm of middle cerebral artery:
Aneurysm of middle cerebral artery, Macro, autopsy (70753)

Thrombosis of basilar artery:
Thrombosis of basilar artery, Macro, autopsy (70756)

Aneurysm, basilar artery:
Aneurysm, basilar artery, Macro, autopsy (70778)

Aneurysm, thrombosed:
Aneurysm, thrombosed, Macro, autopsy (70767)

Aneurysm, thrombosed:
Aneurysm, thrombosed, Macro, autopsy (70768)

Brain, arterial aneurysm:
Brain, arterial aneurysm, Macro, autopsy (70770)

Berry aneurysm, brain:
Berry aneurysm, brain, Macro, autopsy (70771)

Aneurysm, carotid artery:
Aneurysm, carotid artery, Macro, autopsy (70772)

Aneurysms, brain, circle of Willis:
Aneurysms, brain, circle of Willis, Macro, autopsy (70781)

Aneurysms, brain, circle of Willis, Macro, autopsy (70782)

Aneurysm, craniotomy, herniation:
Aneurysm, craniotomy, herniation, Macro, autopsy (70787)

Aneurysm, craniotomy, herniation, Macro, autopsy (70788)

Aneurysm, brain hematoma:
Aneurysm, brain hematoma, Macro, autopsy (70810)

Brain hemorrhage due to ruptured aneurysm:
Brain hemorrhage due to ruptured aneurysm, Macro, autopsy (70812)

Aneurysm of the middle cerebral artery:
Aneurysm of the middle cerebral artery, Macro, autopsy (70848)

Eclampsia, brain hemorrhage:
Eclampsia, brain hemorrhage, Macro, autopsy (71314)

Brain hemorrhage, massive anticoagulation therapy:
Brain hemorrhage, massive anticoagulation therapy, Macro, autopsy (70814)

Aneurysm of the a. cerebri media with widespread subarachnoidal hemorrhage, intracerebellar hematoma spreading into the lateral ventricles (CT, 3D reconstruction):
Subarachnoidal hemorrhage, ruptured aneurysm, CT, X-ray (73024)

Subarachnoidal hemorrhage, ruptured aneurysm, CT, X-ray (73023)

Arteria cerebri media, aneurysm, CT, X-ray (73011)

Arteria cerebri media, aneurysm, CT 3D, X-ray (73010)

Aneurysm of the a. cerebri media, widespread hemorrhage, clipping of the aneurysm:
Aneurysm ACM, CT, brain, angiography, reconstruction, X-ray (73552)

Aneurysm ACM, CT, brain, angiography, X-ray (73553)

Subarachnoid hemorrhage, hemocephalus, IC hematoma, CT nativ, X-ray (73555)

Aneurysm ACM, clipping, CT, brain, angiography, X-ray (73554)



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