Vitosević Zdravko, Cetković Mila, Vitosević Biljana, Jović Darko, Rajković Natasa, Millisavljević Milan
Institute of Anatomy, School of Medicine, Kosovska Mitrovica.
Srp Arh Celok Lek. 2005 Jan-Feb;133(1-2):41-5. doi: 10.2298/sarh0502041v.
The internal capsule and basal nuclei are supplied by perforating branches of the anterior cerebral artery (ACA), Heubner's artery, middle cerebral artery (MCA), internal carotid artery (ICA) and anterior choroidal artery (AChA). Some of the mentioned perforators vascularize both the internal capsule and basal nuclei, while some of them also perfuse the adjacent brain structures. Dorsal part of the anterior limb, knee and posterior limb of the internal capsule are commonly supplied by lateral MCA perforators. The intermediate part of the anterior limb is perfused by medial MCA perforators, while its ventral part is nourished by ACA perforators and Heubner's artery. The intermediate part of the knee is supplied by medial MCA perforators, while its ventral part is mostly vascularized by ICA and proximal AChA perforators. The intermediate part of the posterior limb is perfused by medial MCA perforators anteriorly and the proximal AChA perforators posteriorly. The ventral part is supplied by AChA perforators. The retrolenticular and sublenticular portions of the internal capsule are mainly nourished by distal AChA perforators. The caudate nucleus is supplied by perforators of the ACA, MCA and AChA, as well as by branches of the lateral posterior choroidal artery. Most of the putamen is vascularized by MCA perforators, and smaller parts by ACA and AChA perforators. The lateral segment of the globus pallidus is perfused by MCA perforators and partially by Heubner's artery and ACA, while its medial segment is supplied by ICA and AChA perforators. The ACA perforators, that most often originate from the initial 5.9 mm of the A1 segment, range in number from 1 to 5 (mean, 2.2) and in diameter between 80 pm and 710 pm (average, 295 microm). Heubner's artery, which most often arises close to the anterior communicating artery, can be singular (72.5%), double (23%) or triple (4.5%). It varies in diameter from 190 microm to 1,600 pm (average, 750 microm) and in length between 11 mm and 36 mm (mean, 22.4 mm). The MCA perforators, that most frequently originate from M1 segment (90.7%) and leptomeningeal branches (62.6%), range in number between 2 and 13 (mean, 8.1) and in diameter from 80 microm to 1,300 microm (mean, 520 microm). Many perforators arise as individual vessels, and some of them with common trunks (70.8%). Medial and lateral group of these perforators can be distinguished. The ICA perforators, which more often arise close to the AChA originating site (35.4%) than from the ICA bifurcation point (10.4%), vary in number from 1 to 5 (average, 3) and in diameter between 70 microm and 500 microm (mean, 236 microm). The AChA perforators that originate from its cisternal segment, range in number from 2 to 9 (mean, 4.5) and in diameter from 90 microm to 600 pm (mean, 325 microm).
内囊和基底核由大脑前动脉(ACA)、赫布纳动脉、大脑中动脉(MCA)、颈内动脉(ICA)和脉络膜前动脉(AChA)的穿支供血。上述一些穿支为内囊和基底核供血,而其中一些还为相邻的脑结构供血。内囊前肢、膝部和后肢的背侧部分通常由大脑中动脉外侧穿支供血。前肢的中间部分由大脑中动脉内侧穿支供血,而其腹侧部分由大脑前动脉穿支和赫布纳动脉供血。膝部的中间部分由大脑中动脉内侧穿支供血,而其腹侧部分主要由颈内动脉和脉络膜前动脉近端穿支供血。后肢的中间部分前部由大脑中动脉内侧穿支供血,后部由脉络膜前动脉近端穿支供血。腹侧部分由脉络膜前动脉穿支供血。内囊的豆状核后和豆状核下部主要由脉络膜前动脉远端穿支供血。尾状核由大脑前动脉、大脑中动脉和脉络膜前动脉的穿支以及脉络膜后外侧动脉的分支供血。壳核的大部分由大脑中动脉穿支供血,较小部分由大脑前动脉和脉络膜前动脉穿支供血。苍白球外侧段由大脑中动脉穿支供血,部分由赫布纳动脉和大脑前动脉供血,而其内侧段由颈内动脉和脉络膜前动脉穿支供血。大脑前动脉穿支大多起源于A1段起始的5.9毫米处,数量为1至5支(平均2.2支),直径在80微米至710微米之间(平均295微米)。赫布纳动脉大多起源于前交通动脉附近,可为单支(72.5%)、双支(23%)或三支(4.5%)。其直径在190微米至1600微米之间(平均750微米),长度在11毫米至36毫米之间(平均22.4毫米)。大脑中动脉穿支大多起源于M1段(90.7%)和软脑膜分支(62.6%),数量在2至13支之间(平均8.1支),直径在80微米至1300微米之间(平均520微米)。许多穿支为独立血管,其中一些有共同主干(70.8%)。可区分这些穿支的内侧组和外侧组。颈内动脉穿支更多起源于靠近脉络膜前动脉起始部位(35.4%)而非颈内动脉分叉点(10.4%),数量为1至5支(平均3支),直径在70微米至500微米之间(平均236微米)。起源于其脑池段的脉络膜前动脉穿支数量在2至9支之间(平均4.5支),直径在90微米至600微米之间(平均325微米)。