Sunday, 27 January 2019

Middle Cerebral Artery



Middle Cerebral Artery:

Territory:

Image result for anterior cerebral artery territory

Supplies most of lateral surface of hemisphere, part of internal capsule (posterior part of anterior limb and anterior part of posterior limb) and basal ganglia.

Origin:


Segments:

-Frontal 2D view following
right vertebral artery
injection , there is a
normal appearance of the
cervical vertebral arter...

-2D frontal view following left ICA injections ,
these images show an aneurysm in the region
of the left MCA bifurcation/t...

M1- ICA to Sylvian fissure (horizontal or Sphenoidal)
M2- Sylvian (within fissure; also Insular) post bifurcation into superior & inferior divisions. 
M3- Opercular: Top of fissure to cerebral cortex
M4- Cortical (cortical surface branches)




B-3D posterior view
following right
vertebral artery
injection , there is a
normal appearance of
the cervical vertebral
art...

Branches:
NB superficial and deep

M1
Lateral lenticulostriate A. (NB ACA is the more medial vessel)

M2 (NB superior and inferior divisions) 
Branches supply temporal lobe and insular cortex, parietal lobe, inferolateral frontal lobe via:

Superior:
Lateral frontobasal A.
Prefrontal sulcas A.
Pre-Rolandic (Precentral) and Rolandic (central) sulcal A.

Inferior:
3 temporal branches (anterior, middle and posterior)
Branch to angular gyrus
2 parietal branches (anterior, posterior)
-3D frontal ) view following left
vertebral artery injection , this view
show intracranial vertebral basilar
circulation i...

2-7 appear to be exclusively MCA branches. 1 shared with ACA. 8 PCA also.

-3D frontal view following right
vertebral artery injection , this
view shows normal intracranial
vertebral basilar circul...



M3 and M3
The above branches will have M3 and M4 portions




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