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本贴的目的就是如何根据临床和影像学推测病变血管，尤其是深穿支这类小血管，利用现代影像学的优势，达到不进行血管成像也可以对血管进行定位的目的。摒弃以往“基底节梗死”或“腔隙性梗死”的笼统概念，做到对梗死部位进一步细化。
Heubner动脉区梗死：
The recurrent artery of Huebner (aka medial striate artery or long central artery) is the largest perforating branch from the proximal anterior cerebral artery, and is the only one routinely seen on angiography. Its origin is near the A1-ACOM-A2 junction of the anterior cerebral artery, arising from the proximal A2 in 90% of cases, and from the distal A1 in 10% of cases. It then curves back sharply on itself, paralleling the A1 and is at risk from ACOM aneurysm clipping (see case 1).
It supplies the head of caudate, anterior portion of the lentiform nucleus and anterior limb of the internal capsule.
Clinical manifestations
Unilateral occlusion
weakness contralateral arm
weakness contralateral face
dysarthria
hemichorea
Bilateral occlusion
akinetic mutism
解剖基础：
还是解剖！
Heubner动脉区梗死！
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还是！
还是！！
这张同时累及大脑前动脉的皮层和回返动脉！
欢迎多提宝贵意见！
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