NEUROANATOMI

Arteri Cerebri Media

PPDS: dr. Afiyf Kaysa Waafi

188071201011001

Pembimbing: dr. Catur Arisetianto, Sp.S

 PCA PCA

a. basilaris MCA ACA

a. vertebralis a. vertebralis

a. carotis interna a. carotis eksterna

a. subclavia a. carotis communis a. carotis communis a. subclavia

a. brachiocephalica
Aorta

Jantung

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anatomi

Cabang terbesar a. carotis

interna
Keluar dari ICA di atas prosesus
klinoideus anterior , ke lateral
fissura sylvii (sulkus lateralis)

Membentuk cabang perforantes

keganglia basalis dan krus anterius
dan genu kapsula internae, serta ke
kapsula externa dan klaustrum

(Baehr, 2005)

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M1 Lokasi Segmen Cabang Cabang
perforantes cortical AP carotid arteriogram showing the middle cerebral
artery (MCA) branches. (1), M1 segment
Sphenoid Akhir dari ICA sampai a. a. Temporalis (prebifurcation); (2), M1 segment (postbifurcation);
al/ limen insulae Reyli, Lenticulostriat anterior (3), MCA genu; (4), lateral lenticulostriate arteries;
Horizontal berjalan di atas substansia a lateralis (prebifurcatio) (5), M2 segment; (6), M3 segment; (7), M4 segment
/ Segmen perforata anterior (cortical branches); (8), apex of sylvian fissure
proximal 2 bagian: (angiographic sylvian point); (9), anterior choroidal
- Pars pre bifurcatio artery. (From Osborn AG. Diagnostic Cerebral
(atau trifurcatio) Angiography. 2nd ed. Philadelphia: Lippincott
- Pars post bifurcatio Williams & Wilkins, 1999, with permission.)

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M2 Lokasi Segmen Cabang cortical AP carotid arteriogram showing the middle cerebral artery
(MCA) branches. (1), M1 segment (prebifurcation); (2), M1
Insular/ Pada Truncus utama cabang cortical segment (postbifurcation); (3), MCA genu; (4), lateral
Truncus/ bifurcation (M4) 1 truncus utama, pada M3 lenticulostriate arteries; (5), M2 segment; (6), M3
Sylvian M1, pada bercabang menjadi 2-4 truncus segment; (7), M4 segment (cortical branches); (8), apex of
segment permukaan dan masing-masing sylvian fissure (angiographic sylvian point); (9), anterior
insulae Reyli memberikan 1-5 cabang ramus
choroidal artery. (From Osborn AG. Diagnostic Cerebral
sampai pada M4
Angiography. 2nd ed. Philadelphia: Lippincott Williams &
suilcus
Wilkins, 1999, with permission.)
circularis
insula

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M3 Lokasi Segmen Cabang cortical
AP carotid arteriogram showing the middle cerebral artery
Opercular Sulcus Truncus utama cabang cortical (MCA) branches. (1), M1 segment (prebifurcation); (2), M1
circularis (M4) 1 truncus utama, pada M3
segment (postbifurcation); (3), MCA genu; (4), lateral
insula reyli bercabang menjadi 2-4 truncus
lenticulostriate arteries; (5), M2 segment; (6), M3
sampai ke dan masing-masing
segment; (7), M4 segment (cortical branches); (8), apex of
tepi fissura memberikan 1-5 cabang ramus
sylvian fissure (angiographic sylvian point); (9), anterior
sylvii di cortex pada M4
permukaan choroidal artery. (From Osborn AG. Diagnostic Cerebral
lateral Angiography. 2nd ed. Philadelphia: Lippincott Williams &
hemisfer Wilkins, 1999, with permission.)
cerebri

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M4 Lokasi Segmen Cabang cortical
Cabang Tepi - Orbitofrontal
cortical permukaan - Prefrontal
fissura sylvii - Precentral
sampai ujung - Central
terminal di - Anterior and posterior
permukaan parietal
cortex - Angular
hemisfer - Temporo-occipital
cerebri - Temporal
- Temporopolar branches

AP carotid arteriogram showing the middle cerebral artery

(MCA) branches. (1), M1 segment (prebifurcation); (2), M1
segment (postbifurcation); (3), MCA genu; (4), lateral
lenticulostriate arteries; (5), M2 segment; (6), M3
segment; (7), M4 segment (cortical branches); (8), apex of
sylvian fissure (angiographic sylvian point); (9), anterior
choroidal artery. (From Osborn AG. Diagnostic Cerebral
Angiography. 2nd ed. Philadelphia: Lippincott Williams &
Wilkins, 1999, with permission.)

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I. A. orbitofrontalis
II. A. prerolandika
III. A. rolandia
IV. A. parietalis anterior
V. A. parietalis posterior
VI. A. giri angularis
VII. A. temporooksipitalis,
temporalis posterior
VIII. A. temporalis anterior

(Baehr, 2005)

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(Adam, 2009) 11
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OKLUSI DIVISI SUPERIOR

Alberstone, Cary D. 2009. Anatomic Basis of 14

Neurologic Diagnosis.
Oklusi divisi inferior

Here is a very dominant inferior division with embolus in it

(arrows).  The patent superior division only supplies the
anterior and mid-frontal lobes (white oval).  The inferior
division does posterior frontal, parietal, and temporal
regions.  Notice leptomeningeal parietal territory support
in late venous phase (black oval) (From Osborn
AG. Diagnostic Cerebral Angiography. 2nd ed.
Philadelphia: Lippincott Williams & Wilkins, 1999, with
permission.) 15
Alberstone, Cary D. 2009. Anatomic Basis of
Neurologic Diagnosis.

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TERIMA KASIH