Нейрохирургическая анатомия том1

< * < (m. stylohyoideus)., # - ! "$ , - * < <

, < - ( . 6). <B . "

. ,

( (pars petrosa)!, # # .

4 # $

# , # # . "

! ( ). H ! !$B #; - # ( . 7). ' !

# ! .

2

9 $ -$ , # . ) ! .

/ ! -A ) , -# & ) , (truncus caroticocavernosus posterior s. meningohypophysialis) !

$ $ : 1) ' & ( H ( (ramus basalis tentorii), (-," # ; 2) H ( (ramus marginalis tentorii) B ; 3) ( (ramus clivi) ! ; 4) * HH # & H H (a. hypophysialis inferior) % .

4 ( ) -A ) (truncus caroticocavernosus lateralis) # #$ : 1) ( A (ramus sinus cavernosi) ; 2) (rami nervosum) III-IV , I, II,

III V ; 3) ( H ( (ramus meningeus)! # ; 4) (& (r. ganglionis trigeminalis) ( . 7, 9).

, ", , $ , " # . M ,

! , ' ! ) ! (pars subclinoideus).

& , ! , ( (pars cerebralis s. supraclinoideus)

! # " #.

& (a. ophthalmica) #" # . &

# " " # # . $ # ,

! # " , # # ( . 7, 9, 10).

3

# & (a. hypophysialis superior) ! # " , % !

, # # ! ! , !" , % ,

# . %! " ! , ! # ( . 10, 11). ,$ " , ,

# " " , ! # # .

# , , #

# , . 9

& ! ! ( (a. communicans posterior), B

& ! &( . cerebri posterior), # ! #< . H # B , ! ,, , , # ( . 11).

! (a. choroidea anterior)

# # 1,5 -

4,5 ( . 11, 12). ) #. , " # # , $# " ! " . & ! (( # )

! """ , & ! ! ( . ! " " " #

( . 12). 9: , # , ", # # , , #

4

! < , , #, , , # B ! , ( . 11, 12).

3.1.1 '. ! &

! & (a. cerebri anterior) <

# :

.

( (pars precommunicalis) - # #

- " ! # # " B # # $ ! #< . 4 ) -

15 - 20 , - 0,9 - 2,5 . #

" # .

# ! #< , #

( . 11, 13).

$ ! .

! ! ( ) ( ) (aa. centrales anteromediales)

2-3 " ( .

11). ( (a. centralis brevis) "! ! # # .

$ ( , & ! (a. centralis longus s. a. recurrens Heubner) < " # ,$ , #

" , !" ,! < , ( . 11, 13, 16).

! ! ( (a. communicans anterior)

# . 8B 0,2 - 1 ,

1,5 - 2,5 . ' " # . 9 " ! # # # , "

5

# ( . 14). 9 #

! ! ( ) ( ) (rr. centrales anteromediales) ( . 11, 16, 29, 30). . 9 ! & (a. mediana corporis callos e) " # ! #< ,( . 13). # #

, , , " "$ # < . # .

( (pars postcommunicalis) , $ # # , "

! # < ,#

.

! ( '-' & ( (a. frontobasalis medialis)

" # !

, , # ! #! ( . 13, 15).

, &-, (a. cingularis s. a. callosomarginalis) ! " ! . # )! ! ( ' ( (r. frontalis anteromedialis),

$ " # ! ( . 15).

) 6-8# # !-! # ( . 13).

* -! ( ' ( (r. frontalis mediomedialis),

& ! ! ( ' ( (r. frontalis posteromedialis) ((a.paracentralis) ! , $

$ # !( . 15).

& (a. pericallosa) ", " # " , !

( . 15). 8B ! (a. precunealis) -& ) (a. parietooccipitalis).!" ! # , -

6

, # - ! ,

.

,

# # ( . 15). J ! , %

!" # ! ,

" – ! , "

! # , ! # # , ! #<

# ( . 29).

3.1.1 . -! & .

-! & (a. cerebri media) "# .: , . 4

1,9-3,2 .

! ( (pars sphenoidalis) " ! #< . 9 " 1-3 ! ! ( ) ( )

(aa. centrales anterolaterales) 5-8 ( . 16, 18). 1

" # # .

# 8–10 " 10 $, # ! < . 5 #10-30 # # 1 6," $, # " . ! , )

( B # ), "! < , # !

( . 16).

% ( (pars insularis)

# ! . 9 B

) (aa. insular s), !"

7

, ( . 16). 4

2-4 , ! $( . 13, 17, 18).

( (pars terminalis)

# , #

! #< . " , $

# , !

, " ! , "$ B , B

B ! , # . ! , :

! , , ( . 17).

! ( '-' & ( (a.

frontobasalis lateralis), : ! ;# !-! # (

), ! ! ( . 17).

! ( ' &!) (a. sulci precentralis) ( ' &!) (a. sulci centralis)( . 17).

( ' &!) (a. sulci postcentralis), ! & ! ) (aa. parietales anterior et posterior), !" ! #< # "

, ( . 17).

! # " # . ! (a. temporalis anterior) !" . -! (a. temporalis media) & !(a. temporalis posterior) !"

# . & ) ( . gyri angularis)

( . 17, 18).

. J " !" B # " # ! #< ( . 29).

8

3.1.2. '-' & 3.1.2 . &

& (a. vertebralis)

# (a. subclavia). +: , < , .

! & ( (pars prevertebralis)

# "

< < < ,

16 , # " !$( . 19).

L ( (pars cervicalis)

11-16 < ( . 19).

, 11 # ,

12 ! " . " "

"

( . 21, 22).

1 < (rami spinales)

" , ,

" , ! .

" 12 13 ! !

( ( (r. meningeus anterior),! #< ,

! " , #$ .

( (pars atlantica)

11

! ! ( . 19-22).

11 , ! # ,

! - ! , -! . 4

20-30 .

9

H - ! (membrana atlanto-occipitalis

posterior) " ! #<

( . 20, 23). J " , $ ,

- < % ! " . - ) #

( . 23).

! !

& ! HH ( H ( (r. meningeus posterior),

!" ! ! #<( . 22).

! ## ! #<# ( . 21, 22).

( (pars intracranialis) !

, " # " .

– ' & H H (a. basilaris). 4, , ! #< 1,0-1,5 .!" # , " # " < .

# & ! & (a. spinalis posterior), #

-# ! ! < ( . 34).

! & ) $ ,

10

, ! ! HH & H H (a. spinalis anterior) ( . 22, 24, 33).

! ( ) ! & (circulus arteriosus bulbaris), # (rr. radi l s) ( . 22, 24, 33).

/ ! * &* (a. cerebelli inferior posterior)"

( . 24). 4 " " 1,5-2 . ! , ,

" < IX X , ! , " " " " # .

" " ,HH * H , #

" , " <

" ( . 24). " ! # B #. ,# , % ! ! ", # - " " " , # , , " . 9 " " #, , " "

, < IX-X , IV "

& ! IV * ! (r. choroideus ventriculi quarti posterior).

B B " , ! " < .

3.1.2 '. & .

& (a. basilaris), !, , #

. 9 B " " ," , ! , " 20-30( . 24).

11