2023年02月15日发布 | 786阅读

正常人脑中线的大体解剖,你认识多少?

吴川杰

首都医科大学宣武医院

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头MRI矢状位T1像




头MRI矢状位增强像




头MRI矢状位T1像局部放大显示中脑




头MRI矢状位T1像局部放大显示颅后窝




头MRI矢状位CISS成像显示脑室



NO.1

Corpus callosum 胼胝体


1 = rostrum 胼胝体嘴, 

2 = genu 胼胝体膝, 

3 = body 胼胝体干, 

4 = isthmus 胼胝体峡, 

5 = splenium 胼胝体压;


NO.2

Suprasellar 鞍上区


6 = lamina rostralis 嘴板, 

7 = lamina terminalis 终板, 

8 = optic chiasm 视交叉;


NO.3

Third ventricle 第三脑室


9 = chiasmatic recess of third ventricle 三脑室视交叉隐窝, 

10 = infundibular recess of third ventricle 三脑室漏斗隐窝,

11 = pineal recess of third ventricle 三脑室松果体隐窝, 

12 = suprapineal recess of third ventricle 第三脑室松果体上隐窝,

13 = floor of third ventricle/tuber cinereum 三脑室底/灰结节;


NO.4

Pituitary 垂体


14 = pituitary infundibulum 垂体漏斗部, 

15 = adenohypophysis 腺垂体, 

16 = neurohypophysis 神经垂体;


NO.5

Anterior skull base 颅前窝


17 = crista galli 鸡冠, 

18 = planum sphenoidale 蝶骨平台, 

19 = cribriform plate 筛板, 

20 = chiasmatic groove 交叉沟,

21 = tuberculum sellae 鞍结节, 

22 = dorsum sellae 鞍背, 

23 = basisphenoid 蝶骨底,

 24 = spheno-occipital synchondrosis 蝶枕结合, 

25 = basiocciput 基枕骨, 

26 = basion 底穴(枕大孔前缘中点);


NO.6

Other bones 其他骨结构


27 = opisthion 枕后点,

28 = frontal bone 额骨, 

29 = sagittal suture 矢状缝, 

30 = occipital squama 枕鳞,

31 = internal occipital protuberance 枕内隆凸, 

32 = external occipital protuberance 枕外隆凸;


NO.7

Veins 静脉


33 = superior sagittal sinus 上矢状窦,

34 = inferior sagittal sinus 下矢状窦,

35 = torcula 窦汇, 

36 = internal cerebral veins 颈内静脉,

37 = vein of Galen Galen静脉, 

38 = straight sinus 直窦;


NO.8

Arteries 动脉


39 = basilar artery 基底动脉,

40 = anterior cerebral arteries 大脑前动脉,

41 = pericallosal arteries 胼周动脉, 

42 = callosomarginal arteries 胼缘动脉;


NO.9

Miscellaneous 其他


43 = pineal gland 松果体,

44 = posterior commissure 后联合,

45 = massa intermedia 中间块,

46 = anterior commissure 前联合,

47 = forniceal body 穹窿体, 

48 = forniceal column 穹窿柱;


NO.10

Midbrain/brainstem 中脑/脑干


49 = mamillary body 乳头体, 

50 = mesencephalon 中脑, 

51 = quadrigeminal plate 四叠体, 

52 = superior colliculi 上丘,

53 = inferior colliculi 下丘, 

54 = pons 桥脑, 

55 = medulla 延髓, 

56 = obex 闩, 

57 = floor of the fourth ventricle 四脑室底, 

58 = aqueduct of Sylvius 中脑导水管, 

59 = pontomedullary sulcus 桥延沟;


NO.11

CSF spaces 脑池


60 = interpeduncular fossa 脚间池, 

61 = suprasellar cistern 鞍上池, 

62 = prepontine cistern 桥脑前池, 

63 = quadrigeminal cistern 四叠体池, 

64 = fourth ventricle 四脑室, 

65 = cisterna magna 枕大池;


NO.12

Cerebrum 大脑


66 = cingulate gyrus 扣带回,

67 = marginal sulcus 缘沟,

68 = parieto-occipital sulcus 顶枕沟,

69 = calcarine fissure 距状裂,

70 = cuneus 楔叶,

71 = precuneus 楔前叶,

72 = lingual gyrus 舌回, 

73 = paracentral lobule 旁中央小叶;


NO.13

Sinonasal 鼻窦


74 = sphenoid sinuses 蝶窦,

75 = ethmoid sinuses 筛窦, 

76 = frontal sinuses 额窦;


NO.14

Dura/ligaments 硬脑膜


77 = tentorium cerebelli 小脑幕,

78 = tectorial membrane 盖膜,

79 = nuchal ligament 项韧带,

80 = posterior atlanto-occipital ligament寰枕后韧带;


NO.15

Cerebellum 小脑


81 = cerebellar vermis 小脑蚓部,

82 = superior medullary velum 上髓帆,

83 = inferior medullary velum 下髓帆,

84 = fastigium 尖顶(第四脑室顶的最高点),

85 = primary fissure of the vermis 小脑蚓原裂,

86 = secondary fissure of the vermis 小脑蚓次裂,

87 = tonsil 小脑扁桃体。


参考文献:

Asim F Choudhri, Harris L Cohen, Adeel Siddiqui, et.al. Twenty-Five Diagnoses on Midline Images of the Brain: From Fetus to Child to Adult. Radiographics. 2018;38(1):218-235. DOI: 10.1148/rg.2018170019.PMID: 29320328


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