irrigación del snc
TRANSCRIPT
![Page 1: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/1.jpg)
![Page 2: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/2.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
Arteria carótida interna Arterias vertebrarles:
![Page 3: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/3.jpg)
![Page 4: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/4.jpg)
![Page 5: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/5.jpg)
![Page 6: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/6.jpg)
![Page 7: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/7.jpg)
![Page 8: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/8.jpg)
![Page 9: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/9.jpg)
![Page 10: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/10.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
ARTERIA CAROTIDA INTERNA: Penetra en el canal carótideo sigue un curso muy
tortuoso (6 curvas). Reducción del pulso sanguíneo del encéfalo.
RAMAS : Segmento petroso: arteria carótidotimpanica y
arteria pterigoideoa. Segmento cavernoso: arteria cavernosa y
arteria meningo-hipofisiaria.
![Page 11: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/11.jpg)
![Page 12: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/12.jpg)
![Page 13: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/13.jpg)
ARTERIA OFTALMICA: es la primera gran rama (visible en
angiografía) de la ACI, desde que sale del seno cavernoso.
irriga las estructuras de la órbita y envía ramas supracocleares y supraorbitarias para irrigar la piel sobre la ceja.
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
![Page 14: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/14.jpg)
![Page 15: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/15.jpg)
![Page 16: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/16.jpg)
IRRIGACION DEL SISTEMA NERVIOSSO CENTRAL
ARTERIA COMUNICANTE POSTERIOR:
Arteria comunicante posterior fetal. Se dirige posteriormente hasta su
anastomosis con la arteria cerebral posterior.
Nace de la carótida interna.
![Page 17: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/17.jpg)
![Page 18: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/18.jpg)
![Page 19: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/19.jpg)
![Page 20: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/20.jpg)
![Page 21: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/21.jpg)
![Page 22: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/22.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
ARTERIA COROIDEA ANTERIOR: Vaso pequeño que envía ramas a los
pedúnculos cerebrales y al cuerpo geniculado externo, antes de entrar al ventrículo lateral para irrigar el pelxo coroideo (junto con arterias coroideas posteriores de la cerebral posterior), envía también ramas a los ganglios basales.
![Page 23: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/23.jpg)
IRRIGACION DEL SISTEMA NERVIOSOS CENTRAL
ARTERIAS ESTRIADAS:
Arterias perforantes del núcleo lenticular y caudado de la cápsula interna.
La división Terminal de la arteria carótida interna da lugar a las arterias cerebral anterior y cerebral media.
![Page 24: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/24.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
ARTERIA CERBRAL ANTERIOR: Nace a nivel de la lámina perforada
anterior y se dirige anteriormente por encima del quiasma óptico, rodea la rodilla del cuerpo calloso y retrocede por su cara posterior para irrigar la porción medial y supralateral del hemisferio cerebral, alcanzado la región parietooccipital.
![Page 25: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/25.jpg)
![Page 26: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/26.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL(ACA)
Arteria recurrente: núcleo lenticular.
Arteria comunicante anterior: une arterias cerebrales anteriores de los lados opuestos.
Arteria frontopolar: lóbulo frontal (anterior).
Arteria calloso-marginal: región frontoparietal.
Arteria pericallosa: continuación de ACA
RAMAS CENTRALES: cuerpo calloso, septum lúcidum, núcleo lenticular y núcleo caudado.
![Page 27: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/27.jpg)
![Page 28: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/28.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
ARTERIA CEREBRAL MEDIA:
Rama más larga y por lo tanto más propensa a sufrir embolismos.
Se dirige lateralmente, envía ramas al lóbulo de la ínsula, al opérculo y a la superficie lateral del hemisferio cerebral
![Page 29: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/29.jpg)
![Page 30: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/30.jpg)
![Page 31: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/31.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL (ACM)
Arterias estriadas (o lenticuloestriadas) medial y lateral:
Se denomina arteria de la hemorragia cerebral por ser la arteria encefálica que rompe con mayor frecuencia. Irrigan los ganglios basales y la porción anterior de la cápsula interna.
![Page 32: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/32.jpg)
IRRIGACION DEL SISTEMA NERVICOSO CENTRAL (ACM) Ramas corticales: Nacen en el lóbulo de la ínsula,
irrigan la superficie lateral de los hemisferios:
Ramas frontales. Ramas parietales. Ramos angulares. Ramas temporales superiores.
![Page 33: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/33.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
SISTEMA VERTERBROBASILAR. Arteria Vertebral: nace de la arteria
subclavia, discurre por agujeros vertebrales acompañados por nervio espinal y nervios simpáticos, entra al cráneo por el agujero magno. Atraviesa la duramadre y por delante del bulbo hasta unirse a la arteria del lado opuesto.
![Page 34: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/34.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL (A.V.)
Ramas espinales: irrigación de la médula.
Ramas musculares: músculos cervicales profundos. Se anastomosan con las ramas de las arterias occipital y faríngea ascendente.
![Page 35: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/35.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL (A.V.)
Rama meníngea: fosa y hoz del cerebro. Arteria espinal posterior. Arteria espinal anterior. Ramas pequeñas para el bulbo.
Arteria cerebelosa inferior y posterior (ACIP) rama medial (arteria vermiana inferior). rama lateral.
![Page 36: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/36.jpg)
![Page 37: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/37.jpg)
![Page 38: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/38.jpg)
IRRIGACION DEL SISTEMA NERVIOSOS CENTRAL
ARTERIA BASILAR: unión de dos arterias vertebrales, a nivel de la protuberancia.
Arteria pontina: irrigan protuberancia. Arteria del laberinto (auditiva interna) VII y
VIII Arteria cerebelosa inferior anterior ( ACIA)
cerebelo Arteria cerebelosa superior: cerebelo,
protuberancia y glándula pineal. Arterias cerebrales posteriores derecha e
izquierda.
![Page 39: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/39.jpg)
![Page 40: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/40.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
ARTERIAS CEREBRALES POSTERIORES:
Arteria comunicante posterior de la carótida interna para completar el PLIGONO ARTERIAL DE WILLIS.
Irriga la cara inferior del lóbulo occipital y lóbulo temporal
![Page 41: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/41.jpg)
![Page 42: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/42.jpg)
![Page 43: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/43.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL (ACP)
Ramas pequeñas. Para pedúnculo cerebral, tálamo óptico posterior, cuerpo geniculado medial y lámina cuadrigémina.
Arterias lenticuloestriadas. Tálamo y núcleo lenticular.
Arterias coroideas posteriores medial y lateral
![Page 44: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/44.jpg)
![Page 45: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/45.jpg)
IRRIGACION DEL SISTEMA NERVIOSO CENTRAL
RAMAS CORTICALES.
Rama temporal posterior. Región posterior del lóbulo frontal.
Rama occipital interna. Va hacia la cara medial occipital y da origen a la arteria parietooccipital y arteria calcarina.
![Page 46: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/46.jpg)
![Page 47: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/47.jpg)
POLIGONO ARTERIAL DE WILLIS Anastomosis entre carótida interna
derecha e izquierda, ramas y las arterias cerebrales posteriores, forman un circuito que rodea al quiasma y tallo hipofisiario en cisternas supracellar e interpeduncular.
![Page 48: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/48.jpg)
![Page 49: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/49.jpg)
![Page 50: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/50.jpg)
![Page 51: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/51.jpg)
![Page 52: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/52.jpg)
![Page 53: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/53.jpg)
![Page 54: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/54.jpg)
ARTERIOGRAFIA CEREBRAL
Se introduce medio de contraste hidrosoluble en una arteria carótida o vertebral.
Por arteria femoral o braquial se introduce un fino catéter hasta llegar a la estructura vascular deseada.
Su riesgo más importante es el ICTUS y se debe a un evento embólico o traumátismo del vaso por el catéter.
![Page 55: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/55.jpg)
![Page 56: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/56.jpg)
![Page 57: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/57.jpg)
![Page 58: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/58.jpg)
![Page 59: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/59.jpg)
![Page 60: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/60.jpg)
![Page 61: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/61.jpg)
![Page 62: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/62.jpg)
![Page 63: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/63.jpg)
![Page 64: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/64.jpg)
![Page 65: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/65.jpg)
![Page 66: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/66.jpg)
![Page 67: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/67.jpg)
![Page 68: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/68.jpg)
![Page 69: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/69.jpg)
![Page 70: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/70.jpg)
![Page 71: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/71.jpg)
![Page 72: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/72.jpg)
![Page 73: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/73.jpg)
![Page 74: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/74.jpg)
![Page 75: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/75.jpg)
ANEURISMAS CEREBRALES
En la mayoría de los aneurismas intracraneales en los que se plantea una intervención quirúrgica requieren una evaluación con Arteriografía.
![Page 76: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/76.jpg)
ANEURISMAS CEREBRALES
La Arteriografía cerebral no sólo permite identificar el aneurisma, da información prequirúrgica como: orientación del aneurisma, presencia de vasoespasmo, localización de los vasos adyacentes y circulación colateral intracraneal.
Identifica que aneurisma ha sangrado si es que hay más de uno
![Page 77: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/77.jpg)
ANEURISMAS CEREBRALES
![Page 78: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/78.jpg)
![Page 79: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/79.jpg)
![Page 80: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/80.jpg)
![Page 81: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/81.jpg)
ANEURISMAS CEREBRALES
Con Angiografía se pueden tratar pacientes no quirúrgicos, colocándoles por vía endovascular algún material trombogénico (alambres) dentro del aneurisma.
![Page 82: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/82.jpg)
![Page 83: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/83.jpg)
![Page 84: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/84.jpg)
![Page 85: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/85.jpg)
ANEURISMAS CEREBRALES
La mayor parte de los pacientes con aneurismas sintomáticos intracraneales se presentan con una hemorragia subaracnoidea, algunos aneurismas actúan como masas intracraneales.
Se indica IRM, aneurismas de ACP (sintomatología del III par craneal) o aneurismas de carótida interna a nivel del seno cavernoso.
![Page 86: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/86.jpg)
![Page 87: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/87.jpg)
![Page 88: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/88.jpg)
![Page 89: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/89.jpg)
![Page 90: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/90.jpg)
![Page 91: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/91.jpg)
![Page 92: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/92.jpg)
MALFORMACION ARTERIOVENOSA Paciente con malformación vascular
(MAV, angioma carvenoso, angioma venoso, o telangiectacia capilar), demandan atención médica tras un episodio de hemorragia intracraneal o una crisis.
Se realiza TAC o IMR, con contrate, o bien ARTERIOGRAFIA CEREBRAL.
![Page 93: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/93.jpg)
![Page 94: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/94.jpg)
![Page 95: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/95.jpg)
![Page 96: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/96.jpg)
![Page 97: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/97.jpg)
![Page 98: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/98.jpg)
![Page 99: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/99.jpg)
![Page 100: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/100.jpg)
![Page 101: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/101.jpg)
![Page 102: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/102.jpg)
![Page 103: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/103.jpg)
![Page 104: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/104.jpg)
![Page 105: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/105.jpg)
![Page 106: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/106.jpg)
![Page 107: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/107.jpg)
ULTRASONIDO
ECO DOPPLER: evaluación de la permeabilidad carótidea y de su flujo en pacientes con ateroesclerosis, vasoespasmo en pacientes con hemorragia subaracnoidea con Doppler transcraneal, en neonatos y niños pequeños.
Alteraciones cerebrovasculares, evalúan velocidad, dirección, amplitud y pulsatilidad
![Page 108: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/108.jpg)
ULTRASONIDO No tienen ningún riesgo para el paciente,
no utilizan radiación ionizante y son portátiles, pueden llevarse a la cama del paciente.
La calidad de la exploración y presición diagnóstica dependen mucho del operador.
Las estructuras anatómicas y lesiones patológicas vistas en ecografía no son tan aparentes como en imágenes de TC o IRM.
![Page 109: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/109.jpg)
![Page 110: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/110.jpg)
![Page 111: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/111.jpg)
![Page 112: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/112.jpg)
![Page 113: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/113.jpg)
![Page 114: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/114.jpg)
![Page 115: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/115.jpg)
![Page 116: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/116.jpg)
![Page 117: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/117.jpg)
![Page 118: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/118.jpg)
![Page 119: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/119.jpg)
![Page 120: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/120.jpg)
![Page 121: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/121.jpg)
![Page 122: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/122.jpg)
![Page 123: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/123.jpg)
![Page 124: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/124.jpg)
![Page 125: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/125.jpg)
![Page 126: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/126.jpg)
![Page 127: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/127.jpg)
![Page 128: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/128.jpg)
![Page 129: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/129.jpg)
![Page 130: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/130.jpg)
![Page 131: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/131.jpg)
![Page 132: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/132.jpg)
![Page 133: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/133.jpg)
![Page 134: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/134.jpg)
![Page 135: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/135.jpg)
![Page 136: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/136.jpg)
![Page 137: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/137.jpg)
![Page 138: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/138.jpg)
![Page 139: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/139.jpg)
![Page 140: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/140.jpg)
![Page 141: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/141.jpg)
![Page 142: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/142.jpg)
![Page 143: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/143.jpg)
![Page 144: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/144.jpg)
![Page 145: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/145.jpg)
![Page 146: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/146.jpg)
![Page 147: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/147.jpg)
![Page 148: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/148.jpg)
![Page 149: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/149.jpg)
![Page 150: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/150.jpg)
![Page 151: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/151.jpg)
![Page 152: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/152.jpg)
![Page 153: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/153.jpg)
![Page 154: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/154.jpg)
![Page 155: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/155.jpg)
![Page 156: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/156.jpg)
![Page 157: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/157.jpg)
![Page 158: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/158.jpg)
![Page 159: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/159.jpg)
![Page 160: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/160.jpg)
![Page 161: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/161.jpg)
![Page 162: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/162.jpg)
![Page 163: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/163.jpg)
![Page 164: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/164.jpg)
![Page 165: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/165.jpg)
![Page 166: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/166.jpg)
![Page 167: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/167.jpg)
![Page 168: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/168.jpg)
![Page 169: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/169.jpg)
![Page 170: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/170.jpg)
![Page 171: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/171.jpg)
![Page 172: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/172.jpg)
![Page 173: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/173.jpg)
![Page 174: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/174.jpg)
![Page 175: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/175.jpg)
![Page 176: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/176.jpg)
![Page 177: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/177.jpg)
![Page 178: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/178.jpg)
![Page 179: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/179.jpg)
![Page 180: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/180.jpg)
![Page 181: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/181.jpg)
![Page 182: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/182.jpg)
![Page 183: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/183.jpg)
![Page 184: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/184.jpg)
![Page 185: Irrigación del SNC](https://reader035.vdocuments.site/reader035/viewer/2022081421/558112ebd8b42a05558b52e7/html5/thumbnails/185.jpg)