Defining the Temporal and Occipital Lobes: Cadaveric Study with Application to Neurosurgery of the Inferior Brain.

collateral sulcus inferior brain occipitotemporal sulcus rhinal sulcus sulcal anatomy sulcal variations

Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
30 Dec 2023
Historique:
received: 03 07 2023
revised: 25 12 2023
accepted: 26 12 2023
medline: 2 1 2024
pubmed: 2 1 2024
entrez: 1 1 2024
Statut: aheadofprint

Résumé

For surgical interventions, a precise understanding of the anatomical variations of the brain and defined anatomical landmarks to demarcate the regions of the temporal lobe is essential. Many anatomical studies have facilitated important surgical approaches to the temporobasal region. Because there is considerable sulcal variability, morphological analysis of the brain is imperative. The aim of this study was to define the boundaries of the temporal and occipital lobes and to define the variations in sulci and gyri in the inferior aspect. In 110 cerebral hemispheres variations were identified and the major landmarks of the gyral-sulcal pattern at the inferior aspect of the brain were defined. The anatomy of the inferior aspect of the brain is defined in detail by morphological analysis of formalin-fixed hemispheres with a view to informing important surgical approaches. Since the literature defines no clear separation between the temporal and occipital lobes, certain landmarks such as the preoccipital notch (PON) and a basal temporo-occipital line were suggested as ways of making the distinction. The parahippocampal ramus (PhR) is a constant structure that can be used as a reliable landmark for the posterior end of the hippocampus.

Sections du résumé

BACKGROUND BACKGROUND
For surgical interventions, a precise understanding of the anatomical variations of the brain and defined anatomical landmarks to demarcate the regions of the temporal lobe is essential. Many anatomical studies have facilitated important surgical approaches to the temporobasal region. Because there is considerable sulcal variability, morphological analysis of the brain is imperative. The aim of this study was to define the boundaries of the temporal and occipital lobes and to define the variations in sulci and gyri in the inferior aspect.
METHODS METHODS
In 110 cerebral hemispheres variations were identified and the major landmarks of the gyral-sulcal pattern at the inferior aspect of the brain were defined.
RESULTS RESULTS
The anatomy of the inferior aspect of the brain is defined in detail by morphological analysis of formalin-fixed hemispheres with a view to informing important surgical approaches.
CONCLUSIONS CONCLUSIONS
Since the literature defines no clear separation between the temporal and occipital lobes, certain landmarks such as the preoccipital notch (PON) and a basal temporo-occipital line were suggested as ways of making the distinction. The parahippocampal ramus (PhR) is a constant structure that can be used as a reliable landmark for the posterior end of the hippocampus.

Identifiants

pubmed: 38163584
pii: S1878-8750(23)01872-7
doi: 10.1016/j.wneu.2023.12.139
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Auteurs

Elif Gökalp (E)

Department of Neurosurgery, Ankara University, School of Medicine, Ankara, Turkey.

Ayhan Comert (A)

Department of Anatomy, Ankara University, School of Medicine, Ankara, Turkey. Electronic address: comertayhan@yahoo.com.

Muhammet Enes Gurses (ME)

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, 33136, US.

Necati Salman (N)

Department of Anatomy, Ankara University, School of Medicine, Ankara, Turkey.

Macit Terzi (M)

Department of Neurosurgery, Ankara University, School of Medicine, Ankara, Turkey.

Murat Zaimoglu (M)

Department of Neurosurgery, Ankara University, School of Medicine, Ankara, Turkey.

Shane Tubbs (S)

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, US.

Melih Bozkurt (M)

Department of Neurosurgery, Ankara University, School of Medicine, Ankara, Turkey.

Classifications MeSH