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Microsurgical anatomy of the anterior cerebral artery and the arterial supply of the cingulate gyrus

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Abstract

Purpose

The cingulate gyrus is a potential surgical area to treat tumours, psychiatric diseases, intractable pain and vascular malformations. The aim of the study was to define the topographic anatomy and arterial supply of the cingulate gyrus located on the medial surface of the cerebral hemisphere.

Methods

We studied thirty-six hemispheres, each hemisected in the midsagittal plane. The vertical thickness of the cingulate gyrus was measured at the anterior commissure (AC), posterior commissure (PC), and genu levels of the corpus callosum. The branches of the anterior and posterior cerebral arteries supplying each zone were noted separately. The arterial pathways were transformed to digital data in AutoCAD to identify the condensation and reduction areas.

Results

The mean AC-PC distance was 27.17 ± 1.63 mm. The thinnest region was the genu level of the corpus callosum (10.29 mm). The superior internal parietal artery (SIPA), inferior internal parietal artery (IIPA) and pericallosal artery (PrCA) supplied all zones of the cingulate gyrus. The anterior zone received the greatest supply. The arterial condensation and reduction areas on both sides of cingulate gyrus and its x, y, and z coordinates specified.

Conclusions

The target cingulotomy (TC) area was determined for anterior cingulotomy. The properties of the TC area are that the thinnest region of the cingulate gyrus is supplied relatively less than other areas and is close to the anterior cingulotomy areas in the literature. The arterial reduction area (ARA) was found to be suitable for corpus callosotomy in terms of avoiding haemorrhage.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors wish to thank senior draftsman Serkan OZYURT for the elaborate analyses of morphometric data and AutoCAD drawings of the whole study. The authors also wish to thank Springer Nature for its English editing and manuscript proofreading services.

Funding

No funding was received for conducting this study.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, School of Medicine, Yuksek Ihtisas University, Ankara, Turkey

    Yahya Efe Guner

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

    Ayhan Comert & Yigit Gungor

  3. Department of Neurosurgery, Memorial Ankara Hospital, Ankara, Turkey

    Emre Yagiz Sayaci

  4. Ministry of Health, Gulhane Training and Research Hospital, Ankara, Turkey

    Ali Can Korkmaz

  5. Department of Neurosurgery, School of Medicine, Karabuk University, Karabuk, Turkey

    Tugba Morali Guler

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

    Gokmen Kahilogullari & Ali Savas

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  1. Yahya Efe Guner
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by YEG, ACK, TMG, YES, YG, AC, GK, and AS. The first draft of the manuscript was written by YEG and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Ayhan Comert.

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Conflict of interest

The authors have no competing interests to declare that are relevant to the content of this article.

Ethics approval

This study includes no use of live subjects or animals in any way. This was a cadaveric study, and all cadavers were supplied from a donated institution. All the procedures performed in this study involving cadavers followed the ethical standards of the Institutional Review Board and the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind’s overall knowledge that can then improve patient care. Therefore, these donors and their families deserve our highest gratitude.

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Informed consent was obtained from all individual participants included in the study.

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The authors affirm that human research participants provided informed consent for publication of the images in Fig. 1a–c.

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Guner, Y.E., Comert, A., Sayaci, E.Y. et al. Microsurgical anatomy of the anterior cerebral artery and the arterial supply of the cingulate gyrus. Surg Radiol Anat 45, 351–358 (2023). https://doi.org/10.1007/s00276-023-03083-1

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  • DOI: https://doi.org/10.1007/s00276-023-03083-1

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