Abstract
Background
The cerebral sulci are known as main microanatomical borders that serve as a gateway and surgical passage to reach the ventricles or to the deeper lesions. It is a matter of curiosity that whether there is a convergence between the morphological asymmetry and the functional asymmetry, and also its significance in surgery. The aim of this study is make morphometric measurements and evaluate asymmetry of several sulci on the lateral aspects of the cerebrum in regard to main sulci and related reference key points.
Methods
A total of 100 cerebral hemispheres from 50 autopsy cadavers were examined. The lengths of several sulci on the superolateral aspect of the hemispheres and the distances between the sulci and nearby sulci and the reference key points were measured. Encountered variations were examined and photographed.
Results
Evaluation of the variations: superior frontal sulcus (SFS), inferior frontal sulcus, superior temporal sulcus (STS), precentral sulcus and postcentral sulcus were found to be discontinuous in 60, 46, 41, 84 and 70 % of the hemispheres, respectively. Evaluation of the asymmetry: the distances between SFS posterior end and longitudinal fissure, STS posterior end and lateral sulcus posterior end, as well as lengths of external occipital fissure (EOF), and discontinuous course of STS were significantly different between left and right hemispheres.
Conclusions
There is usually a morphological partial asymmetry between the right and left hemispheres for any individual. Also, some of our measurements were found to be compatible with the ones in the literature, while others were incompatible.
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References
Afif A, Mertens P (2010) Description of sulcal organization of the insular cortex. Surg Radiol Anat 32(5):491–498
Cunningham DJ (1892) Contribution to the surface anatomy of the cerebral hemispheres. Royal Irish Academy, Dublin
Davatzikos C, Bryan RN (2002) Morphometric analysis of cortical sulci using parametric ribbons: a study of the central sulcus. J Comput Assist Tomogr 26:298–307
Ebeling U, Steinmetz H (1995) Anatomy of the parietal lobe: mapping the individual pattern. Acta Neurochir 136:8–11
Ebeling U, Steinmetz H, Huang Y, Kahn T (1989) Topography and identification of the inferior precentral sulcus in MR imaging. Am J Neuroradiol 10:937–942
Eberstaller O, das Stimhim (1890) Em Beitrag zur Anatomie der Oberfiache des Gehirns. Wien-Leipzig, Urban& Schwarzenberg
Foundas AL, Eure KF, Luevano LF, Weinberger DR (1998) MRI asymmetries of Broca’s area: the pars triangularis and pars opercularis. Brain Lang 64:282–296
Izci Y, Seckin H, Medow J et al (2009) Sulcal and gyral anatomy of the orbitofrontal cortex in relation to the recurrent artery of Heubner: an anatomical study. Surg Radiol Anat 31(6):439–445
Juch H, Zimine I, Seghier ML, Lazeyras F, Fasel HD (2005) Anatomical variability of the lateral frontal lobe surface: implication for intersubject variability in language neuroimaging. Neuroimage 24:504–514
Keller SS, Crow T, Foundas A, Amunts K, Roberts N (2009) Broca’s area: nomenclature, anatomy, typology and asymmetry. Brain Lang 109:29–48
Kendir S, Acar HI, Comert A, Ozdemir M, Kahilogullari G, Elhan A, Ugur HC (2009) Window anatomy for neurosurgical approaches. Laboratory investigation. J Neurosurg 111:365–370
Krings T, Reinges MT, Thiex R, Gilsbach JM, Thron A (2001) Functional and diffusion-weighted magnetic resonance images of space-occupying lesions affecting the motor system: Imaging the motor cortex and pyramidal tracts. J Neurosurg 95:816–824
Lohmann G, Von Cramon DY, Colchester CF (2008) Deep sulcal landmarks provide an organizing framework for human cortical folding. Cereb Cortex 18:1415–1420
Mangin JF, Frouin V, Bloch I, Regis J, Lopez-Krahe J (1995) From 3D magnetic resonance images to structural representations of the cortex topography using topology preserving deformations. J Math Imag Vis 5:297–318
Ono M, Kubik S, Abernathey CD (1990) Atlas of cerebral sulci. Thieme, Stuttgart
Retzius G (1896) Das Menschenhirn; studien in der makroskopischen Morphologie. Norstedt, Stockholm
Rhoton AL Jr (2003) Cranial anatomy and surgical approaches. Neurosurgery 53:1–746
Ribas GC (2010) The cerebral sulci and gyri. Neurosurg Focus 28(2):E2
Ribas GC, Ribas EC, Rodrigues CJ (2005) The anterior sylvian point and the suprasylvian operculum. Neurosurg Focus 18(6b):E2
Ribas GC, Yasuda A, Ribas EC, Nishikuni K, Rodrigues AJ Jr (2006) Surgical anatomy of micro neurosurgical sulcal key points. Neurosurgery 59:177–211
Tanriover N, Rhoton AL, Kawashima M, Ulm AJ, Yasuda A (2004) Microsurgical anatomy of the insula and the sylvian fissure. J Neurosurg 100:891–922
Taylor EH, Haugton WS (1900) Some recent researches on the topography of the convolutions and fissures of the brain. Trans R Acad (Irel) 18:511–519
Tomaiuolo F, Macdonald JD, Caramanos Z, Posner G, Chiavaras M, Evans AC, Petrides M (1999) Morphology, morphometry and probability mapping of the pars opercularis of the inferior frontal gyrus: an in vivo MRI analysis. Eur J Neurosci 11:3033–3046
Ture U, Yasargil DH, AL-Mefty O, Yasargil MG (1999) Topographic anatomy of the insular region. J Neurosurg 90:730–733
Yasargil MG, Fox JL, Ray MW (1975) The operative approach to aneurysms of the anterior communicating artery. In: Krayenbuhll et al (eds) Advances and technical standards in neurosurgery, vol 2. Springer, Wien, New York, pp 114–117
Yasargil MG, Kasdaglis K, Jain KK, Weber HP (1976) Anatomical observations of the subarachnoid cisterns of the brain during surgery. J Neurosurg 44:298–302
Yasargil MG, Krisht AF, Ture U, AL-Mefty O, Yasargil DCH (2002) Microsurgery of insular gliomas: Part II: Opening of the sylvian fissure. Contemp Neurosurg 24:6–8
Yasargil MG, Krisht AF, Ture U, Al-Mefty O, Yaşargil DCH (2002) Microsurgery of insular gliomas. Part I. Surgical anatomy of the sylvian cistern. Contemp Neurosurg 24:1–8
Acknowledgments
We are thankful Assistant Prof. Ergün Karavelioğlu (who is a Neurosurgeon and an Anatomy PhD student) for his contribution.
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The authors declare that they have no conflict of interest.
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Gonul, Y., Songur, A., Uzun, I. et al. Morphometry, asymmetry and variations of cerebral sulci on superolateral surface of cerebrum in autopsy cases. Surg Radiol Anat 36, 651–661 (2014). https://doi.org/10.1007/s00276-013-1237-7
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DOI: https://doi.org/10.1007/s00276-013-1237-7