<<

TOPOGRAPHY T1

Division of into Lobes

1. Lateral View of Lobes in Left Hemisphere 2. Medial View of Lobes in Right Hemisphere

PARIETAL PARIETAL LIMBIC FRONTAL FRONTAL

INSULAR: buried OCCIPITAL OCCIPITAL in lateral fissure TEMPORAL TEMPORAL

3. Dorsal View of Lobes 4. Ventral View of Lobes

PARIETAL TEMPORAL LIMBIC FRONTAL OCCIPITAL FRONTAL OCCIPITAL

Comment: The cerebral lobes are arbitrary divisions of the , taking their names, for the most part, from overlying bones. They are not functional subdivisions of the , but serve as a reference for locating specific functions within them. The anterior (rostral) end of the is referred to as the frontal pole. Similarly, the anterior end of the is the temporal pole, and the posterior end of the the occipital pole.

TOPOGRAPHY T2

central

parietal frontal occipital

lateral temporal sulcus SUMMARY CARTOON: LOBES SUMMARY CARTOON: GYRI

Lateral View of Left Hemisphere central sulcus postcentral superior parietal superior precentral gyrus lobule frontal gyrus : supramarginal and angular gyri middle frontal parieto-occipital sulcus gyrus

incision for close-up below OP

T preoccipital O notch inferior frontal gyrus: O-orbital lateral T-triangular sulcus superior, middle and inferior temporal gyri OP-opercular

Lateral View of Insula central sulcus

cut surface corresponding to incision in above figure insula

Comment: Insula (insular gyri) exposed by removal of overlying opercula (“lids” of frontal and parietal cortex).

TOPOGRAPHY T3

Language sites and . MRI reconstruction from a volunteer. central sulcus

supramarginal site (posterior Wernicke’s)

Language sites (squares) approximated from electrical stimulation sites in patients undergoing operations for or tumor removal (Ojeman and Berger).

Broca’s site superior temporal site (anterior Wernicke’s)

arcuate fasciculus

supramarginal site (posterior Wernicke’s) superior temporal site (anterior Wernicke’s)

Broca’s site Dissection of arcuate fasciculus

transverse central sulcus arcuate fasciculus temporal gyrus visual radiation

caudate

Broca’s site

arcuate fasciculus

Broca’s region supramarginal site (posterior Wernicke’s) superior temporal gyrus

TOPOGRAPHY T4

Lateral Dissections

central sulcus cut surface of middle frontal gyrus

lateral fissure

pons medulla

in central sulcus

fiber in

fiber in base of pons

fiber in pyramid pyramidal

TOPOGRAPHY T5

Dorsal View of Brain

LEFT HEMISPHERE RIGHT HEMISPHERE

longitudinal fissure

precentral sulcus

central sulcus precentral gyrus

postcentral sulcus

intraparietal sulcus

parieto-occipital fissure

occipital lobe Posterior View of Brain

longitudinal fissure falx lies between the cerebral hemi- parieto-occipital spheres in the longitu- sulcus dinal fissure

occipital lobe

tentorium lies between occipital lobes and cerebellum

cerebellum

medulla

T6

TOPOGRAPHY

B B parieto- central sulcus occipital A A

lateral fissure

A corpus callosum FRONTAL LOBE longitudinal caudate fissure

central sulcus lateral fissure intraparietal lateral sulcus ventricle: posterior- horn parieto- occipital parieto- fissure OCCIPITAL LOBE occipital fissure B corpus callosum

caudate parieto- nucleus occipital fissure thalamus lateral occipital fissure pole lateral ventricle: inferior cerebellum horn

TOPOGRAPHY T7

Dorsal View of Brain

LEFT RIGHT

frontal lobe

genu of corpus callosum

body of corpus callosum

genu of corpus callosum

occipital lobe splenium of corpus callosum internal capsule thalamus

transverse temporal gyrus

choroid plexus

posterior horn of lateral ventricle

splenium of corpus callosum

TOPOGRAPHY T8

Dorsal View anterior horn of lateral ventricle

caudate nucleus

internal capsule

thalamus

inferior horn of lateral ventricle

fimbria

corpus callosum internal capsule

caudate nucleus amygdala

thalamus

fornix

inferior horn fimbria of lateral ventricle

hippocampus posterior horn of lateral ventricle

TOPOGRAPHY T9 Medial View of Right Hemisphere

central sulcus cingulate gyrus parieto-occipital fissure

corpus callosum: (cuneate gyrus )

calcarine body splenium fissure fornix septum genu pellucidum thalamus

cerebellar vermis

pons medulla superior and anterior commissure interventricular cerebral aqueduct and inferior colliculi optic foramen and fourth ventricle

Medial View of Right Hemisphere: Brain Stem and Septum Pellucidum Removed

cingulate gyrus

corpus callosum

fornix caudate isthmus of cingulate gyrus

subcallosal gyrus part of thalamus remaining after removal of

fimbria at edge of hippocam- anterior pus (not seen) commissure

column of fornix entering dissected hypothalamus

TOPOGRAPHY T10

Magnetic Resonance Scan: midline

septum pellucidum corpus callosum cingulate gyrus parieto-occipital fissure

calcarine fissure

superior and inferior fornix colliculi cerebral aqueduct midbrain optic pituitary fossa pons

medulla

spinal cord

fourth ventricle

TOPOGRAPHY T11

1. Septum Pellucidum, Hypothalamus & Most of Thalamus Removed parieto-occipital fissure fornix body of corpus callosum

cingulate gyrus

head of caudate nucleus anterior commissure vermis pons 2. Remaining Thalamus & Fornix Removed

cingulate gyrus head of caudate thalamus uncus cerebral peduncle nucleus genu of corpus callosum

parieto-occipital fissure

calcarine sulcus internal capsule

vermis

pons 3. Caudate Removed anterior commissure splenium of cingulate gyrus corpus substantia cerebral callosum nigra peduncle uncus

body of corpus callosum internal capsule

anterior commissure

vermis pons uncus substantia cerebral peduncle nigra TOPOGRAPHY OF THE CNS T12

Ventral View of Brain

frontal pole

and

lateral sulcus

FRONTAL LOBE

, optic chiasm and temporal pole

collateral sulcus

TEMPORAL LOBE floor of hypothalamus lateral and medial () occipitotemporal gyri of hypothalamus BASE OF cerebral PONS peduncle parahippocampal gyrus flocculus MEDULLA (part of cerebellum) olive

CEREBELLUM tonsil pyramid (part of cerebellum)

occipital pole

Comment: The ventral surface of the brain is especially important. It is here that the blood supply to the brain enters. The brain stem and many of the cranial are visible. In addition, one can see the cerebellum, portions of the frontal, temporal and occipital lobes, and the floor of the . And it is also here that the (not shown) is attached to the hypothalamus by the small infundibulum (posterior to the optic chiasm). TOPOGRAPHY T13

Cranial Nerves: Numbers and Names

orbital gyri I . Olfactory bulb: olfactory nerves (in the nasal epithelium) terminate in the bulb. Olfactory tract straight (rectus) gyrus II. Optic nerve: The cell bodies of origin are in the . Half the cross (optic chiasm) to the opposite optic tract, half continuing to help form the optic tract of the same side. infundibulum and Optic chiasm and optic tract tuber cinereum

mammillary III. body (nucleus)

cerebral IV. peduncle

pons middle cerebellar V. Trigeminal nerve peduncle VI. VII. nerve

VIII.

pyramid

XII. rootlets olive

X. rootlets

IX. Glossopharyngeal and XI. Accessory (cranial) nerve rootlets are too small to see here: position is rostral and caudal to the vagus in the same line TOPOGRAPHY T14

Ventral View Dissections olfactory tract frontal pole optic chiasm

hypothalamus temporal pole mammillary nucleus (body)

amygdala optic tract hippocampus uncus cerebral peduncle

parahippocampal gyrus substantia cerebral aqueduct nigra

splenium of corpus callosum occipital pole olfactory bulb infundibulum

amygdala optic tract inferior horn of lateral uncus ventricle

hippocampus parahippocampal gyrus

mammillary body

cerebral peduncle

midbrain

posterior horn splenium of of lateral ventricle corpus callosum TOPOGRAPHY T15

Ventral Dissection:

RIGHT LEFT optic nerve, chiasm and tract olfactory bulb and tract middle cerebral infundibulum and hypothalamus hypothalamus dura

oculomotor cerebral peduncle nerve optic radiation: substantia temporal (Meyer’s) nigra loop

lateral geniculate

medial geniculate parahippocampal gyrus pulvinar

optic radiation splenium of corpus callosum midbrain dissected lower bank of calcarine fissure TOPOGRAPHY T16

BRAINSTEM

1. Medial view of right hemisphere corpus callosum

septum fornix pellucidum pineal anterior thalamus commissure superior & midbrain cerebellar inferior vermis colliculus

hypothalamus pons cerebral aqueduct optic medulla chiasm mammillary body fourth ventricle

3. Posterior view: cerebellum removed 2. Anterior view internal capsule inferior colliculus optic chiasm and tract cerebral peduncle superior cerebellar hypothalamus cerebral peduncle peduncle pons cerebellar middle peduncle VIII flocculus inferior floor of inferior cerebellar olive tonsil medulla 4th ventricle peduncle pyramid

4. Lateral view from left side

cerebral peduncle cerebellar hemisphere optic trigeminal tract nerve (V)

flocculus hypothalamus pons tonsil pyramid inferior olive medulla