Fiber dissection of the visual pathways: analysis of the relationship of optic radiations to lateral ventricle: a cadaveric study.

نویسندگان

  • Vikrant B Pujari
  • Hiryuki Jimbo
  • Nitin Dange
  • Abhidha Shah
  • Sukhdeep Singh
  • Atul Goel
چکیده

OBJECTIVE Using a fiber-dissection technique, our aim is to study the fiber bundles of the optic radiation. We focused on the course, the length, anatomical relations with lateral ventricle and the relevance of these finding during surgery in the region. MATERIALS AND METHODS Five previously frozen and formalin-fixed cadaveric human brains were used. The dissection was done using the operating microscope. Fiber dissection techniques described by Klingler were adopted. The primary dissection tools were handmade, thin, and wooden and curved metallic spatulas with tips of various sizes. Lateral and inferior temporal approaches were made and the optic fiber tracts were dissected. RESULTS Resections that extend through the roof of the temporal horn more than 30 mm behind the temporal pole cross the Meyer's loop. In the middle temporal gyrus approach, resection that is taken through the lateral wall of the temporal horn more than 55-60 mm behind the temporal pole may cross the optic radiation during their course here on the lateral wall. CONCLUSION The presented fiber dissection study clarifies the relationship of optic radiation. Such fiber dissection studies are only few in the literature.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Anatomic Relationship of the Optic Radiations to the Atrium of the Lateral Ventricle: Description of a Novel Entry Point

OBJECTIVE: The aim of this study was to delineate the anatomic relationship of the optic radiations to the atrium of the lateral ventricle using the Klingler method of white matter fiber dissection. These findings were applied to define a surgical approach to the trigone that avoids injury to the optic radiations. METHODS: Sixteen cadaveric hemispheres were prepared by several cycles of freezin...

متن کامل

Anatomic relationship of the optic radiations to the atrium of the lateral ventricle: description of a novel entry point to the trigone.

OBJECTIVE The aim of this study was to delineate the anatomic relationship of the optic radiations to the atrium of the lateral ventricle using the Klingler method of white matter fiber dissection. These findings were applied to define a surgical approach to the trigone that avoids injury to the optic radiations. METHODS Sixteen cadaveric hemispheres were prepared by several cycles of freezin...

متن کامل

Preservation of the optic radiations based on comparative analysis of diffusion tensor imaging tractography and anatomical dissection

BACKGROUND Visualization of the precise course of the visual pathways is relevant to prevent damage that may inflict visual field deficits during neurosurgical resections. In particular the optic radiations (OR) are susceptible to such damage during neurosurgery. Cortical pathways can be mapped in vivo, by using Diffusion Tensor Imaging (DTI). Visualization of these pathways would be potentiall...

متن کامل

Tractography for Optic Radiation Preservation in Transcortical Approaches to Intracerebral Lesions

We present a case of intraventricular meningioma resected via a transcortical approach using tractography for optic radiation and arcuate fasciculus preservation. We include a review of the literature. A 54-year-old woman with a history of breast cancer presented with gait imbalance. Workup revealed a mass in the atrium of the left lateral ventricle consistent with a meningioma. Whole brain aut...

متن کامل

Plasticity of the human visual brain after an early cortical lesion.

In adults, partial damage to V1 or optic radiations abolishes perception in the corresponding part of the visual field, causing a scotoma. However, it is widely accepted that the developing cortex has superior capacities to reorganize following an early lesion to endorse adaptive plasticity. Here we report a single patient case (G.S.) with near normal central field vision despite a massive unil...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Neurology India

دوره 56 2  شماره 

صفحات  -

تاریخ انتشار 2008