Arquivos de Neuro-Psiquiatria | |
Relationship between the coronal suture and the central lobe: how important is it and how can we use it in surgical planning? | |
Stênio Abrantes Sarmento2  Danielle Cartaxo Jácome2  Emerson Magno F. De Andrade1  Alessandra V. Albuquerque Melo1  Osleuse Rocha De Oliveira1  Helder Tedeschi1  | |
[1] ,Nova Esperança Medical SchoolJoão Pessoa PB ,Brazil | |
关键词: coronal suture; central lobe; central sulcus; motor cortex; preoperative planning; sutura coronal; lobo central; sulco central; córtex motor; planejamento pré-operatório; | |
DOI : 10.1590/S0004-282X2008000600017 | |
来源: SciELO | |
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【 摘 要 】
The surgical treatment of the lesions located in the central lobe is a very difficult task for the neurosurgeon. The overall aim of this study is to verify the correlation of the coronal suture and the structures of the central lobe in 32 cadaver hemisphere brains and the importance of this information in surgical planning. The measurement of the nasion to the coronal suture ranged from 11.5 to 13.5 cm. The distance between the coronal suture in the midline to the central, precentral and paracentral sulcus ranged from 5.0 to 6.6, 2.5 to 4.5 and 1.3 to 4.0 cm respectively. Particularly in the normal cortex these measurements can be used to guide the surgical access. However, the identification of the central sulcus is not easy when the anatomical pattern is distorted or displaced by a lesion or edema. In cases such as these the use of other tools becomes crucial for good surgical planning and cortical mapping or awake craniotomy for a safer resection of the lesion as well.
【 授权许可】
CC BY
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
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