Relationship between the coronal suture and the central lobe: how important is it and how can we use it in surgical planning?

Arquivos de Neuro-Psiquiatria

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

【 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】

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