-The aim of this study is to introduce the fiber dissection technique and its importance in the comprehension of the three-dimensional intrinsic anatomy of the brain. A total of twenty brain hemispheres were dissected. Using Kingler's technique we demonstrated the intrinsic structures of the brain. The supra lateral aspect of the brain as well as the medial aspect were presented. The most important fiber systems were demonstrated. The use and comprehension of new neuroimaging techniques demand a better understanding of this fascinating anatomy. The knowledge acquired with this technique will improve our understanding of critical pathways of the central nervous system. KEY WORDS: brain, anatomy, white matter dissection.Estrutura interna dos hemisférios cerebrais: introdução à técnica de dissecação de fibras RESUMO -O objetivo é mostrar a técnica de dissecação de fibras e sua importância na compreensão da anatomia tridimensional do cérebro. Um total de 20 hemisférios cerebrais foram dissecados. Usando a técnica de dissecação descrita por Kingler, pudemos demonstrar as estruturas que compõem a anatomia interna do cérebro. A anatomia da face súpero-lateral assim como da face medial foi apresentada. O uso e compreensão de novas técnicas de neuroimagem requerem um melhor conhecimento desta anatomia. O conhecimento adquirido com essa técnica contribuirá para o melhor entendimento de vias essenciais do sistema nervoso central.PALAVRAS-CHAVE: cérebro, anatomia, dissecação, substância branca.Traditionally the brain sulci and gyri anatomy of the brain have been studied by anatomists and clinicians but the intrinsic anatomy of the complex fibers of the white matter has been somewhat ignored. Very few books or publications regarding this topic are available when compared to the extensive literature about the external structure of the brain. Recently in Rhoton's masterpiece, "The Supratentorial Cranial Space: Microsurgical Anatomy and Surgical Approaches" -Supplement of Neurosurgery, some beautiful dissections showing the internal fasciculus can be appreciated 1 . With the most recent advances in neuroimaging one can experiences full details pictures of the internal anatomy of the brain 2-7 .Therefore, there is an increasing demand for knowledge of intrinsic brain anatomy. As radiological and surgical techniques become increasingly precise, our knowledge of the superficial anatomy and also the recognition of the internal white matter tracts of the brain is essential. In the last years many studies using diffusion-weighted and diffusion tensor MR imaging were published. The new MRI devices which use high magnetic fields and techniques promoting superior quality images can be used to show the full white matter anatomy in detail 4 . The term so-called tractography is becoming very popular. This analysis of tracts is essential for understanding and explaining the pathophysiologic patterns of certain disease states, especially intrinsic gliomas. In fact, in the studies of the intrinsic brain tumors such as the gliomas, th...
This article presents the evolution in medical history which leads to the surgical treatment for ruptured discs. Only at the last century the precise diagnosis of a ruptured lumbar disc could be made after tremendous efforts of the many medical pioneers in the study of the spine. The experience gained with the lumbar spine was rapidly transferred to the cervical spine. We describe the evolution of the clinical and surgical aspects about ruptured discs in the lumbar and cervical spine. An illustrative timeline of the major events regarding the surgical treatment for ruptured disks is outlined in a straight forward manner. Our understandings of the relation between symptoms and signs and of that between anatomy and pathophysiology have led to more successful surgical treatment for this disease. Nowadays lumbar and cervical discectomies are the most frequent operations carried out by neurosurgeons. Our current care of patients with this kind of spinal disorders is based on the work of our ancient medical heroes.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.