Year 2020, Volume 4 , Issue 10, Pages 853 - 856 2020-10-01

Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study
Üçüncü ventriküle anterior interhemisferik transkallozal yaklaşım yoluyla anterior komissürün mikrocerrahi anatomisi: Anatomik ve morfolojik bir çalışma

Seçkin AYDIN [1] , Ayşegül ESEN AYDIN [2] , Necmettin TANRİÖVER [3]


Aim: The third ventricle is a funnel-shaped cavity located deep in the brain and difficult to access with surgical approach. The anterior commissure is an anatomical structure located on the anterior wall of the third ventricle. This study aimed to demonstrate the use of the anterior interhemispheric transcallosal approaches to access the third ventricle, evaluate the microsurgical anatomy of the anterior commissure and investigate the morphological features of this region. Methods: Eleven cadaveric brain specimens were dissected using microsurgical tools. Different anterior interhemispheric routes to the third ventricle were demonstrated, and stepwise dissections were performed to expose the limbs of the anterior commissure. Morphological measurements of the anterior commissure and the third ventricle were carried out. Results: The anterior limb of the anterior commissure extends towards the anterior perforating substance, olfactory bulb, anterior olfactory nucleus and the orbitofrontal cortex. The posterior limb extends from the basal part of the caudate nucleus, passes below the substantia innominata and courses through the basal part of the putamen. It constitutes the major component of the anterior commissure and is composed of temporal and occipital fibers. The mean length of the anterior commissure body was 16.2 ± 4.2 (range 9.7–24.2) mm, while the mean width was 4.3 ± 0.7 (range 2.8–5.1) mm. Conclusion: A better understanding of the microsurgical anatomy and morphometric features of the third ventricle and anterior commissure increases the success of surgical interventions and prevents possible complications in this region.
Amaç: Üçüncü ventrikül, huni şeklinde derin yerleşimli bir beyin boşluğudur ve cerrahi yaklaşımlarla ulaşılması güçtür. Anterior komissür üçüncü ventrikülün anterior duvarında lokalize anatomik bir yapıdır. Bu çalışmada, üçüncü ventriküle ulaşmak için uygulanan anterior interhemisferik transkallozal yaklaşımların gösterilmesi, anterior komissürün mikrocerrahi anatomisinin incelenmesi ve bu bölgenin morfolojik özelliklerini incelenmesi amaçlanmıştır. Yöntemler: 11 kadaverik beyin spesimeni mikrocerrahi aletlar kullanılarak diseke edildi. Üçüncü ventriküle ulaşmak için farklı anterior interhemisferik yollar gösterildi ve anterior komissürün bacaklarını ortaya koymak için kademeli diseksiyonlar yapıldı. Anterior komissür ve üçüncü ventrikülün morfolojik hesaplamaları yapıldı. Bulgular: Anterior komissürün anterior bacağı, anterior perforan maddeye, olfaktör bulba, anterior olfaktör nükleusa ve orbitofrontal kortekse doğru uzanmaktadır. Posterior bacağı ise, kaudat nükleusun bazal kısmından uzanarak substansiya innominatanın altından geçmekte ve putamenin bazal kısmına doğru seyretmektedir. Anterior komissürün posterior bacağı, anterior komissürün majör komponentini oluşturmaktadır, ve temporal ve oksipital loblara giden liflerden oluşmaktadır. Anterior komissür gövdesinin ortalama uzunluğu 16,2 ± 4,2 (Aralık 9,7-24,2) mm, ve ortalama eni ise 4,3 ± 0,7 (Aralık 2,8-5,1) mm idi. Sonuç: Üçüncü ventrikülün ve anterior komissürün mikrocerrahi anatomisi ve morfometrik özelliklerinin daha iyi anlaşılması bu bölgeye yapılacak cerrahi girişimlerde başarılı olmayı sağlar ve olası komplikasyonları önler.
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Primary Language en
Subjects Anatomy and Morphology, Neurosciences
Journal Section Research article
Authors

Orcid: 0000-0003-1195-9084
Author: Seçkin AYDIN (Primary Author)
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL OKMEYDANI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, BEYİN VE SİNİR CERRAHİSİ ANABİLİM DALI
Country: Turkey


Orcid: 0000-0001-7444-8156
Author: Ayşegül ESEN AYDIN
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BAKIRKÖY PROF.DR. MAZHAR OSMAN RUH SAĞLIĞI VE SİNİR HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ
Country: Turkey


Orcid: 0000-0001-7628-9443
Author: Necmettin TANRİÖVER
Institution: İSTANBUL ÜNİVERSİTESİ - CERRAHPAŞA, CERRAHPAŞA TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, BEYİN VE SİNİR CERRAHİSİ ANABİLİM DALI
Country: Turkey


Dates

Publication Date : October 1, 2020

Bibtex @research article { josam813998, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {853 - 856}, doi = {10.28982/josam.813998}, title = {Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study}, key = {cite}, author = {Aydın, Seçkin and Esen Aydın, Ayşegül and Tanri̇över, Necmettin} }
APA Aydın, S , Esen Aydın, A , Tanri̇över, N . (2020). Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study . Journal of Surgery and Medicine , 4 (10) , 853-856 . DOI: 10.28982/josam.813998
MLA Aydın, S , Esen Aydın, A , Tanri̇över, N . "Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study" . Journal of Surgery and Medicine 4 (2020 ): 853-856 <http://jsurgmed.com/en/pub/issue/57049/813998>
Chicago Aydın, S , Esen Aydın, A , Tanri̇över, N . "Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study". Journal of Surgery and Medicine 4 (2020 ): 853-856
RIS TY - JOUR T1 - Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study AU - Seçkin Aydın , Ayşegül Esen Aydın , Necmettin Tanri̇över Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.813998 DO - 10.28982/josam.813998 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 853 EP - 856 VL - 4 IS - 10 SN - -2602-2079 M3 - doi: 10.28982/josam.813998 UR - https://doi.org/10.28982/josam.813998 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study %A Seçkin Aydın , Ayşegül Esen Aydın , Necmettin Tanri̇över %T Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 10 %R doi: 10.28982/josam.813998 %U 10.28982/josam.813998
ISNAD Aydın, Seçkin , Esen Aydın, Ayşegül , Tanri̇över, Necmettin . "Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study". Journal of Surgery and Medicine 4 / 10 (October 2020): 853-856 . https://doi.org/10.28982/josam.813998
AMA Aydın S , Esen Aydın A , Tanri̇över N . Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study. J Surg Med. 2020; 4(10): 853-856.
Vancouver Aydın S , Esen Aydın A , Tanri̇över N . Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study. Journal of Surgery and Medicine. 2020; 4(10): 853-856.
IEEE S. Aydın , A. Esen Aydın and N. Tanri̇över , "Microsurgical anatomy of the anterior commissure through the anterior interhemispheric transcallosal approach to the third ventricle: An anatomical and morphological study", Journal of Surgery and Medicine, vol. 4, no. 10, pp. 853-856, Oct. 2020, doi:10.28982/josam.813998