anatomy of brain sulcus and gyrus - dr.sajith md rd

90
Brain Anatomy Sulci & Gyri By Dr.Sajith

Upload: sajith-selvaganesan

Post on 07-May-2015

15.030 views

Category:

Education


13 download

TRANSCRIPT

Page 1: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Brain AnatomySulci & Gyri

By Dr.Sajith

Page 2: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

• Sulcus : A sulcus is depression or fissure in the surface of the brain. ( valleys )

• Gyrus : A gyrus is a ridge on the cerebral cortex. It is generally surrounded by one or more sulci ( hills )

Page 3: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Typical continous fissure

Interhemispheric fissureSylvian fissure ( lateral sulcus )Parieto-occipital fissure Collateral sulcusCentral sulcusCalcarine Sulcus

Page 4: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Interhemispheric fissure

Deep sulcus upto corpus collosum

Divides brain into two hemisphere

Page 5: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Sylvian fissure

deep, mostly horizontal

insula is buried within it

separates temporal lobe from parietal and frontal lobes

Page 6: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Parieto - occipital fissure

very deepoften Y-shaped

from sagittal view

X-shaped in horizontal and coronal views

Page 7: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Collateral sulcus

Divides lingual and parahippocampal gyri from fusiform gyrus.

Page 8: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Central sulcus

usually freestanding (no intersections)

Seperates frontal and parietal lobe.

Page 9: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Calcarine sulcus

Page 10: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Lobes of brain

Frontal lobe.Parietal lobe.Temporal lobe.Occipital lobe.

Limbic lobe.Insular lobe.

Page 11: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

• Frontal lobe:Anterior region of hemisphere; anterior to central sulcus, superior to sylvian fissure• Parietal lobe: Posterior region of hemisphere; posterior to central sulcus, anterior to parietooccipital sulcus• Occipital lobe: Posterior to parietooccipital sulcus• Temporal lobe: Inferior to sylvian fissure, anterior to angular gyrus

Page 12: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 13: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Lateral surface of brain

Page 14: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Medial surface of brain

Page 15: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Basal surface of brain

Page 16: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

frontal lobe

The frontal lobe constitutes the entire region in front of the central sulcus. Immediately in front of the central sulcus lies the precentral gyrus,

which is the primary motor region of the cerebral cortex. In front of the precentral gyrus, the rest of the

frontal lobe is divided into superior, middle and inferior

frontal gyri.

Page 17: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Frontal lobe

Sulci: Superior frontal sulcus. Inferior frontal sulcus. Precentral sulcus.Gyri: Superior frontal gyrus. Middle frontal gyrus. Inferior frontal gyrus. Precentral gyrus

Page 18: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Frontal lobe gyrusLateral Surface Precentral Gyrus --- primary motor area Superior Frontal Gyrus Middle Frontal Gyrus Inferior Frontal Gyrus Pars Opercularis Pars Triangularis Pars Orbitalis Medial Surface Medial Frontal Gyrus Paracentral Lobule

Basal Surface Rectus Gyrus Orbital Gyrus ( superior,

medial ,lateral ,inferior )

Page 19: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 20: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 21: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 22: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 23: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Parietal lobe

Behind the central sulcus, and above the lateral fissure, lies the parietal

lobe. Its most anterior part is the postcentral gyrus, which is the

site of the primary somatosensory cortex. Behind the postcentral gyrus,

on the lateral surface of the hemisphere, the intraparietal sulcus divides the rest of the parietal lobe into superior and

inferior parietal lobules.

Page 24: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Parietal lobe

Sulci: Post-central sulcus. Intraparietal sulcus.Gyri: Post-central gyrus. Superior parietal gyrus. Inferior parietal gyrus.

Page 25: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Parietal lobe gyrus

Lateral Surface

Postcentral Gyrus ---- primary somatic area

Superior Parietal Lobule

Inferior Parietal Lobule ---- Wernicke’s area

Supramarginal Gyrus

Angular Gyrus

Medial Surface

Paracentral Lobule

Precuneus

Page 26: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 27: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 28: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 29: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 30: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Temporal lobe

The temporal lobe lies beneath the lateral fissure. On its lateral surface

the temporal lobe is divided into three principal gyri that run roughly

parallel to the lateral fissure: the superior, middle and inferior

temporal gyri. The superior temporal gyrus includes the primary

auditory cortex.

Page 31: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Temporal lobe

Sulci: Superior temporal sulcus (parallel

sulcus). Inferior temporal sulcus.Gyri: Superior temporal gyrus. Middle temporal gyrus. Inferior temporal gyrus.

Page 32: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Temporal lobe gyrus

Lateral Surface Superior Temporal Gyrus Middle Temporal Gyrus Inferior Temporal Gyrus

Basal Surface Occipitotemporal Gyrus Medial Occipitotemporal Gyrus Lateral Occipitotemporal Gyrus

Page 33: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 34: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 35: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 36: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Occipital lobe

The boundary between the parietal lobe and occipital lobe is not coincident with a single sulcus on the lateral surface of the

hemisphere; however, it is clearly marked by the deep parieto-occipital

sulcus on the medial surface. The occipital lobe does not bear any

important landmarks on its lateral surface but on the medial surface, the prominent calcarine sulcus indicates

the location of the primary visual cortex.

Page 37: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Occipital lobe

Sulci:• Superior occipital sulcus (extension of

intraparietal sulcus).• Inferior occipital sulcus (extension of

inferior temporal sulcus).Gyri:• Superior occipital gyrus.• Middle occipital gyrus.• Inferior occipital gyrus

Page 38: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Occipital lobe gyrus

Lateral Surface Lateral Occipital Gyrus Superior Occipital Gyrus Inferior Occipital Gyrus

Medial Surface Cuneus Lingual Gyrus

Basal Surface Lateral occipito-temporal gyrus (fusiform

gyrus). Medial occipito-temporal gyrus (lingual gyrus).

Page 39: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 40: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 41: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 42: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 43: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Limbic lobeOn the medial surface of the hemisphere, certain

portions of the frontal, parietal and temporal lobes also constitute components of the limbic

system. Curving around the corpus callosum, and running parallel to it, lies the cingulate gyrus ,

separated from the rest of the hemisphere by the cingulate sulcus. The cingulate gyrus passes posteriorly and inferiorly round the posterior portion of the corpus callosum to

become continuous with the parahippocampal gyrus of the temporal lobe. Deep to the

parahippocampal gyrus, within the temporal lobe lies the hippocampus.

The cingulate gyrus, parahippocampal gyrus and hippocampus are referred to as the limbic lobe.

Page 44: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Limbic lobe gyrusOuter Ring Cingulate Gyrus Isthmus of Cingulate Gyrus Parahippocampal Gyrus Uncus, Uncinate Gyrus

Inner Ring Hippocampal Formation Hippocampus, Ammon's Horn Dentate Gyrus Fasciolar Gyrus Supracallosal Gyrus Subcallosal Area (Parolfactory Area)

Page 45: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 46: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 47: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 48: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Insular lobe

• Lies deep in floor of sylvian fissure, overlapped by frontal, temporal and parietal.

• The insular lobe is thought to be involved in sensory and motor visceral functions as well as taste perception.

Page 49: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Insular lobe

Sulci:Central sulcus.Short insular sulcus.Precentral sulcus.Gyri:Anterior insular lobule.Posterior insular lobule.

Page 50: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Insular lobe

Anterior insular lobule (short insular gyri):

Anterior short insular gyrus. Middle short insular gyrus. Posterior short insular gyrus.Posterior insular lobule (long insular

gyri): Anterior long insular gyrus. Posterior long insular gyrus.

Page 51: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 52: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 53: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 54: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Sulcus and gyrus

Sagittal Axial Coronal

Page 55: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Signs to identify sulcus in mri

• The midline sulcus sign: The longest sulcus running horizontally and entering the interhemispheric fissure is the central sulcus .

• The M sign: The typical upper case M shape of the inferior frontal gyrus is formed by its parts ( orbitalis, triangularis, and opercularis ).

Page 56: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

signs• The bifid post cg sign: Toward the

interhemispheric fissure, the postcentral gyrus is medially fissured, enclosing the pars marginalis of the cingulated sulcus with both legs and thereby forming the characteristic bifid post cg sign.

• The thin post cg sign: On the surface,

the precentral gyrus has a thicker anteroposterior diameter compared with the postcentral gyrus, which is thinner.

Page 57: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

signs

• The handknob: defined the "handknob " as 1 single -shaped dorsally convex bulge of the precentral gyrus.

• The upper T sign: The intersection of the well-identifiable superior frontal sulcus with the precentral sulcus has the shape of an upper case T. The pre cg can be found immediately posterior to this T shape.

Page 58: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

signs

• The L sign: The sfg terminates in the pre cg, which runs laterally from the posterior end of the sfg, therefore together forming an upper case L.

• The lower T sign: The inferior frontal

sulcus posteriorly terminates in the pre sc, also in the shape of an upper case T that is dorsally bordered by the pre cg.

Page 59: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

signs

• Inverted omega sign : the central sulcus more likely to have the shape of inverted omega.

• The bracket sign: The bihemispheric symmetric pars marginalis of the cingulate sulcus forms an anteriorly opened bracket.

Page 60: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 61: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 62: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD
Page 63: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Sagittal

Page 64: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGHSubcallosal gyrus

Gyrus rectus

Parietooccipital sulcus

Fastigium, fourth ventricle

Cingulate gyrus

Calcarine sulcus

Marginal ramus of Cingulate sulcus

Superior parietal lobule

Paracentral lobule

Cingulate sulcusSuperior frontal gyrus

Cuneus

Lingual gyrus

Page 65: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGHGyrus rectus

Parietooccipital sulcus

Cingulate gyrus

Calcarine sulcus

Lingual gyrus

Marginal ramus of Cingulate sulcus

Superior parietal lobule

Cingulate sulcus

Caudothallamic groove

Precuneus

Central sulcus

Cuneus

Precentral gyrus

Frontomarginal gyrus

Superior frontal gyrus

Page 66: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Parietooccipital sulcus

Calcarine sulcus

Superior parietal lobule

Marginal ramus of Cingulate sulcus

Central sulcusPrecentral sulcus

Precuneus

Corona radiata

Superior frontal gyrus

Lingual gyrus Inferior occipital gyrus

Page 67: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGHInferior temporal gyrus Temporal horn, lateral ventricle

Central sulcus

Posterior orbital gyrus

Frontomarginal gyrus

Medial orbital gyrus

Frontopolar gyrus

Parietooccipital sulcus

Lingual gyrusInferior occipital gyrus

Superior occipital gyrus

Middle occipital gyrus

Superior parietal lobule

Page 68: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Central sulcus

Inferior Temporal gyrus

Middle Temporal gyrus

Superior Temporal gyrus

Page 69: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Central sulcus

Lingual gyrus

Inferior occipital gyrus

Superior parietal gyrus

Middle occipital gyrus

Superior occipital gyrus

Inferior Temporal gyrusMiddle Temporal gyrus

Superior Temporal gyrus

Posterior orbital gyrus

Anterior orbital gyrus

Frontomarginal gyrus

Inferior frontal gyrus

Page 70: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Inferior Temporal gyrus

Superior Temporal sulcus

Superior Temporal gyrus

Anterior occipital sulcus

Superior frontal sulcus

Precentral sulcus

Central sulcus

Postcentral sulcus

Angular gyrus

Lateral fissure, posterior segment

Inferior frontal gyrus,pars orbitalis

Middle Temporal gyrus

Inferior occipital gyrus

Middle occipital gyrus

Inferior frontal gyrus,pars triangularis

Page 71: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

axial

Page 72: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Fusiform gyrus

Page 73: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Parahippocampal gyrus

Hippocampal gyrus

Page 74: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Temporo-occipital fissure

Inferior occipital gyrus

Lingual gyrusGyrus descendens

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Amygdala Hippocampus

Page 75: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Gyrus rectus

Olfactory sulcusMedial orbital gyrusSubcallosal gyrus

Posterior orbital gyrus

Temporo-occipital fissure

Middle occipital gyrus

Lingual gyrus

Amygdala

Hippocampus

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Gyrus descendens

Page 76: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Superior occipital gyrusIntra-occipital sulcus

Middle occipital gyrus

Cingulate gyrus

Parieto-occipital fissure

Calcarine sulcus

Cuneus

Middle temporal gyrus

Superior temporal sulcus

Superior temporal gyrus

Insula

Inferior frontal gyrus,pars orbitalis

Superior frontal gyrus Middle frontal gyrus

Inferior frontal gyrus,pars opercularis

Lateral fissure

Lateral fissure

Inferior parietal gyrus

Page 77: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Middle occipital gyrus

Superior temporal gyrus

Intra-occipital sulcus

Superior frontal gyrus

Central sulcus

Superior occipital gyrusParieto-occipital sulcus

Superior temporal sulcus

Lateral fissure

Inferior parietal gyrus

Postcentral gyrus

Lateral fissure

Middle frontal gyrus

Inferior frontal gyrus

Page 78: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGHSuperior occipital gyrus

CuneusIntra-occipital sulcus

Middle occipital gyrus

Central sulcus

Precentral sulcus

Precentral gyrus

Central sulcus

Page 79: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Postcentral sulcus

Superior frontal sulcus

Central sulcus

Intraparietal sulcus

Superior frontal gyrus

Middle frontal gyrus

Superior parietal gyrus

Centrum semiovale

Parietooccipital sulcus

Precuneus

Angular gyrus

Central sulcus

Inferior frontal gyrus

Supramarginal gyrus

Postcentral sulcus

Page 80: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Postcentral sulcus

Central sulcus

Superior frontal sulcus

Pars marginalis

Intraparietal sulcus

Superior frontal gyrus

Middle frontal gyrus

Superior parietal gyrus

Angular gyrus

Supramarginal gyrus

Intraparietal sulcus

Central sulcus

Page 81: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

coronal

Page 82: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Olfactory bulb

Gyrus rectusMedial Orbital gyrus

Inferior Frontal gyrusSuperior Frontal gyrus

Middle Frontal gyrus

Interhemispheric Fissure

Inferior Frontal gyrus

Page 83: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Forceps minor

Olfactory SulcusLateral orbital gyrus

Inferior Frontal gyrus

Superior Frontal gyrus

Superior Frontal sulcus

Middle Frontal gyrus

Medial Orbital gyrus Gyrus rectusAnterior Orbital gyrus

Lateral orbital sulcus

Page 84: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Inferior Frontal gyruspars opercularis

Superior Frontal gyrus Middle Frontal gyrus

Sylvian Fissure

Posterior Orbital gyrus

Inferior Temporal gyrus

Cingulate gyrusCircular insular sulcus

Olfactory Sulcus

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Frontal sulcusshort insular gyrus

Gyrus rectus

Medial Orbital gyrus

Page 85: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Superior Frontal gyrusSuperior Frontal sulcus

Middle Frontal gyrus

Superior Temporal Sulcus

Sylvian Fissure

Amygdala

Precentral sulcus

Anterior commissure

Cingulate sulcus

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Precentral gyrus

Page 86: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Superior Frontal gyrus

Middle Frontal gyrus

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Fusiform gyrus

Hippocampus

CA1, cornu ammonisParahippocampal gyrus

Central Sulcus

Page 87: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Paracentral lobule

Superior Temporal gyrus

Middle Temporal gyrus

Inferior Temporal gyrus

Central Sulcus

Postcentral gyrus

Cingulate gyrusIntraparietal sulcus

Fusiform gyrus

Collateral sulcusParahippocampal gyrus

Supramarginal gyrus

Intraparietal sulcus

Page 88: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Superior Temporal gyrus

Middle Temporal gyrus

Inferior temporal gyrus

Fusiform gyrus

Central sulcusParacentral lobule

Page 89: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

NP/MGH

Fusiform gyrus

Lingual gyrusCalcarine sulcus Cingulate gyrus

Inferior temporal gyrus

Middle temporal gyrus

Supramarginal gyrus

Intraparietal sulcus

Central sulcus

Paracentral lobule

Postcentral gyrus

Page 90: Anatomy of brain sulcus and gyrus - Dr.Sajith MD RD

Thank u