The Complex Structure of the Anterior White Commissure of the Human Brain: Fiber Dissection and Tractography Study.
World Neurosurg. 2020 Dec 05;:
Authors: Çavdar S, Aydın AE, Algin O, Aydın S
Abstract
OBJECTIVES: Commissural fibers are necessary for bilateral integration, body coordination, and complex cognitive information flow between the hemispheres. The anterior commissure (AC) has a complex architecture interconnecting areas of the frontal, temporal and occipital lobes. The present study aims to demonstrate the connections and the course of the anterior (ACa) and posterior (ACp) limb of the AC using fiber dissection and DTI technique in the human brain.
METHODS: Fiber dissection was performed in a stepwise manner from lateral to medial on 6 left hemispheres. The gray matter was decorticated and the ACa-ACp was exposed. The ACa and ACp tracts were demonstrated using a high-spatial-resolution DTI with a 3-tesla MR unit in 13 cases.
RESULTS: Using both techniques showed that, the AC has complex interconnections with large areas of the frontal (olfactory tubercles, anterior olfactory nucleus, olfactory bulb, and the orbital gyri), temporal (amygdaloidal nuclei, temporal and perirhinal cortex), and occipital (visual cortex) lobes. The ACp make up the major component of the AC and is composed of temporal and occipital fibers. We observed that these fibers do not make a distinct bundle; the temporal fibers joined the uncinate fasciculus and the occipital fibers joined the sagittal striatum to reach their targets.
CONCLUSION: Being aware of the course of the AC is important during transcallosal and interforniceal approaches to the 3rd ventricle tumors and temporal lobe epilepsy surgery. The intermingling fibers of the AC can provide a better understanding of the unexplained deficit that may occur during regional surgery.
PMID: 33290898 [PubMed - as supplied by publisher]
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