Educational stereoscopic representation of a step-by-step brain white fiber dissection according to Klingler's method.

Anatomy Brain Education Klingler Stereoscopy White tracts

Journal

Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029

Informations de publication

Date de publication:
20 Feb 2024
Historique:
received: 09 10 2023
accepted: 14 01 2024
medline: 20 2 2024
pubmed: 20 2 2024
entrez: 20 2 2024
Statut: aheadofprint

Résumé

Understanding and teaching the three-dimensional architecture of the brain remains difficult because of the intricate arrangement of grey nuclei within white matter tracts. Although cortical area functions have been well studied, educational and three-dimensional descriptions of the organization of deep nuclei and white matter tracts are still missing. We propose herein a detailed step-by-step dissection of the lateral aspect of a left hemisphere using the Klingler method and provide high-quality stereoscopic views with the aim to help teach medical students or surgeons the three-dimensional anatomy of the brain. Three left hemispheres were extracted and prepared. Then, according to the Klingler method, dissections were carried out from the lateral aspect. Photographs were taken at each step and were modified to provide stereoscopic three-dimensional views. Gray and white structures were described: cortex, claustrum, putamen, pallidum, caudate nucleus, amygdala; U-fibers, external and internal capsules, superior longitudinal fasciculus, frontal aslant fasciculus, uncinate fasciculus, inferior fronto-occipital fasciculus, inferior longitudinal fasciculus, corticospinal fasciculus, corona radiata, anterior commissure, and optic radiations. This educational stereoscopic presentation of an expert dissection of brain white fibers and basal ganglia would be of value for theoretical or hands-on teaching of brain anatomy; labeling and stereoscopy could, moreover, improve the teaching, understanding, and memorizing of brain anatomy. In addition, this could be also used for the creation of a mental map by neurosurgeons for the preoperative planning of brain tumor surgery.

Sections du résumé

BACKGROUND BACKGROUND
Understanding and teaching the three-dimensional architecture of the brain remains difficult because of the intricate arrangement of grey nuclei within white matter tracts. Although cortical area functions have been well studied, educational and three-dimensional descriptions of the organization of deep nuclei and white matter tracts are still missing.
OBJECTIVE OBJECTIVE
We propose herein a detailed step-by-step dissection of the lateral aspect of a left hemisphere using the Klingler method and provide high-quality stereoscopic views with the aim to help teach medical students or surgeons the three-dimensional anatomy of the brain.
METHODS METHODS
Three left hemispheres were extracted and prepared. Then, according to the Klingler method, dissections were carried out from the lateral aspect. Photographs were taken at each step and were modified to provide stereoscopic three-dimensional views.
RESULTS RESULTS
Gray and white structures were described: cortex, claustrum, putamen, pallidum, caudate nucleus, amygdala; U-fibers, external and internal capsules, superior longitudinal fasciculus, frontal aslant fasciculus, uncinate fasciculus, inferior fronto-occipital fasciculus, inferior longitudinal fasciculus, corticospinal fasciculus, corona radiata, anterior commissure, and optic radiations.
CONCLUSION CONCLUSIONS
This educational stereoscopic presentation of an expert dissection of brain white fibers and basal ganglia would be of value for theoretical or hands-on teaching of brain anatomy; labeling and stereoscopy could, moreover, improve the teaching, understanding, and memorizing of brain anatomy. In addition, this could be also used for the creation of a mental map by neurosurgeons for the preoperative planning of brain tumor surgery.

Identifiants

pubmed: 38376527
doi: 10.1007/s00276-024-03305-0
pii: 10.1007/s00276-024-03305-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

Références

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Auteurs

Timothée Jacquesson (T)

Département de Neurochirurgie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 59 Bd Pinel, 69677, Lyon Cedex, France. timothee.jacquesson@neurochirurgie.fr.
Laboratoire d'Anatomie Rockefeller, Université de Lyon 1, 8 Avenue Rockefeller, 69003, Lyon, France. timothee.jacquesson@neurochirurgie.fr.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. timothee.jacquesson@neurochirurgie.fr.

Idriss Djarouf (I)

Laboratoire d'Anatomie Rockefeller, Université de Lyon 1, 8 Avenue Rockefeller, 69003, Lyon, France.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Émile Simon (É)

Département de Neurochirurgie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 59 Bd Pinel, 69677, Lyon Cedex, France.
Laboratoire d'Anatomie Rockefeller, Université de Lyon 1, 8 Avenue Rockefeller, 69003, Lyon, France.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Claire Haegelen (C)

Département de Neurochirurgie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 59 Bd Pinel, 69677, Lyon Cedex, France.
Laboratoire d'Anatomie Rockefeller, Université de Lyon 1, 8 Avenue Rockefeller, 69003, Lyon, France.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Patrick Mertens (P)

Département de Neurochirurgie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 59 Bd Pinel, 69677, Lyon Cedex, France.
Laboratoire d'Anatomie Rockefeller, Université de Lyon 1, 8 Avenue Rockefeller, 69003, Lyon, France.
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Thiébaud Picart (T)

Département de Neurochirurgie, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, 59 Bd Pinel, 69677, Lyon Cedex, France.

Juan Fernandez-Miranda (J)

Department of Neurosurgery, Stanford University Medical Center, Stanford, CA, USA.

Classifications MeSH