Microsurgical anatomy of the anterior cerebral artery and the arterial supply of the cingulate gyrus.

Purpose: The cingulate gyrus is a potential surgical area to treat tumours, psychiatric diseases, intractable pain and vascular malformations. The aim of the study was to define the topographic anatomy and arterial supply of the cingulate gyrus located on the medial surface of the cerebral hemispher...

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Publicado en:Surgical & Radiologic Anatomy Vol. 45; no. 4; pp. 351 - 359
Autores principales: Guner, Yahya Efe, Comert, Ayhan, Sayaci, Emre Yagiz, Korkmaz, Ali Can, Gungor, Yigit, Morali Guler, Tugba, Kahilogullari, Gokmen, Savas, Ali
Formato: Journal Article
Publicado: Springer Nature Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00276-023-03083-1
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        atl: Microsurgical anatomy of the anterior cerebral artery and the arterial supply of the cingulate gyrus.
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          Guner, Yahya Efe
          Comert, Ayhan
          Sayaci, Emre Yagiz
          Korkmaz, Ali Can
          Gungor, Yigit
          Morali Guler, Tugba
          Kahilogullari, Gokmen
          Savas, Ali
        affil: Department of Neurosurgery, School of Medicine, Yuksek Ihtisas University, Ankara, Turkey
      sug:
      ab: Purpose: The cingulate gyrus is a potential surgical area to treat tumours, psychiatric diseases, intractable pain and vascular malformations. The aim of the study was to define the topographic anatomy and arterial supply of the cingulate gyrus located on the medial surface of the cerebral hemisphere. Methods: We studied thirty-six hemispheres, each hemisected in the midsagittal plane. The vertical thickness of the cingulate gyrus was measured at the anterior commissure (AC), posterior commissure (PC), and genu levels of the corpus callosum. The branches of the anterior and posterior cerebral arteries supplying each zone were noted separately. The arterial pathways were transformed to digital data in AutoCAD to identify the condensation and reduction areas. Results: The mean AC-PC distance was 27.17 ± 1.63 mm. The thinnest region was the genu level of the corpus callosum (10.29 mm). The superior internal parietal artery (SIPA), inferior internal parietal artery (IIPA) and pericallosal artery (PrCA) supplied all zones of the cingulate gyrus. The anterior zone received the greatest supply. The arterial condensation and reduction areas on both sides of cingulate gyrus and its x, y, and z coordinates specified. Conclusions: The target cingulotomy (TC) area was determined for anterior cingulotomy. The properties of the TC area are that the thinnest region of the cingulate gyrus is supplied relatively less than other areas and is close to the anterior cingulotomy areas in the literature. The arterial reduction area (ARA) was found to be suitable for corpus callosotomy in terms of avoiding haemorrhage.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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