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首页> 外文期刊>Turkish neurosurgery >Neuroanatomical Aspects of the Temporo-Parieto-Occipital Junction and New Surgical Strategy to Preserve the Associated Tracts in Junctional Lesion Surgery: Fiber Separation Technique
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Neuroanatomical Aspects of the Temporo-Parieto-Occipital Junction and New Surgical Strategy to Preserve the Associated Tracts in Junctional Lesion Surgery: Fiber Separation Technique

机译：颞侧枕交界的神经杀菌方面和新的外科策略，以保存联裂病变手术中的相关尸体：纤维分离技术

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AIM: To describe the location of each white matter pathways around the temporo-parieto-occipital junction (TPOJ) and the dissections performed using focal fiber dissection and fiber separation techniques (FST). These areas play an important role in human language processing and high-level brain functions. Thus, it is important to identify the association of the fascicles as well as their courses to plan safe and effective surgical target vectors.MATERIAL and METHODS: Thirty formalin-fixed human hemispheres and two formalin-fixed human heads were dissected with focal fiber dissection and FST under 6-40x magnification using a surgical microscope and real-time magnetic resonance imaging navigation system. Two- and three-dimensional anatomical and surgical pictures were obtained and processed using high dynamic range photography (Photomatix) and were correlated to radiological images of the case with glioblastoma of the TPOJ.RESULTS: The trajectory and connectivity of these fibers as well as their surgical importance in performing FST in cadaver dissections were demonstrated with correlation of the surgical, radiological, and anatomical images.CONCLUSION: The microanatomy of the TPOJ and related structures, emphasizing the position of each white matter pathway, has been described. Understanding the composition of each region is critical in preventing intraoperative brain injury that could lead to functional deficits.
机译：目的：描述围绕颞侧枕角（TPOJ）周围的每种白物途径的位置和使用焦纤维解剖和纤维分离技术（FST）进行的剖析。这些领域在人类语言处理和高级大脑功能中起着重要作用。因此，重要的是识别魅力的关联以及他们的课程来规划安全有效的手术靶标载体。材料和方法：三十甲胺类固定的人半球和两个福尔马林固定的人头被解剖局灶性纤维解剖和使用外科显微镜和实时磁共振成像导航系统的6-40倍放大率下的FST。获得并使用高动态范围摄影（光映射）获得和处理两维解剖和外科图像，并与TPOJ的胶质母细胞瘤相关的情况相关。结果：这些纤维的轨迹和连通性以及它们的轨迹和连接通过外科，放射和解剖图像的相关性表明了在尸体解剖中进行FST的外科重要性。结论：TPOJ的微肿瘤和相关结构，强调每种白土路径的位置。了解每个区域的组成对于预防可能导致功能性缺陷的术中脑损伤至关重要。

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