Meyer’s Loop

Author(s):  
John E. Mendoza
Keyword(s):  
2014 ◽  
Vol 60 (5) ◽  
pp. 215-222 ◽  
Author(s):  
Cristina Goga ◽  
Zeynep Firat ◽  
Klara Brinzaniuc ◽  
Is Florian

Abstract Objective: The ultimate anatomy of the Meyer’s loop continues to elude us. Diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) may be able to demonstrate, in vivo, the anatomy of the complex network of white matter fibers surrounding the Meyer’s loop and the optic radiations. This study aims at exploring the anatomy of the Meyer’s loop by using DTI and fiber tractography. Methods: Ten healthy subjects underwent magnetic resonance imaging (MRI) with DTI at 3 T. Using a region-of-interest (ROI) based diffusion tensor imaging and fiber tracking software (Release 2.6, Achieva, Philips), sequential ROI were placed to reconstruct visual fibers and neighboring projection fibers involved in the formation of Meyer’s loop. The 3-dimensional (3D) reconstructed fibers were visualized by superimposition on 3-planar MRI brain images to enhance their precise anatomical localization and relationship with other anatomical structures. Results: Several projection fiber including the optic radiation, occipitopontine/parietopontine fibers and posterior thalamic peduncle participated in the formation of Meyer’s loop. Two patterns of angulation of the Meyer’s loop were found. Conclusions: DTI with DTT provides a complimentary, in vivo, method to study the details of the anatomy of the Meyer’s loop.


2016 ◽  
Vol 38 (1) ◽  
pp. 509-527 ◽  
Author(s):  
Maxime Chamberland ◽  
Benoit Scherrer ◽  
Sanjay P. Prabhu ◽  
Joseph Madsen ◽  
David Fortin ◽  
...  
Keyword(s):  

Neurosurgery ◽  
2008 ◽  
Vol 63 (3) ◽  
pp. 507-515 ◽  
Author(s):  
S. Naz Yeni ◽  
Necmettin Tanriover ◽  
Özlem Uyanik ◽  
Mustafa Onur Ulu ◽  
Çiğdem Özkara ◽  
...  

ABSTRACT OBJECTIVE Meyer's loop, the most vulnerable part of the optic radiations during approaches to the temporomedial region, extends to the tip of the temporal horn and is often encountered in epilepsy surgery. The risk of damaging Meyer's loop during transsylvian selective amygdalohippocampectomy peaks while accessing the temporal horn through its roof by opening the inferior limiting sulcus of the insula. In this prospective study, we sought to evaluate and identify the incidence of visual field deficits in a homogeneous group of patients who had temporal lobe epilepsy with hippocampal sclerosis and who underwent transsylvian selective amygdalohippocampectomy. METHODS We studied 30 patients who were referred for epilepsy surgery for intractable complex partial and/or secondary generalized seizures and evaluated according to a noninvasive protocol. All patients underwent selective amygdalohippocampectomy for temporal lobe epilepsy with hippocampal sclerosis using the standard transsylvian approach. Visual field deficits were examined preoperatively in 30 patients, by either a confrontation method (n = 18) or standard Goldmann perimetry (n = 12) and postoperatively in all patients using standard Humphrey digital perimetry. RESULTS Visual field examination was normal in all patients before surgery. Humphrey perimetric measurement revealed visual field deficits in 11 patients (36.6%) after surgery. CONCLUSION We have shown that there is a considerable risk of having visual field deficits after standard transsylvian selective amygdalohippocampectomy owing to the interruption of the anterior bundle of the optic radiation fibers, which most likely occurs while opening the temporal horn through the inferior limiting sulcus of the insula.


Brain ◽  
2005 ◽  
Vol 128 (9) ◽  
pp. 2123-2133 ◽  
Author(s):  
Jason J. S. Barton ◽  
Rebecca Hefter ◽  
Bernard Chang ◽  
Don Schomer ◽  
Frank Drislane

2020 ◽  
pp. 1-4
Author(s):  
Benyam Kinde ◽  
A. James Barkovich ◽  
Jonathan C. Horton

2014 ◽  
Vol 108 (3) ◽  
pp. 481-490 ◽  
Author(s):  
Ylva Lilja ◽  
Maria Ljungberg ◽  
Göran Starck ◽  
Kristina Malmgren ◽  
Bertil Rydenhag ◽  
...  

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