Anatomical variations of sulci in human fetal cerebrum and its clinical significance

Introduction and Aim: Appearance of sulci and its number in the fetal cerebrum is a signal of growth and development. Chronological appearance and symmetrical development of sulci corresponds to gestational age of fetus. Few sulci can be visualized in the prenatal period to judge the growth of fetus. Any change in chronological appearance, symmetry and number of sulci in fetal cerebrum is of prime importance. Materials and Methods: Hundred and six cerebral hemispheres of 53 fetal brains of different gestational ages were collected from MGM Hospital Kalamboli and Aurangabad after institutional ethical approval to study the pattern of sulci on both sides after fixing in 10% formalin. Results: In 6 (5.6 %) cerebral hemispheres variation in appearance of sulci was observed. It was noted that there is change in number of superior temporal sulcus (STS), superior frontal sulcus (SFS), parieto-occipital sulcus (POS), calcarine sulcus (CS) and occipitotemporal sulcus (OTS) on both the sides in 6 cerebral hemispheres. Remaining 100 cerebral hemisphere showed normal, symmetrical appearance and number of sulci. Conclusion: It was observed that the fetal cerebral hemispheres which showed variations in appearance and number of sulci were associated with mother having eclampsia.

Parallel spatial channels converge at a bottleneck in anterior word-selective cortex

In most environments, the visual system is confronted with many relevant objects simultaneously. That is especially true during reading. However, behavioral data demonstrate that a serial bottleneck prevents recognition of more than one word at a time. We used fMRI to investigate how parallel spatial channels of visual processing converge into a serial bottleneck for word recognition. Participants viewed pairs of words presented simultaneously. We found that retinotopic cortex processed the two words in parallel spatial channels, one in each contralateral hemisphere. Responses were higher for attended than for ignored words but were not reduced when attention was divided. We then analyzed two word-selective regions along the occipitotemporal sulcus (OTS) of both hemispheres (subregions of the visual word form area, VWFA). Unlike retinotopic regions, each word-selective region responded to words on both sides of fixation. Nonetheless, a single region in the left hemisphere (posterior OTS) contained spatial channels for both hemifields that were independently modulated by selective attention. Thus, the left posterior VWFA supports parallel processing of multiple words. In contrast, activity in a more anterior word-selective region in the left hemisphere (mid OTS) was consistent with a single channel, showing (i) limited spatial selectivity, (ii) no effect of spatial attention on mean response amplitudes, and (iii) sensitivity to lexical properties of only one attended word. Therefore, the visual system can process two words in parallel up to a late stage in the ventral stream. The transition to a single channel is consistent with the observed bottleneck in behavior.

Gray Matter Overlying Anterior Basal Temporal Sulci as an Intraoperative Landmark for Locating the Temporal Horn in Amygdalohippocampectomies

OBJECTIVE: Use of the gray matter overlying the anterior portions of the occipitotemporal and rhinal sulci as an intraoperative landmark for locating the temporal horn during amygdalohip-pocampectomies approached by the superior or lateral surface of the temporal lobe. METHODS: The presence of occipitotemporal and rhinal sulci was analyzed in the magnetic resonance imaging scans of 165 patients who subsequently underwent mesial temporal resections, focusing on coronal slices up to 4 cm from the temporal pole. These sulci were used during surgery to locate the temporal horn in 150 surgeries. Five adult cadaveric heads whose vessels were perfused with colored silicone were used for photography. RESULTS: These sulci are the principal sulci of the anterior basal temporal lobe. They were present in 154 out of 165 and 165 out of 165 patients, respectively. When approaching mesial temporal structures from the superior or lateral surface of the temporal lobe, dissection is initially performed through the white matter toward the floor of the middle fossa until the gray matter overlying an anterior basal sulcus is encountered. Dissection continues medially and superiorly from the top of the gray matter until the temporal horn is entered. CONCLUSION: Gray matter overlying these sulci leads toward the anterior portion of the floor of the temporal horn and constitutes a landmark for locating the temporal horn. However, only the rhinal sulcus was always present. When both are present, the gray matter overlying the occipitotemporal sulcus is a reliable landmark. These landmarks are most suitable for mesial temporal resections without significant displacement of the temporal horn.

The arcuate eminence is not a protrusion of the superior semi-circular canal but a trace of sulcus on the temporal lobe

Thirteen cadavers (26 temporal bones) were examined to show the arcuate eminence, especially its correspondence to the superior semicircular canal and inferior surface of the temporal lobe. Arc-like eminences on the petrous bone were observed in 92 per cent of specimens, however, they did not exactly correspond to the superior semi-circular canal. Some eminences corresponded to sulci of the temporal lobe of which most were traces of the occipitotemporal sulcus.On the other hand, a dull, smooth and even domed eminence existed in nine temporal bones independently of the arc-like eminence. Those eminences corresponded to each superior semi-circular canal in only three out of nine specimens.The arcuate eminence was listed as an important landmark in the middle cranial fossa approach. However, in order to drill out the internal auditory canal safely, surgeons should rely on other landmarks or apply other methods from our data.