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CEREBRUM
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CEREBRUM
• Cerebral cortex
–Gross anatomy
–Sulci and gyri
–Functional areas
• White matter
• Ventricular system
Borders and surfaces
• 3 borders
– Superomedial
– Inferolateral with
seprciliary
– Medial
• Medial orbital
• Medial occipital
• 3 surfaces
– Superolateral
– Medial
– Inferior
• Orbital
• tentorial
7
• 3 Poles
superolateral surface
medial surface
inferior surface
Lobes
Insula
Sulci and gyri
a: pars orbitalis
b: pars triangularis
C: pars opercularis
Functional areas of brain
• Brodmann's area – 47 -52
• Based on cytoarchitectonics
• Sensory and motor, Primary and association
• Multimodal association areas (75%)
• Previously denoted by Ms or Sm now by nos
Primary motor area
Primary sensory areaPremotor area
Frontal eye field
Motor speech (Broca’s) area
Language comprehension
(Wernicke’s) area
Primary visual area
Leg
Leg
Arm
Arm
Face
Face
Pharynx
Larynx
Important Areas
Auditory area
Frontal Lobe
Frontal Lobe
Parietal Lobe
Parietal Lobe
Parietal Lobe
43
Temporal Lobe
Occipital Lobe
Medial Surface
Homunculus
Important Areas
Important Areas
Applied anatomy
• Collection of nerve fibres: Tracts, Fasciculi,
Lemnisci, Peduncles, Commissure etc.
• Myelination: Oligodendrocytes in CNS &
Schwann cells in PNS
• Collection of nerve cell bodies within white
matter of CNS: nuclei
WHITE MATTER OF CEREBRUM
CLASSIFICATION OF NERVE FIBERS
• Association Fibres: Connect
different cortical areas of the
same hemisphere
• Commissural Fibres: Connect
wide areas of Cx of both
hemispheres across midline
• Projection Fibres: Connect
cerebral cx with subcortical
grey matter of BG, Thalamus,
Brain stem & Spinal cord
ASSOCIATION FIBRES
Short and Long
LONG ASSOCIATION FIBRES
• Uncinate Fasciculus :
– Connects Broca’s
area with Temp pole &
Superior Temp Gyrus
– Expression of speech
• Cingulam :
– Connects various
parts of Limbic lobe
(Cingulate &
Parahippocampal gyri)
• Sup Longitudinal
Fasciculus : Lateral to
Corona radiata
– Frontal lobe with visual
asso areas & Temporal
lobe
• Fronto-occipital fasciculus
: Medial to C Radiata
– Frontal lobe with
Occipital & Temp lobes
• Inferior Longitudinal
Fasciculus : Temp lobe with
Areas 18 & 19 of occipital
lobe
COMMISSURAL FIBRES
Types:
• Homotopical : Connect
identical areas
• Heterotopical : Connect
non-identical areas
Examples :
• Corpus callosum
• Ant commissure, Post
commissure
• Hippocampal &
Habenular commissures
AP
CORPUS CALLOSUM
• Largest band of commissural fibres which connects
wide areas of Neocortex except lower and ant parts of
temporal lobe
• Well developed in man
• 300 million finely myelinated fibres
• 10 cms long
Location :
• Ant end : 4cm behind frontal pole
• Post end : 6cm in front of Occipital pole
AP
CORPUS CALLOSUM
PARTS : Splenium, Trunk, Genu, Rostrum
• Rostrum - continuous below with Lamina terminalis
A P
Forceps Major
Forceps Minor
CORPUS CALLOSUM
• Rostrum: orbital surfaces of 2 frontal lobes
• Forceps minor: fibers of genu – 2 frontal lobes
• Tapetum: fibers of trunk and splenium – do
not intersect with corona radiata, forms roof
and lateral wall of post horn and lateral wall of
inferior horn of lateral ventricles.
• Forceps major: fibers of splenium – 2 occipital
lobes.
CORPUS CALLOSUM : TAPETUM
TAPETUM
Forceps major
LAT VENTRICLE : POSTERIOR HORN
LAT VENTRICLE : INFERIOR HORN
TAPETUM OF CC
Stria terminalis (Med)
Tail of Caudate Nu
INF HORN
Collateral
eminence
CORPUS CALLOSUM
Function :
• Interhemispheric transfer of information essential for
bilateral response & learning process
Applied :
• congenital absence / surgical divn does not produce
any serious neurological deficit
Split brain syndrome :
COMMISSURAL FIBRES – Cont’d
• Ant commissure :
– Ant part : Allocortex
– Post part : Neocortex
• Post commissure :
– Connect Sup colliculi, Pretectal nuclei, Nu of post
commissure, Interstitial nu etc.
– Role in consensual pupillary light reflex
• Hippocampal commissure : Connects crura of Fornix
• Habenular commissure : Connect habenular Nu (Limbic
system)
WHITE MATTER : CEREBRUM
PROJECTION FIBRES
• Connect cerebral cx with
subcortical grey matter like BG,
Thalamus, Brain stem & Spinal
cord.
• Cortico-fugal & cortico-petal
fibres
• E.g. Corona radiata & Int
capsule of Neo cortex
Fimbriae & Fornix of Allocortex
CORONA RADIATA
• Fan shaped arrangement of projection fibers from neo-
cortex converging to the periphery of Corpus striatum
• Continues below as Internal capsule
CORONA RADIATA
INTERNAL CAPSULE
• A compact band of
neocortical projection fibres
• Main highway for input &
output fibres of cerebral cx
• Continues above as corona
radiata & below as crus
cerebri of midbrain
• V- shaped in horizontal
section with concavity
laterally
RELATIONS :
• Medial : Head of Caudate Nu & Thalamus
• Lateral : Lentiform Nucleus
Medial
Extreme capsule
Lateral
INTERNAL CAPSULE HORIZANTAL SECTION
• Ant Limb
• Genu
• Post limb
• Retrolentiform part
• Sublentiform part
ARRANGEMENT OF FIBRES :
:
Cortico-reticular
Ant Thalamic radiation
Ant Thal Nu –Cingulate Gyrus (Papez
Circuit)
Fibres of MF Bundle
ARRANGEMENT OF FIBRES : GENU
• Cortico- nuclear fibres : from areas 4, 6 & 8 to
motor nuclei of cranial nerves (contralateral)
• Superior Thalamic radiation : Thalamus to pre
& post central gyri of cerebral cortex
• Corticoreticular
ARRANGEMENT OF FIBRES: POSTERIOR LIMB
– From Globus pallidus
• To Subthalamic nucleus (Fasciculus
subthalamicus)
• To Thalamus (Fasciculus Lenticularis)
– Nigro - striate (Comb bundle)
• From Substantia Nigra to Caudate Nu &
Putamen
– Thalamo-striate : From intralaminar &
centromedian Nu to Caudate Nu & Putamen
ARRANGEMENT OF FIBRES: SUBLENTIFORM PART
• Auditory Radiation
– MGB to Anterior Transverse Temp gyrus & Sup temporal gyrus
– Perception of hearing
• Meyer’s loop of optic radiation
– from lower part of peripheral retina to visual Cortex
• Temporo - pontine & Parieto – pontine fibres
ARRANGEMENT OF FIBRES: RETROLENTIFORM PART
- Optic Radiation : LGB to Area 17
- Area 18,19 to Sup Colliculus & Motor Nu of EO
Muscles for conjugated movements of eye
balls
- Parieto & Occipeto - pontine fibres
- Post Thalamic Radiation : Pulvinar (thalamus) to
Areas 18,19, 39, 40)
ARTERIAL SUPPLY OF I C
Striate br of MCA
Recurrent branch of ACA
Striate br of AC A
Ant Limb
Genu
Sublentiform part
Post Limb
Retrolentiform part
Ant cerebral Artery
Int Carotid Artery
Middle cerbral A
Post Cerebral Atery
Ant choroidal A
By central branches of cerebral arteries - End arteries
70
INT CAPSULE : BLOOD SUPPLY
ARTERY
PART
OF IC
Striate
Br of
ACA
Rec Br
of ACA
Striate
Br of
MCA
(Charcot’s
artery)
Direct Br
from ICA
Ant
Choroidal
A
P CA
Ant
Limb
Genu
Post
Limb
S L Part
RL Part
By central branches of cerebral arteries - End arteries
APPLIED ANATOMY
• Cerebrovascular accident (CVA) affecting int capsule
cause extensive clinical effects
– Blood supply by end arteries
– Dense collection of fibres in IC
– Caused commonly by hemorrhage from Charcot’s
artery
• Hemiplegia :
– UMN type paralysis of one half of the body
– Commonly caused by CVAs affecting IC
Ventricular system
• Communicate with each other & with SA Space (thru roof of
4th Ventricle)
• Allow free flow of CSF produced by Choroid plexus
PART SUB DIVN CAVITY
FORE BRAIN
Telencephalon Lateral ventricle(s)
Diencephalon 3rd Ventricle
MID BRAIN Cerebral Aqueduct
HIND BRAIN 4th Ventricle
SP CORD Central canal
LATERAL VENTRICLE
• Cavity of Telencephalon
• One in each cerebral hemisphere
• Roughly ‘C’- shaped
• Capacity : 7-10ml
PARTS :
• Body (Central part)
• Anterior (Frontal lobe)
• Posterior (Occipital lobe)
• Inferior (Temporal lobe)
Task
• Draw a labeled diagram of
–Coronal section through
• Ant horn of lat ventricle
• Body of lat ventricle
• Inf horn of lateral ventricle
• Post horn of lat ventricle
–Floor of 4th ventricle
Cerebrum ventricle anatomy

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Cerebrum ventricle anatomy

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  • 3. What's wrong with this picture?
  • 4. CEREBRUM • Cerebral cortex –Gross anatomy –Sulci and gyri –Functional areas • White matter • Ventricular system
  • 5. Borders and surfaces • 3 borders – Superomedial – Inferolateral with seprciliary – Medial • Medial orbital • Medial occipital • 3 surfaces – Superolateral – Medial – Inferior • Orbital • tentorial
  • 6.
  • 11. Lobes
  • 14. a: pars orbitalis b: pars triangularis C: pars opercularis
  • 15.
  • 16.
  • 17. Functional areas of brain • Brodmann's area – 47 -52 • Based on cytoarchitectonics • Sensory and motor, Primary and association • Multimodal association areas (75%) • Previously denoted by Ms or Sm now by nos
  • 18.
  • 19.
  • 20. Primary motor area Primary sensory areaPremotor area Frontal eye field Motor speech (Broca’s) area Language comprehension (Wernicke’s) area Primary visual area Leg Leg Arm Arm Face Face Pharynx Larynx Important Areas Auditory area
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  • 37.
  • 38. • Collection of nerve fibres: Tracts, Fasciculi, Lemnisci, Peduncles, Commissure etc. • Myelination: Oligodendrocytes in CNS & Schwann cells in PNS • Collection of nerve cell bodies within white matter of CNS: nuclei WHITE MATTER OF CEREBRUM
  • 39. CLASSIFICATION OF NERVE FIBERS • Association Fibres: Connect different cortical areas of the same hemisphere • Commissural Fibres: Connect wide areas of Cx of both hemispheres across midline • Projection Fibres: Connect cerebral cx with subcortical grey matter of BG, Thalamus, Brain stem & Spinal cord
  • 41. LONG ASSOCIATION FIBRES • Uncinate Fasciculus : – Connects Broca’s area with Temp pole & Superior Temp Gyrus – Expression of speech • Cingulam : – Connects various parts of Limbic lobe (Cingulate & Parahippocampal gyri)
  • 42. • Sup Longitudinal Fasciculus : Lateral to Corona radiata – Frontal lobe with visual asso areas & Temporal lobe • Fronto-occipital fasciculus : Medial to C Radiata – Frontal lobe with Occipital & Temp lobes • Inferior Longitudinal Fasciculus : Temp lobe with Areas 18 & 19 of occipital lobe
  • 43. COMMISSURAL FIBRES Types: • Homotopical : Connect identical areas • Heterotopical : Connect non-identical areas Examples : • Corpus callosum • Ant commissure, Post commissure • Hippocampal & Habenular commissures AP
  • 44. CORPUS CALLOSUM • Largest band of commissural fibres which connects wide areas of Neocortex except lower and ant parts of temporal lobe • Well developed in man • 300 million finely myelinated fibres • 10 cms long Location : • Ant end : 4cm behind frontal pole • Post end : 6cm in front of Occipital pole AP
  • 45. CORPUS CALLOSUM PARTS : Splenium, Trunk, Genu, Rostrum • Rostrum - continuous below with Lamina terminalis A P
  • 47.
  • 48. • Rostrum: orbital surfaces of 2 frontal lobes • Forceps minor: fibers of genu – 2 frontal lobes • Tapetum: fibers of trunk and splenium – do not intersect with corona radiata, forms roof and lateral wall of post horn and lateral wall of inferior horn of lateral ventricles. • Forceps major: fibers of splenium – 2 occipital lobes.
  • 49. CORPUS CALLOSUM : TAPETUM TAPETUM Forceps major LAT VENTRICLE : POSTERIOR HORN
  • 50. LAT VENTRICLE : INFERIOR HORN TAPETUM OF CC Stria terminalis (Med) Tail of Caudate Nu INF HORN Collateral eminence
  • 51. CORPUS CALLOSUM Function : • Interhemispheric transfer of information essential for bilateral response & learning process Applied : • congenital absence / surgical divn does not produce any serious neurological deficit Split brain syndrome :
  • 52. COMMISSURAL FIBRES – Cont’d • Ant commissure : – Ant part : Allocortex – Post part : Neocortex • Post commissure : – Connect Sup colliculi, Pretectal nuclei, Nu of post commissure, Interstitial nu etc. – Role in consensual pupillary light reflex • Hippocampal commissure : Connects crura of Fornix • Habenular commissure : Connect habenular Nu (Limbic system)
  • 53. WHITE MATTER : CEREBRUM PROJECTION FIBRES • Connect cerebral cx with subcortical grey matter like BG, Thalamus, Brain stem & Spinal cord. • Cortico-fugal & cortico-petal fibres • E.g. Corona radiata & Int capsule of Neo cortex Fimbriae & Fornix of Allocortex
  • 54. CORONA RADIATA • Fan shaped arrangement of projection fibers from neo- cortex converging to the periphery of Corpus striatum • Continues below as Internal capsule CORONA RADIATA
  • 55. INTERNAL CAPSULE • A compact band of neocortical projection fibres • Main highway for input & output fibres of cerebral cx • Continues above as corona radiata & below as crus cerebri of midbrain • V- shaped in horizontal section with concavity laterally
  • 56. RELATIONS : • Medial : Head of Caudate Nu & Thalamus • Lateral : Lentiform Nucleus Medial Extreme capsule Lateral
  • 57. INTERNAL CAPSULE HORIZANTAL SECTION • Ant Limb • Genu • Post limb • Retrolentiform part • Sublentiform part
  • 58. ARRANGEMENT OF FIBRES : : Cortico-reticular Ant Thalamic radiation Ant Thal Nu –Cingulate Gyrus (Papez Circuit) Fibres of MF Bundle
  • 59. ARRANGEMENT OF FIBRES : GENU • Cortico- nuclear fibres : from areas 4, 6 & 8 to motor nuclei of cranial nerves (contralateral) • Superior Thalamic radiation : Thalamus to pre & post central gyri of cerebral cortex • Corticoreticular
  • 60. ARRANGEMENT OF FIBRES: POSTERIOR LIMB – From Globus pallidus • To Subthalamic nucleus (Fasciculus subthalamicus) • To Thalamus (Fasciculus Lenticularis) – Nigro - striate (Comb bundle) • From Substantia Nigra to Caudate Nu & Putamen – Thalamo-striate : From intralaminar & centromedian Nu to Caudate Nu & Putamen
  • 61. ARRANGEMENT OF FIBRES: SUBLENTIFORM PART • Auditory Radiation – MGB to Anterior Transverse Temp gyrus & Sup temporal gyrus – Perception of hearing • Meyer’s loop of optic radiation – from lower part of peripheral retina to visual Cortex • Temporo - pontine & Parieto – pontine fibres
  • 62. ARRANGEMENT OF FIBRES: RETROLENTIFORM PART - Optic Radiation : LGB to Area 17 - Area 18,19 to Sup Colliculus & Motor Nu of EO Muscles for conjugated movements of eye balls - Parieto & Occipeto - pontine fibres - Post Thalamic Radiation : Pulvinar (thalamus) to Areas 18,19, 39, 40)
  • 63. ARTERIAL SUPPLY OF I C Striate br of MCA Recurrent branch of ACA Striate br of AC A Ant Limb Genu Sublentiform part Post Limb Retrolentiform part Ant cerebral Artery Int Carotid Artery Middle cerbral A Post Cerebral Atery Ant choroidal A By central branches of cerebral arteries - End arteries
  • 64. 70
  • 65. INT CAPSULE : BLOOD SUPPLY ARTERY PART OF IC Striate Br of ACA Rec Br of ACA Striate Br of MCA (Charcot’s artery) Direct Br from ICA Ant Choroidal A P CA Ant Limb Genu Post Limb S L Part RL Part By central branches of cerebral arteries - End arteries
  • 66. APPLIED ANATOMY • Cerebrovascular accident (CVA) affecting int capsule cause extensive clinical effects – Blood supply by end arteries – Dense collection of fibres in IC – Caused commonly by hemorrhage from Charcot’s artery • Hemiplegia : – UMN type paralysis of one half of the body – Commonly caused by CVAs affecting IC
  • 67. Ventricular system • Communicate with each other & with SA Space (thru roof of 4th Ventricle) • Allow free flow of CSF produced by Choroid plexus
  • 68. PART SUB DIVN CAVITY FORE BRAIN Telencephalon Lateral ventricle(s) Diencephalon 3rd Ventricle MID BRAIN Cerebral Aqueduct HIND BRAIN 4th Ventricle SP CORD Central canal
  • 69. LATERAL VENTRICLE • Cavity of Telencephalon • One in each cerebral hemisphere • Roughly ‘C’- shaped • Capacity : 7-10ml PARTS : • Body (Central part) • Anterior (Frontal lobe) • Posterior (Occipital lobe) • Inferior (Temporal lobe)
  • 70. Task • Draw a labeled diagram of –Coronal section through • Ant horn of lat ventricle • Body of lat ventricle • Inf horn of lateral ventricle • Post horn of lat ventricle –Floor of 4th ventricle