ANGIOGRAPHY OF THE HUMAN BRAIN CORTEX : atlas of vascular patterns and stereotactic cortical ... localization

Considering the numerous works dealing with the angiography of the human brain, the book presented by SZIKLA et al. might seem to some to be devoted to superfluous precision, especially as it is inspired by "stereotactic" thinking. The large arterial trunks and their branches were described by anatomists for a long time, then were restudied by neuroradiologists for recognition in a more and more detailed manner on arteriograms. However, until now no encompassing work has been done to specify precisely the relationship of the blood vessels to that large and important organ, the human brain cortex, thereby permitting the recognition of the sulci and gyri as a function of the successive curves imposed on the various vessels by the deep infoldings of the cortex. Insofar as the radiologic evaluation of the cerebral cortex is concerned, fractional pneumoencephalography allows the injection of a number of sulci and fissures via the subarachnoid spaces. It should be pointed out, however, that sufficiently complete and interpretable images are obtained only under favorable circumstances (successful technique, cerebral atrophy, absence of cerebral edema, absence of arachnoid symphysis, etc.). In addition a large number of sulci cannot be made visible by pneumography for strictly anatomic reasons such as the level of their opening into cisternal spaces Front Matter....Pages I-XII Introduction....Pages 1-13 Stereotactic Neuroanatomy and Neuroradiology: Tools for Precise Three-dimensional Reconstruction of Cerebral Anatomy in vivo....Pages 15-26 The Basic Surface Pattern of the Human Brain Cortex, Seen in Orthogonal Projections....Pages 27-55 Stereotactic Dissection of an Injected Brain-Skull Preparation: Cortical Branches of the Middle Cerebral Artery in Specimen I-L....Pages 57-79 Front Matter....Pages 81-81 Introductory Remarks....Pages 82-85 Anatomic and Angiographic Aspects of the Anterior Interhemispheric Surface and the Frontal Convexity....Pages 86-99 The Sylvian Fissure....Pages 100-125 The Central Region (Precentral, Central, and Postcentral Sulci, the Central Region as a Whole)....Pages 126-161 The Temporo-parieto-occipital Convexity....Pages 162-172 The Cortical Territory of the Posterior Cerebral Artery: Sulci of the Inferomedial Temporo-occipital Region....Pages 174-199 Front Matter....Pages 201-201 Technique of Stereoscopic-stereotactic Angiography (Plates V-1-V-3, pp. 205–207)....Pages 202-202 Normal Depth Patterns: Recognition of Intrasulcal Vascular Laminae (Plates V-4-V-21, pp. 208–225)....Pages 202-203 Pathologic Depth Patterns: Distortion of the Sulcal Vascular Pattern by Space-occupying and Atrophic Lesions (Plates V-22 -V-31, pp. 226 – 235)....Pages 203-203 Anatomic Interpretation of Routine (Nonstereotactic) Angiograms (Plate V-32, p. 236)....Pages 204-204 Bicommissural Orientation and Routine Angiography (Plate V-33, pp. 237–238)....Pages 204-238 Front Matter....Pages 239-239 Equipment and Methods....Pages 241-242 Analysis of the Oriented Sections: Spatial Organization of the Deep Vascular Laminae....Pages 242-259 Back Matter....Pages 261-276