Axial View Forebrain

Forebrain

Transverse View

Concepts

Ashley Davidoff MD

The Common Vein

Copyright 2010

The Parts, The Gray Matter and the White Matter

The forebrain is divided into the frontal, parietal and occipital lobes based on fissural anatomy and functional anatomy.  Within the lobes there is a microcosm of structures that and fibres that cross these boundaries.  Conceptually we approach this much like a map of the world defining continents and countries by artificial borders but the ebb and flow of activity between continents is one continuous integrated structure

We start with the basic structure of the brain map – frontal lobes, parietal lobes, occipital lobes and temporal lobes

Frontal Lobe Parietal Lobe and Occipital Lobe

Central Sulcus and PArito-occipital Sulcus

The diagram reflects the interhemispheric fissure as depicted in the axial plane dividing the brain into two halves. The bright green line represents the central sulcus which separates the the frontal lobes (green) from the parietal lobes (light purple. The parito-occipital fissure (pink) separates the parietal lobes from the occipital lobes. By convention anterior is on the top and posterior on the bottom, while the patients right is to our left and vice versa for the patients left brain

Copyright 2010 Courtesy Ash;ley Davidoff MD 93914.85sb

Level of the Occipital and Temporal Lobes

At a lower level the parietooccipital fissure (pink) defines the anterior edge of the occipital lobe posteriorly (purple). The Sylvian fissure (bright red lines) defines the temporal lobes (light red)

Copyright 2010 all rights reserved 93914.36k.81s

 The stricuture that cross the borders without the knowledge of the borders defined above take on the abstracted shape of inverted C’s around the midline as conceptualised by the diagram below.

Backward C’s of the Forebrain Structures

The initial approach to the axial images as we proceed deeper into the brain, and particulalrly the forebrain in this instance, is a series of back to front bilateral c’s, the shape of which is set by the lateral ventricles

Davidoff art Courtesy Ashley Davidoff MD copyright 2010 93914.3ka09.8s

 

The Most Medial Layer – The Ventricles

At this level through the large portion of the ventriclesthe bilateral backward “C’s are composed of the ventricles themselves.

Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 94079cd01.8s

Paraventricular Structures

The layer after the ventricles are supraventricular and paraventricular structures. The paraventricular structures in general conform to the axis of the lateral ventricles superiorly, and are color coded in orange

Davidoff Art Courtesy Ashley Davidoff MD Copyright 2010 all rights reserved  93914.3ka04b01.8s

The Basal Ganglia

The basal ganglia in the forebrain in the axial projection are seen as a continuous inverted C as well. In this diagram their relationship to the ventricles distributed in paraventricular fashion is exemplified. In the conceptual diagrams we have colored the inverted “C” that abuts the ventricular system orange, and this includes the putamen, globus pallidus, head of the caudate nucleus, tail of the caudate nucleus and the amygdala. The amygdala appears to be part of the limbic system and the basal ganglia.

Courtesy Ashley Davidoff MD Copyright 2010 All rights reserved 93914.3ka04b01e05.8s

The Thalami

More posteriorly but remaining in the paraventricular plane is the larger thalamus

Davidoff art Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 93914.3ka04b01b02.8s

 

The Orange Layer

Caudate Nuclii  and Thalami

The axial T2 weighted MRI is taken through the level of the ventricles. The next outward layer is an orange layer and at this level it represents the caudate nuclii anteriorly and the thalami posteriorly

Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 94079cd05.8s

 

The White Matter LAyer

The Internal Capsule

The axial T2 weighted MRI is taken through the level of the ventricles. The next outward layer is a white matter layer and at this level it represents the internal capsule

Courtesy Ashley Davidoff MD copyright 2010 all rights reserved 94079cd06b01.81s

 

Adding the Putamen

The axial T2 weighted MRI is taken through the level of the ventricles. It demonstrates the midline ventricuar system, the and the orange ring of paraventricuar basal gaglia including tye caudate nuclii (most anterior and medial) the and the putaen. It also demonstrates putamen which is a pink slmomn in color lying lateral to the white matter. The thalami ar noted posteriorly. The body of the corpus callosum is above this level. The most anterior portion of the corpus callosum and most posterior portion are seen at this lower level of the ventricles

Courtesy Ashley Davidoff MD copyright 2010 all rights reserved  94079cd07b.81sh

Gray Matter on the Outside

On the periphery of the brain is the gray matter, which is where thethe highest functions of the brain originate.

Davidoff art Courtesy Ashley Davidoff copyright 2010 all rights reserved 93914.3ka12.8s

Add the White Matter

The White matter is the transport system between the gray matter and all parts of the brain and sppinal cord and eventaully as nerves to the end organs, often via complex pathways

Davidoff art Courtesy Ashley Davidoff copyright 2010 all rights reserved 93914.3ka13.8s