This document provides an overview of the anatomy of the central nervous system (CNS). It describes in detail the structures of the skull, meninges, dural sinuses, cerebrospinal fluid circulation, parts of the brain including the cerebrum, cerebral hemispheres, lobes, sulci and gyri, brainstem, cerebellum, limbic system, and suprasellar region. The document focuses on the anatomical structures and their locations within the CNS.
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Normal & abnormal radiology of brain part i
1. Normal and Abnormal
Radiology of CNS (Part I)
Mohammed Fathy Bayomy, MSc, MD
Lecturer
Clinical Oncology & Nuclear Medicine
Faculty of Medicine
Zagazig University
55. Borders
Each cerebral hemisphere
has three border
I. Superomedial border.
II. Inferomedial border.
III.Inferolateral border.
Cerebral Hemispheres
Cerebrum
56. Surfaces
Each cerebral hemisphere
has three surfaces
I. Superolateral surface
II. Medial surface
III.Inferior surface.
Cerebral Hemispheres
Cerebrum
57. Superolateral surface
It follows the concavity of the cranial vault
Medial surface
It is flat and vertical and separated from its fellow by the great
longitudinal fissure and falx cerebri.
Inferior surface
Inferior surface or the basal surface is irregular and divided
into orbital and tentorial surface.
Cerebral Hemispheres
Cerebrum
60. Occipital pole
Frontal pole
Temporal pole
Poles
Each cerebral hemisphere
has three poles
I. Frontal pole.
II. Occipital pole.
III.Temporal pole
Cerebral Hemispheres
Cerebrum
61. Lobes
Each cerebral hemisphere has
six lobes
1) Frontal lobe.
2) Parietal lobe.
3) Occipital lobe.
4) Temporal lobe.
5) Insular lobe.
6) Limbic lobe.
Cerebral Hemispheres
Cerebrum
65. Sulci and Gyri
• Each cerebral hemisphere shows a
complex pattern of convulation called
Gyrus.
• The gyruses are separated by furrows of
varying length called Sulci.
• The convulated structure increases the
cortical volume to three times what it
would be if the surface is smooth.
• The area of the cerebral cortex is 2200cm²
Cerebral Hemispheres
Cerebrum
68. (I) Lateral (Sylvian) sulcus
• Deep cleft on lateral &
inferior surface
• It has a stem which
divides into three rami:
anterior, ascending,
posterior.
• The floor of the posterior
ramus is insula which is
hidden cortex.
Cerebral Hemispheres
Cerebrum
69. (II) Central sulcus
• It is the boundary between frontal and parietal lobes
• It starts at the superomedial border, a little behind the
midpoint between frontal and occipital poles. It runs
downwards and forwards for about 8-10cm to end little
above the posterior ramus of lateral sulcus.
• It demarcates the motor and sensory area of the cerebral
cortex.
Cerebral Hemispheres
Cerebrum
74. Medial surface
In the medial surface
The commissural fibres of
the corpus callosum lies
in the depth of
longitudinal fissure
Parts of corpus callosum
oRostrum
oGenu
oTrunk or body
oSplenium
The anterior part divided
into outer and inner zone
by cingulate sulcus
Cerebral Hemispheres
Cerebrum
76. Sulcus and Gyrus
The posterior region of the medial surface is traversed by
parieto-occipital and calcarine sulcus. The parieto-
occipital sulcus marks the boundary between parietal and
occipital lobes.
The visual cortex lies above and below the calcarine
sulcus.
In the inferior cerebral surface
Olfactory sulcus
Rhinal sulcus
Occipitotemporal sulcus
Collateral sulcus
Cerebral Hemispheres
Cerebrum
81. -Present within the lateral sulcus
Between temporal and frontal
Lobe.
-The overlying cortical areas are
called opercula formed from the
parts of frontal,temporal and
parietal lobe
-Functions linked to emotion and
body’s homeostasis
-i.e perception,motor control,self
awarness,congnitive functioning
interpersonal experience
Insula
Cerebral Hemispheres
Cerebrum
82. White matter of cerebrum
Consists of myelinated nerve
fibres which are categorized on
the basis of their course and
connections
A. Association fibres
• It links different cortical areas of
the same hemisphere
• Two types
i. Short association fibres
They are entirely intracotical
Some merely pass from one wall
of the sulcus to other.
ii. Long association fibres
They are present in bundles
Example: uncinate
fasciculus,cingulum,superior
longitudinal fasciculus,etc
Cerebral Hemispheres
Cerebrum
83. Commissural(transverse)
fibres
Commissural fibres cross the
midline, linking
corresponding areas in the
two cerebral hemisphere.
The largest commissure is
the corpus callosum.
Other commissures are
oAnterior
oPosterior
oHabenular
oCommissure of fornix.
White matter of cerebrum
Cerebral Hemispheres
Cerebrum
84. Projection fibres
Projection fibres connect
cerebral cortex with lower
levels in the brain and
spinal cord.
Consists of both
coticofugal and
corticopetal fibres
Corticofugal fibres
converge from all
directions to form corona
radiata.
Corona radiata continous
with the internal capsule.
White matter of cerebrum
Cerebral Hemispheres
Cerebrum