CEREBRAL HEMISPHERES
Outer gray matter : the cerebral cortex.
inner white matter : centrum semiovale.
Divided into lobes by four important sulci:
Lateral (Sylvain fissure)
Central (Rolandic fissure)
Parieto - occipital and
Calcarine sulcus.
CORPUS CALLOSUM: Thick band of white matter
connecting two hemispheres.
BASAL GANGLIA : central gray matter of telencephalon
consisting of lentiform nucleus, caudate nucleus,
claustrum & amygdala.
INTERNAL CAPSULE: Thick white matter band lying
between caudate nucleus, thalamus & lentiform nucleus.
MIDBRAIN
(MESENCEPHALON)
Smaller dorsal part - TECTUM
Larger ventral part - CEREBRAL PEDUNCLES
Interpeduncular fossa/cistern separate two
peduncles
Each cerebral peduncle -
CRUS & TEGMENTUM OF MIDBRAIN
HINDBRAIN
PONS & MEDULLA OBLONGATA anteriorly
CEREBELLUM posteriorly
The fourth ventricle is present between the pons-medulla &
cerebellum
CSF SPACES
LATERAL VENTRICLES (telencephalon)
Foramina of monro
THIRD VENTRICLE (diencephalon)
Aqueduct of sylvius(MB)
FOURTH VENTRICLE (hindbrain)
Foramina of luschca & magendie
FINALLY INTO THE SUBARACNOID SPACE
. Maxillary
Sinus
. Nasopharynx
Post Contrast sagittal T1 Weighted
M.R.I.
Section at the level of Foramen
. Cervical Cord Magnum
Cisterna Magna
. Mandible
Post Contrast Axial MR Image of the brain
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of medulla
Sigmoid Sinus
Medulla
Fig. 1.2 Post Contrast Axial MR Image of the brain
Cavernous Sinus
ICA
Basilar Artery
Post Contrast sagittal T1 Wtd
Pons M.R.I.
TMP
lobe IV Ventricle Section at the level of Pons
IAC MCP Vermis
Cerebellar
Hemisphere
Orbits
midbrain
Aqueduct of Sylvius
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of Mid Brain
Middle Cerebral Artery Posterior Cerebral Artery
Post Contrast Axial MR Image of the brain
Sylvian Fissure
Frontal lobe
III Ventricle Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of the
III Ventricle
Occipital Lobe
Temporal Lobe
Fig. 1.5 Post Contrast Axial MR Image of the brain
fontal
Lobe
Frontal Horn
caudate Nucleus
. Putamen
. Internal Cerebral Vein
Internal Capsule
Choroid Plexus within the Post Contrast
sagittal T1 Wtd
occipital horn M.R.I.
Section at the level of Thalamus
Occipital Lobe
Temp Lobe
Thalamus Superior Sagittal Sinus
Fig. 1.6 Post Contrast Axial MR Image of the brain
Genu of corpus callosum
Choroid plexus within the
body of lateral ventricle
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of Corpus
Callosum
Splenium of corpus callosum
Frontal Lobe
Body of the Corpus Callosum
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of Body of
Corpus Callosum
Parietal Lobe
Post Contrast Axial MR Image of the brain
Frontal Lobe
Post Contrast sagittal T1 Wtd
M.R.I.
Section above the Corpus Callosum
Parietal Lobe
Post Contrast Axial MR Image of the brain
Scalp fat Internal cerebral vein
Superior sagittal sinus
. Bone
Inferior sagittal sinus Parietal lobe
Corpus callosum
Vein of Galen
Occipital lobe
Mass intermedia
of thalamus
Straight sinus
. Vermis
. IV ventricle
Cerebellar tonsil
Coronal section
Falx cerebri
Lat ventricle
Tentorium
4 th ventricle
Choroid plexus within
lateral ventricle
Posterior frontal lobe
Cerebellar . Posterior temporal
hemisphere lobe
Tentorium
Superior vermis
Cerebellar tonsil
Coronal Section of the Brain at the level of IV Ventricle
Post Contrast Coronal T1 Weighted MRI
Frontal lobe
Corpus callosum
Frontal horn
III
Caudate nucleus
Pituitary gland
Optic nerve
sp Pituitary stalk
Internal carotid artery
np
Cavernous sinus
Coronal Section of the Brain at the level of Pituitary gland
Post Contrast Coronal T1 Weighted MRI
Glios are rapid growing and cause death by brain compression. They do not usually metastasize, but occasionally can following debulking surgery.
Some believe cranium too small for brain, Others believe the foramen magnum is malformed. Symptoms of headache, ataxia and nystagmus with progressive pressure on brain stem
Bi-temporal distribution is typical. Thought to occur by re-activation of herpes virus much like “cold sores” except through different nerve distribution