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Sectional Anatomy of
       Brain


                Vipin kumar
                Msc medical imaging
APPROACH TO STUDY OF
   BRAIN ANATOMY


SKULL VAULT, BASE & SUTURES.
MENINGES.
BRAIN PARENCHYMA.
CSF SPACES & CISTERN
SKULL VAULT
MENINGES
 DURAMATER :


 ARACHNOID MATER


 PIAMATER


 outer periosteal layer & inner meningeal layer
MENINGEAL FOLDS
 DURAL REFLECTIONS

                        DURAL VENOUS SINUSES
 FALX CEREBRI
                          B/W TWO DURAMATERS



 TENTORIUM CEREBELLI


FALX CEREBELLI


DIAPHRAGMATIC SELLA
BRAIN
 FOREBRAIN (PROSENCEPHALON)
     Telencephalon – Cerebral hemispheres.
     Diencephalon - Epithalamus,
                   Thalamus,
                    Hypothalamus and
                   Sub thalamus.
 MIDBRAIN ( MESENCEPHALON )
 HINDBRAIN ( RHOMBENCEPHALON)
    Metencephalon – pons and cerebellum.
    Myelencephalon – medulla.
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.
LOBES OF BRAIN
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.
Trunk/body
Genu of cc                    splenium




       rostrum
MIDBRAIN
     (MESENCEPHALON)
Smaller dorsal part - TECTUM


Larger ventral part - CEREBRAL PEDUNCLES


Interpeduncular fossa/cistern separate two
peduncles


Each cerebral peduncle -
    CRUS & TEGMENTUM OF MIDBRAIN
Mid brain
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
SUBARACHNOID CISTERNS
VENTRAL (median & paramedian)
Perimedullary
Prepontine
Suprasellar
Cp angle
DORSAL (median & paramedian)
Cisterna magna
Ambient Cistern
Supracerebellar
Quadrigeminal
Interhemispheric
. 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
Corpous collusm                pons


                              4 th ventricle

                              medulla


                  Brainstem
Splenium of CC
Tegmentum of Midbrain
                        Tectal Plate of Midbrain


                              4th Ventricle
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
Frontal Sinus




                         Clivus




                Tongue
Superior Saggital Sinus

T2 Cornoal
MRI




                                           Sylvian Fissure




       Hippocampus                            Temporal Lobe
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
PATHOLOGIS
whole R. hemispherical infarct
bleed into brain stem
Old stroke
New stroke in T2 flair
DWI showing stroke
accumulated blood




                               mpgr
T2 flair
Cerebral abscesses from endocarditis
Glioblastoma Multiforme
Giant meningioma
Chiari malformation
Herpes encephalitis
Hydrocephalus
giant unruptured MCA aneurysm
T2 Axial MRI   with Developmental Delay
                     and Epilepsy
MRI SECTIONAL ANATOMY OF BRAIN
MRI SECTIONAL ANATOMY OF BRAIN