Türk Nöroşirürji Dergisi
2023 , Vol 33 , Num 3
Demonstration of Corona Radiata by Fiber Dissection Technique
1Sağlık Bilimleri Üniversitesi, Tepecik Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İzmir, Türkiye
The white matter structures of the brain consists of 3 main fiber types. These are; asociation fibers connecting different regions
of the same cerebral hemisphere, commissural fibers connecting the two hemispheres along the midline, and projection fibers
connecting the cortex and the caudal parts of the brain and the spinal cord by moving up and down along the neuroaxis. The
corona radiata fibers are the terminal part of the projection fibers located at the superior part of the frontal and parietal lobes that
reach the cortex. The external and internal capsule fibers combine to form the corona radiata, which moves towards the frontal
and parietal lobes at the level of the upper border of the putamen, and form the centrum semiovale with the callosal fibers. White
matter dissection of the cerebrum from lateral to medial starts with the decortication process. After the removal of the cortex in the
frontoparietal region, the short asociation fibers (U fibers) are removed. When the U fibers are removed, the superior longitudinal
fasciculus II (SLF II) fibers, which have the appearance of a thick mass extending longitudinally in the frontoparietal region, are seen.
By showing the external and internal capsule fibers, which are the continuation of the corona radiata inferiorly, the three-dimensional
anatomical structure of the corona radiata is revealed more clearly. Lentiform nuclei are removed to visualize the internal capsule,
which constitutes the majority of the corona radiata. When the internal capsule fibers are followed superiorly, the radial view of the
corona radiata fibers is clearly revealed.
Anahtar Kelimeler :
White matter pathways, Corona radiata, Fiber dissection