Arterial vascularization of primary motor cortex (precentral gyrus)

Hasan Caglar Ugur, Gokmen Kahilogullari, Ernesto Coscarella, Agahan Unlu, Ibrahim Tekdemir, Jacques Morcos, Alaittin Elhan, Mustafa K. Baskaya

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: The precentral gyrus (PG) is the primary motor area and is one of the most eloquent brain regions of neurosurgical interest. Although the arterial supply to the PG is generally known, contributions from different arterial branches such as the anterior cerebral artery (ACA), posterior cerebral artery (PCA), and middle cerebral artery (MCA) have not been comprehensively studied. The aim of the present study was to provide detailed information about the arteries of the PG. Methods: Twenty adult human brains (40 hemispheres) were obtained, and ACA, MCA, and PCA were separately cannulated and injected with latex. The PG was identified. Results: The ACA supplied the medial one third and the MCA supplied the lateral two thirds of the PG. The PCA did not reach the PG in any of the hemispheres. In 16 hemispheres (40%), the callosomarginal artery and, in 13 hemispheres (32.5%), the pericallosal artery were dominant for the medial one third of the PG. In 11 hemispheres (27.5%), equal dominance was observed. MCA branches at the lateral tip of the PG were classified into precentral, central, and postcentral groups. In 29 hemispheres (72.5%), the central group, and in 4 hemispheres (10%), the precentral group were dominant for the lateral two thirds of the PG. In 7 hemispheres (17.5%), the precentral and central groups were equally dominant. No dominance was identified for the postcentral group. Conclusion: In each hemisphere, the PG was supplied by different vascularization patterns of ACA and MCA. The present study is the first to describe and discuss these details. Therefore, awareness of this pattern will provide a great contribution to surgical interventions.

Original languageEnglish
JournalSurgical Neurology
Volume64
Issue numberSUPPL. 2
DOIs
StatePublished - Nov 1 2005

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Motor Cortex
Frontal Lobe
Middle Cerebral Artery
Anterior Cerebral Artery
Posterior Cerebral Artery
Arteries
Latex
Brain

Keywords

  • Cadaveric study
  • Precentral gyrus
  • Primary motor cortex
  • Vascular anatomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Ugur, H. C., Kahilogullari, G., Coscarella, E., Unlu, A., Tekdemir, I., Morcos, J., ... Baskaya, M. K. (2005). Arterial vascularization of primary motor cortex (precentral gyrus). Surgical Neurology, 64(SUPPL. 2). https://doi.org/10.1016/j.surneu.2005.07.049

Arterial vascularization of primary motor cortex (precentral gyrus). / Ugur, Hasan Caglar; Kahilogullari, Gokmen; Coscarella, Ernesto; Unlu, Agahan; Tekdemir, Ibrahim; Morcos, Jacques; Elhan, Alaittin; Baskaya, Mustafa K.

In: Surgical Neurology, Vol. 64, No. SUPPL. 2, 01.11.2005.

Research output: Contribution to journalArticle

Ugur, HC, Kahilogullari, G, Coscarella, E, Unlu, A, Tekdemir, I, Morcos, J, Elhan, A & Baskaya, MK 2005, 'Arterial vascularization of primary motor cortex (precentral gyrus)', Surgical Neurology, vol. 64, no. SUPPL. 2. https://doi.org/10.1016/j.surneu.2005.07.049
Ugur HC, Kahilogullari G, Coscarella E, Unlu A, Tekdemir I, Morcos J et al. Arterial vascularization of primary motor cortex (precentral gyrus). Surgical Neurology. 2005 Nov 1;64(SUPPL. 2). https://doi.org/10.1016/j.surneu.2005.07.049
Ugur, Hasan Caglar ; Kahilogullari, Gokmen ; Coscarella, Ernesto ; Unlu, Agahan ; Tekdemir, Ibrahim ; Morcos, Jacques ; Elhan, Alaittin ; Baskaya, Mustafa K. / Arterial vascularization of primary motor cortex (precentral gyrus). In: Surgical Neurology. 2005 ; Vol. 64, No. SUPPL. 2.
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abstract = "Background: The precentral gyrus (PG) is the primary motor area and is one of the most eloquent brain regions of neurosurgical interest. Although the arterial supply to the PG is generally known, contributions from different arterial branches such as the anterior cerebral artery (ACA), posterior cerebral artery (PCA), and middle cerebral artery (MCA) have not been comprehensively studied. The aim of the present study was to provide detailed information about the arteries of the PG. Methods: Twenty adult human brains (40 hemispheres) were obtained, and ACA, MCA, and PCA were separately cannulated and injected with latex. The PG was identified. Results: The ACA supplied the medial one third and the MCA supplied the lateral two thirds of the PG. The PCA did not reach the PG in any of the hemispheres. In 16 hemispheres (40{\%}), the callosomarginal artery and, in 13 hemispheres (32.5{\%}), the pericallosal artery were dominant for the medial one third of the PG. In 11 hemispheres (27.5{\%}), equal dominance was observed. MCA branches at the lateral tip of the PG were classified into precentral, central, and postcentral groups. In 29 hemispheres (72.5{\%}), the central group, and in 4 hemispheres (10{\%}), the precentral group were dominant for the lateral two thirds of the PG. In 7 hemispheres (17.5{\%}), the precentral and central groups were equally dominant. No dominance was identified for the postcentral group. Conclusion: In each hemisphere, the PG was supplied by different vascularization patterns of ACA and MCA. The present study is the first to describe and discuss these details. Therefore, awareness of this pattern will provide a great contribution to surgical interventions.",
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AU - Ugur, Hasan Caglar

AU - Kahilogullari, Gokmen

AU - Coscarella, Ernesto

AU - Unlu, Agahan

AU - Tekdemir, Ibrahim

AU - Morcos, Jacques

AU - Elhan, Alaittin

AU - Baskaya, Mustafa K.

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N2 - Background: The precentral gyrus (PG) is the primary motor area and is one of the most eloquent brain regions of neurosurgical interest. Although the arterial supply to the PG is generally known, contributions from different arterial branches such as the anterior cerebral artery (ACA), posterior cerebral artery (PCA), and middle cerebral artery (MCA) have not been comprehensively studied. The aim of the present study was to provide detailed information about the arteries of the PG. Methods: Twenty adult human brains (40 hemispheres) were obtained, and ACA, MCA, and PCA were separately cannulated and injected with latex. The PG was identified. Results: The ACA supplied the medial one third and the MCA supplied the lateral two thirds of the PG. The PCA did not reach the PG in any of the hemispheres. In 16 hemispheres (40%), the callosomarginal artery and, in 13 hemispheres (32.5%), the pericallosal artery were dominant for the medial one third of the PG. In 11 hemispheres (27.5%), equal dominance was observed. MCA branches at the lateral tip of the PG were classified into precentral, central, and postcentral groups. In 29 hemispheres (72.5%), the central group, and in 4 hemispheres (10%), the precentral group were dominant for the lateral two thirds of the PG. In 7 hemispheres (17.5%), the precentral and central groups were equally dominant. No dominance was identified for the postcentral group. Conclusion: In each hemisphere, the PG was supplied by different vascularization patterns of ACA and MCA. The present study is the first to describe and discuss these details. Therefore, awareness of this pattern will provide a great contribution to surgical interventions.

AB - Background: The precentral gyrus (PG) is the primary motor area and is one of the most eloquent brain regions of neurosurgical interest. Although the arterial supply to the PG is generally known, contributions from different arterial branches such as the anterior cerebral artery (ACA), posterior cerebral artery (PCA), and middle cerebral artery (MCA) have not been comprehensively studied. The aim of the present study was to provide detailed information about the arteries of the PG. Methods: Twenty adult human brains (40 hemispheres) were obtained, and ACA, MCA, and PCA were separately cannulated and injected with latex. The PG was identified. Results: The ACA supplied the medial one third and the MCA supplied the lateral two thirds of the PG. The PCA did not reach the PG in any of the hemispheres. In 16 hemispheres (40%), the callosomarginal artery and, in 13 hemispheres (32.5%), the pericallosal artery were dominant for the medial one third of the PG. In 11 hemispheres (27.5%), equal dominance was observed. MCA branches at the lateral tip of the PG were classified into precentral, central, and postcentral groups. In 29 hemispheres (72.5%), the central group, and in 4 hemispheres (10%), the precentral group were dominant for the lateral two thirds of the PG. In 7 hemispheres (17.5%), the precentral and central groups were equally dominant. No dominance was identified for the postcentral group. Conclusion: In each hemisphere, the PG was supplied by different vascularization patterns of ACA and MCA. The present study is the first to describe and discuss these details. Therefore, awareness of this pattern will provide a great contribution to surgical interventions.

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KW - Vascular anatomy

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