Turkish Neurosurgery
Computed Tomographic Localization of the Central Sulcus: A Morphometric Study in Adult Patients
Dan Zimelewicz Oberman1, Jorge Rasmussen2, Maximiliano Toscano2, Ezequiel Goldschmidt3, Pablo Ajler2
1Instituto Universitario del Hospital Italiano, Buenos Aires,
2Hospital Italiano, Department of Neurosurgery, Buenos Aires,
3University of Pittsburgh Medical Center, Department of Neurosurgery, Pennsylvania,
DOI: 10.5137/1019-5149.JTN.21145-17.1

Aim: Despite advances in intraoperative navigation and electrocorticography, neuroanatomical knowledge is an essential tool for neurosurgical planning. The aim of this study was to accurately describe the relations between the anatomical landmarks of the cranial convexity and the main cortical structures. Material and Methods: A retrospective cross-sectional, observational study was performed. Computed tomography scans of 71 adult patients with no pathological imaging were analyzed. The position of the bregma and the central sulcus was determined. The distances from bregma to the pre-central and post-central sulci were calculated. The relationships from the nasion and glabella to cortical structures were also assessed. Results: The mean distances between the bregma and the precentral, central and postcentral sulci were 26.8 ± 7.2; 47.8 ± 5.9 and 60.6 ± 5.7 mm, respectively, without gender discrepancy. The mean distance nasion-bregma and the nasion-related measures showed significant differences among sexes. Conclusion: The central sulcus was located accurately, on average 47.8 mm behind the bregma, which should be used instead of nasion in order to avoid gender discrepancy. The data obtained provide useful and reliable information to guide neurosurgical procedures.

Corresponding author : Dan Zimelewicz Oberman