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By André Leblanc (auth.)

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Extra resources for Anatomy and Imaging of the Cranial Nerves: A Neuroanatomic Method of Investigation Using Magnetic Resonance Imaging (MRI) and Computed Tomography (CT)

Sample text

POSSIBLE CAUSES - Fracture of optic canal (hematoma), - aneurysm of internal carotid artery m the cavernous SInus, - meningioma of lesser wing of sphenoid, - Crouzon's disease. EXAMINATION - Comparative Imagmg study of optic canal in oblique anteroposterior view, - tomographic study of optic canals and anterior clinoid processes in symmetric oblique and axial views (Fig. 5b), - axial, sagittal and frontal computed tomographic (CT) studies of optic nerves and canals and cavernous sinuses (Fig. 10a, b) TECHNIQUE (OBLIQUE ANTEROPOSTERIOR VIEW) - The subject is in dorsal decubitus, with the head turned to the side opposite to that to be examined by 40° to 45° in relation to the median sagittal plane (Fig.

Substantia nigra + cerebral aqueduct Posterior cerebral and superior cerebellar arteries Oculomotor nerve (III) Posterior communicating artery Trigeminal ganglion (V) - - - Cerebral peduncle Facial +vestibulocochlear nerves (VII-VIII) Cerebral aqueduct Oculomotor nerve (III) 41 Interpeduncular cistern Interpeduncular cisternography FRONTAL VIEW Fig. 6a, b. Cisternography (a) and diagram (b) to show apparcnt origin of oculomotor nerve (III) T Lateral ventricle - - - - -__ Third ventricle Thalamus - - - - - - - - - -I--L-= Cerebral peduncle -------I(:----"~ Oculomotor nerve (III) - - - - Interpeduncular cistern Dorsum sellae - - - - - - / Sphenoidal sinus - - - - - .

10b, c. "Oblique sagittal" computed tomographic (CT) sections of right optic nerve, chiasm and left optic tract (anatomic specimen) 30 Optic nerve (II) Optic pathways Magnetic resonance imaging (MRI) AXIAL VIEWS Fig. 11 a-c. Magnetic resonance imaging: sections at level of cerebral hemispheres passing through the frontal and occipital poles to show the central gray nuclei and the optic pathways Anterior horn of lateral ventricle Frontal pole Head of caudate nucleus Septum pellucidum Column Of forn ix Anterior crus of internal capsule Pu tamen Insula Claustrum Genu of internal capsu le Posterior crus of internal capsu le Lateral sulcus Thalamus Third ventricle Tail of caudate nucleus La teral ventricle Calcarine sulcus Parieto-occipital sulcus Longitudinal cerebral fissure Levator palpebrae superioris muscle (III) Gyrus rectus Medial orbita l gyrus Infundibulum Anterior perforate substance (I) Hippocampal uncus Posterior perforate substance Para hippocampal gyrus Cerebral peduncle Cerebral aqueduc t Optic radiations Epiphysis Calcarine sulcus (II) Crista galli Superior oblique muscle (IV) Gyrus rectus Ophthalmic artery Lateral rectus muscle Hypophyseal Optic nerve (II) pedunc~ Optic chiasm (II) Optic tract (II) Hippocampal uncus - .

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