ABSTRACT
Background:liver is a soft, friable and largest gland in the body, occupying the upper part of the abdominal cavity just beneath the right diaphragm. The greater part of it is situated under cover of the ribs, extending to the left to reach the left diaphragm. Objective: to determine gross anatomical variations of liver and their clinical and surgical implications. To study variations in lobes, fissures and accessory lobes were observed. Material And Methods:a total of 50 formalin-fixed adult human livers, irrespective of the sex, were studied over a period of three years from Dr M K shah medical college. These livers were specifically observed for any variant or anomalous surface morphology. Result:out of 50 specimens, 16 were considered normal without any ac-accessory fissures, lobes, or presence of a pones hepatis. 34 livers had one or more morphological variations.14 liver has accessory fissure, 10 liver are present with riedel’s lobe present in liver, 10 liver are present with pons hepatic. Conclusion:liver being the largest abdominal organ, the knowledge of its normal and variant morphology is essential for the clinicians. In general, accessory hepatic fissures/sulci are potential sources of diagnostic errors during imaging. On ultrasound or computerized tomography, any collection of fluid in these fissures may be mistaken for a liver cyst, intrahepatic hematoma, or liver abscess, which would require further radiologic workup.
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Introduction: The sulci of the human brain are specifically the result of an evolutionary infolding process. Theseare the anatomical structures which border and divide the adjacent gyri. Knowledge of pattern of sulci and theirsulcul and intersulcal length is important for diagnosis of neurological, functional and cognitive disorders.Aim: The aim of the study is to present the significance of morphological and morphometric measurements ofsulci of superolateral surface of frontal lobe and their comparison between right and left cerebral hemispheres.Materials and methods: The study comprised of 50 formalin fixed cerebral hemispheres 25 right and 25 left, ofhuman cadaver of unknown sex which were obtained from the Department of Anatomy, Government MedicalCollege, Amritsar. . All the parameters were taken by using standard digital vernier calliper and calibrated scale.Result and conclusion: All the sulci of superolateral surface of frontal lobe were found to be present in all thespecimens of right and left cerebral hemispheres except AHR which was absent in 4%(2) specimens of the rightside. The mean length of CS and PreCS was found to be more in right hemispheres where as mean depth of bothsulci was more in left hemispheres. Mean length and depth of lateral sulcus was more in left side as comparedto right. Mean length of SFS and IFS was greater in right hemispheres whereas the mean depth of both the sulciwas found to be similar in both sides. Hence the differences in sulcul length and depth indicate that the twocerebral hemispheres differ structurally and it can be speculated that some morphological asymmetries couldbe related to other functional hemispheric specialization
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Objective To evaluate the development of cerebral sulci and gyrus in fetuses with conotruncal defect(CTD) at the second and third trimester by ultrasound,and to improve clinician′s understanding of the cerebral cortical development in fetuses with CTD.Methods The study was conducted at Shenzhen Maternity and Child Healthcare Hospital Affiliated to Southern Medicial University from December 2015 to January 2017,enrolled 180 women with single fetus,among whom 60 fetuses with CTD and gestational age between 20 weeks to 33+6 weeks were diagnosed by echocardiographic examination.CTD included persistent truncus arteriosous,tetralogy of fallot,transpofition of the great arteries and double outlet of right ventricle.Evaluation indexes of cerebral sulci and gyrus included depth and angle of parietooccipital sulcus,width and depth of sylvian fissure,uncovered width of insular,uncovered insular ratio,depth of calcarine sulcus,head circumference;evaluation indexes of hemodynamics included umbilical artery resistance index,umbilical artery pulsation index,middle cerebral artery resistance index,middle cerebral artery pulsation index,the cerebral-to-placental resistance ratio and the cerebroplacental pulsation ratio.Above indexes were measured for statistical analysis.Results At the whole gestational age in the study,depth of parietooccipital sulcus and width of sylvian fissure in CTD fetuses were smaller than those in the control group,uncovered insular ratio was larger than that in the normal group(P<0.05);middle cerebral artery resistance index,middle cerebral artery pulsation index and the cerebroplacental pulsation ratio in CTD fetuses were lower than those of the control group (P<0.05).Conclusions The change of hemodynamics in fetuses with CTD may be one of the reasons that fetuses with CTD have cerebral cortical hypoevolutism.
ABSTRACT
Background: Recent clinical advancements, including brain imaging or target specific procedures, have increased the demand for a more advanced understanding of the structure of the brain. The need for a more sophisticated, functionally relevant understanding the structure of the brain has resulted in a surge of neuroanatomy dissection courses, including gross neuroanatomical observation, cross-sectioning, blunt dissection and various fiber dissection techniques. Methods: Sixteen (16) adult, formalin fixed cerebral hemispheres were included in this study. Surface anatomy, blunt dissection of the lateral ventricles, and cross-sectioning of the anterior portion of the hemisphere, was performed on all specimens. Results: A detailed, but simplified, protocol consisting of seven steps is proposed for the study of the supratentorial anatomy of the human brain. The first two steps promote an appreciation of the predominate structural pattern of the surface of the brain. Four distinct, consecutive dissection steps are recommended for the dissection of the ventricular system. Horizontal cross-sectioning of the anterior portion of the hemisphere is described in five sub-steps. Conclusion: Dissection methods described provides an appreciation of the predominate structural pattern of the surface of the brain, in relation to the deep the structures. This appreciation is gained through the step-by-step dissection of the ventricular system and cross-sections. In addition to understanding the surface-to-deep relationships, the hands-on practical study of the anatomy of brain as described herein, allows the observer to gain a true three-dimensional structural understanding of the human brain.