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pubmed-article:8814164pubmed:dateCreated1996-11-26lld:pubmed
pubmed-article:8814164pubmed:abstractTextThe authors evaluated the anatomical location of the central sulcus (CS) in 24 cerebral hemispheres (eight in which tumors were located centrally, 16 in controls) using: 1) classic anatomical landmarks seen on magnetic resonance (MR) imaging (24 hemispheres); 2) functional MR imaging (24 hemispheres); and 3) intraoperative electrical stimulation mapping (eight hemispheres). On MR imaging the CS was identified with certainty in 79% of hemispheres (four of eight in patients, 15 of 16 in controls). Functional MR imaging identified a parenchymal "motor hand area" in only 83% (20 of 24 hemispheres; five of eight in patients, 15 of 16 in controls); this area was located in the precentral gyrus in 16 (80%) of 20, additionally in the postcentral gyrus in 10 (50%) of 20, and exclusively in the postcentral gyrus in four (20%) of 20. In contrast, functional MR imaging detected one to three sulcal veins presumably draining blood from the adjacent motor hand area in 100% (24 of 24) of the hemispheres studied, and anatomical MR imaging and intraoperative mapping localized these veins in the CS. It is concluded that sulcal veins lying deep within the CS: 1) drain activated blood from the adjacent pre- or postcentral cortex during performance of a motor hand task; 2) can be identified easily with functional MR imaging; and 3) are an anatomical landmark for noninvasive identification of the CS and thus the sensorimotor strip. The detection of these veins provides a more consistent landmark than the detection of parenchymal motor areas by functional MR imaging; this technique may be used when classic anatomical landmarks fail to identify the sensorimotor strip.lld:pubmed
pubmed-article:8814164pubmed:languageenglld:pubmed
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pubmed-article:8814164pubmed:issn0022-3085lld:pubmed
pubmed-article:8814164pubmed:authorpubmed-author:SchmidtDDlld:pubmed
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pubmed-article:8814164pubmed:authorpubmed-author:YousryT ATAlld:pubmed
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pubmed-article:8814164pubmed:volume85lld:pubmed
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pubmed-article:8814164pubmed:pagination608-17lld:pubmed
pubmed-article:8814164pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:8814164pubmed:year1996lld:pubmed
pubmed-article:8814164pubmed:articleTitleThe central sulcal vein: a landmark for identification of the central sulcus using functional magnetic resonance imaging.lld:pubmed
pubmed-article:8814164pubmed:affiliationDepartment of Neuroradiology, Klinikum Grosshadern, Ludwig Maximilian University, Munich, Germany.lld:pubmed
pubmed-article:8814164pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:8814164pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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