windows to the brain: axial atlas 1
TRANSCRIPT
VA Mid-Atlantic Health Care Network
MIRECC Mental Illness Research,
Education and Clinical Center
RReesseeaarrcchh
EEdduuccaattiioonn
CCllii nniiccaall
EEvvaalluuaattiioonn
Post Deployment Mental Health VISN 6
Windows to the Brain: Axial Atlas 1 Lobes Major Regions Arterial Territories Major Tracts
Katherine Taber, PhD, FANPA MIRECC Assistant Director - Education
Research Health Scientist W.G. “Bill” Hefner VAMC, Salisbury NC
Research Professor, Div Biomedical Sci Edward Via College of Osteopathic Medicine
Robin Hurley, MD, FANPAMIRECC Associate Director - Education
ACOS/Research and Education Service Line W.G. “Bill” Hefner VAMC, Salisbury NC
Professor, Psychiatry and Radiology Wake Forest University School of Medicine
revised July 2011
Source: http://www.mirecc.va.gov/visn6/Tools-Tips.asp
Use of text, images and other content are subject to the following terms and
conditions:
Fair Use Is Permitted
Fair use of copyrighted material includes the use for non-commercial educational purposes, such as teaching, scholarship, research, criticism, commentary, news reporting, and other content. Unless otherwise noted, users who wish to download or print text and image files from this Web site for such uses may do so without the VISN 6 MIRECC’s express permission, provided that they comply with the following conditions:
The content may only be used for personal, educational or non-commercial purposes;
Users must always specifically cite the author(s) and source of the content every time the material is used, as they would for material from any printed work;
None of the content may be altered or modified.
Warranty
By downloading, printing, or otherwise using text and image files from this website, users agree and warrant that they will limit their use of such files to fair use.
1
Right side of each section: Arterial territories are color-coded to match thefigures below.*
2
posterior inferiorcerebellar
vertebral
superior cerebellar
basilar
posterior cerebral
anterior cerebral
anterior cerebral
posterior cerebral
middle cerebral
anterior inferiorcerebellar
superior cerebellar
posterior inferiorcerebellarbasilar
*Hurley RA, Fisher R, Taber KH. Clinical and functional imaging in neuropsychiatry. In: Yudofsky SC,Hales RE (eds). The American Psychiatric Press Textbook of Neuropsychiatry 5th Edition. AmericanPsychiatric Press 2007: 245-300.
Arterial Territories
Left side of each section: Cerebral lobes, major regions, and major subcorticalstructures are labeled and color-coded to match the figures below.
3
Cerebra l Lobes & Major Regions
frontal lobe
parietal lobe
occipital lobe
limbic lobe
temporal lobe
frontal lobeparietal lobe
occipital lobe
cerebellum
medulla
midbrain
cerebellumpons
medulla
pons
Major Subcortical StructuresThis cartoon of a lateral view of the brain and skull shows the approximate positions andconfigurations of the major subcortical structures. The colors assigned in this figure are usedin the sectional atlas to facilitate structure identification.*
Putamen
ThalamusCaudate
FornixGlobus pallidus
Hippocampus
Mammillary body
Hypothalamus
Amygdala
Pons
Substantia nigra
Katherine H
. Tab
er, P
h.D.
*Naumescu I, Hurley RA, Hayman LA, Taber KH. Int J Neuroradiol 1999; 5(1): 51-59.
4
Cerebral Lobes & MajorRegions
Arterial Territories &Major Tracts
posterior inferior cerebellar
vertebral
superior cerebellar
posterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
pons
temporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
p r e c e n t r a l g y r u s
pp oo ss tt cc ee nn tt rr aa ll gg yy rr uu ss
ss uu pp ee rr ii oo rrff rr oo nn tt aa llgg yy rr uu ss
mm ii dd dd ll eeff rr oo nn tt aa llgg yy rr uu ss
CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss
AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss
posterior inferior cerebellar
vertebral
superior cerebellar
posterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
pons
temporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
pp rr ee cc ee nn tt rr aa llpp oo ss tt cc ee nn tt rr aa ll
ss uu pp ee rr ii oo rrff rr oo nn tt aa llgg yy rr uu ss
mm ii dd dd ll eeff rr oo nn tt aa llgg yy rr uu ss
cc ii nn gg uu ll aa tt eecc oo rr tt ee xx
5
CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss
AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss
pp rr ee cc ee nn tt rr aa llpp oo ss tt cc ee nn tt rr aa ll
cc ii nn gg uu ll aa tt eecc oo rr tt ee xx
ddoo rr ssoo ll aa
tt eerr aa
ll
pp rr eeff rr
oo nn tt aall
cc oo rr ttee xx
ccoorrppuuss ccaalllloossuumm((bbooddyy))
cc ii nn gg uu ll aa tt eecc oo rr tt ee xx
ss uu pp ee rr ii oo rrff rr oo nn tt aa llgg yy rr uu ss
posterior inferior cerebellar
vertebral
superior cerebellar
posterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
pons
temporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
llaatteerraall vveennttrriiccllee
ccaauuddaattee ((bbooddyy))
6
CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss
AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss
posterior inferior cerebellar
vertebral
superior cerebellar
posterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
pons
temporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
ccoorrppuuss ccaalllloossuumm((ggeennuu))
llaatteerraall vveennttrriiccllee
ccaauuddaattee ((hheeaadd))
vv ee nn tt rr oo ll aa tt ee rr aa llpp rr ee ff rr oo nn tt aa ll
cc oo rr tt ee xx
dd oo rr ss oo ll aa tt ee rr aa llpp rr ee ff rr oo nn tt aa ll
cc oo rr tt ee xx
cc ii nn gg uu ll aa tt eecc oo rr tt ee xx
cc ii nn gg uu ll aa tt eecc oo rr tt ee xx
tthhaallaammuuss ffoorrnniixx
gglloobbuuss ppaalllliidduuss
ppuuttaammeenniinnssuullaa
ccllaauussttrruumm
ccoorrppuuss ccaalllloossuumm((sspplleenniiuumm))
iinntteerrnnaall ccaappssuullee((aanntteerriioorr lliimmbb))
iinntteerrnnaall ccaappssuullee((ppoosstteerriioorr lliimmbb))
eexxtteerrnnaallccaappssuullee
eexxttrreemmeeccaappssuullee
WWeerrnniicckkee’’ss aarreeaalleefftt hheemmiisspphheerree
BBrrooccaa’’ss aarreeaalleefftt hheemmiisspphheerree
7
CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss
AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss
posterior inferior cerebellar
vertebral
superior cerebellar
posterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
ponstemporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
ccoorrppuuss ccaalllloossuummccaauuddaattee ((hheeaadd))
vv ee nn tt rr oo ll aa tt ee rr aa llpp rr ee ff rr oo nn tt aa ll
cc oo rr tt ee xx
cc ii nn gg uu ll aa tt eecc oo rr tt ee xx
ffoorrnniixx((ppoossttccoommmmiissssuurraall))
iinnssuullaaaanntteerriioorr
ccoommmmiissssuurree
iinntteerrnnaallccaappssuullee
BBrrooccaa’’ss aarreeaalleefftt hheemmiisspphheerree
ffoorrnniixx((pprreeccoommmmiissssuurraall))
gglloobbuuss ppaalllliidduuss
ppuuttaammeenntthhaallaammuussccaauuddaattee
((ttaaiill))llaatteerraall
vveennttrriiccllee
33rrdd vveennttrriiccllee
ppaarraahhiippppooccaammppaallggyyrruuss
ssuuppeerriioorr ccoolllliiccuulluuss
hhiippppooccaammppuuss hhyyppootthhaallaammuuss
cceerreebbeelllluumm -- aanntteerriioorr lloobbee((vveerrmmiiss))
eexxttrreemmeeccaappssuullee
8
CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss
AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss
posterior inferior cerebellar
vertebral
superior cerebellarposterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
pons
temporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
II VV
VV
II II IIII ,, II II
VV II
iinnssuullaa
ooppttiicc ttrraacctt
cceerreebbrraallaaqquueedduucctt
hhiippppooccaammppuuss
ssuubbiiccuulluumm &&eennttoorrhhiinnaall ccoorrtteexx
hhyyppootthhaallaammuuss
oo rr bb ii tt aa llpp rr ee ff rr oo nn tt aa ll
cc oo rr tt ee xx
bb aa ss aa llff oo rr ee bb rr aa ii nn
cceerreebbrraallppeedduunnccllee
aanntteerr iioorrcchhoorrooiiddaall
aarrtteerryyaammyyggddaallaa
mmaammmmiillllaarryybbooddyy
ssuubbssttaannttiiaa nniiggrraa
-- pprriimmaarryy ffiissssuurree
cceerreebbeelllluumm -- aanntteerriioorr&& ppoosstteerriioorr lloobbeess
((hheemmiisspphheerree))
-- aanntteerriioorr lloobbee ((vveerrmmiiss))
9
CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss
AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss
posterior inferior cerebellar
vertebral
superior cerebellarposterior cerebral
anterior cerebral
middle cerebral
anterior inferior cerebellarbasilar
cerebellummidbrainmedulla
pons
temporal lobe
frontal lobe parietal lobe
occipital lobe
limbic lobe
44tthh vveennttrriiccllee
hhiippppooccaammppuuss
eennttoorrhhiinnaallccoorrtteexx
oo rr bb ii tt aa llpp rr ee ff rr oo nn tt aa ll
cc oo rr tt ee xx
ssuuppeerriioorr cceerreebbeellllaarrppeedduunnccllee
aanntteerr iioorrcchhoorrooiiddaall
aarrtteerryy
aammyyggddaallaa
pprriimmaarryy ffiissssuurree
cceerreebbeelllluumm((hheemmiisspphheerree))
aa nn tt ee rr ii oo rrll oo bb ee
pp oo ss tt ee rr ii oo rrll oo bb ee
ggyyrruuss rreeccttuuss
pp oo nn ss
iinntteerrnnaall ccaarroottiiddaarrtteerryy
10