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Central Sulcus of Rolando

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Let's successfully isolate in the axial projection,

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the central sulcus of Rolando.

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Let's start out by turning the brain

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into a little bit of a map.

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We're going to bifurcate the brain

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right down the center,

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along the falx,

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and we'll call this 12 o'clock.

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We'll call this 6 o'clock.

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And then, at the level of the widest biparietal diameter,

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we'll have 9 o'clock and 3 o'clock.

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So now, let's keep that in our mind's eye.

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We've got a sulcus right here,

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which represents the superior frontal sulcus.

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Let's follow the superior frontal sulcus back,

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and we follow it into

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all the way up high,

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this is part of the superior frontal sulcus,

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the precentral sulcus.

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So if we've got the precentral sulcus,

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we know that's going to be the superior frontal gyrus,

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middle frontal gyrus, precentral sulcus,

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precentral gyrus,

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central sulcus of Rolando,

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the precentral gyrus,

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bigger than the postcentral gyrus.

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Behind that is the postcentral sulcus.

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Now, we said before,

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the postcentral sulcus is the upswing

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of the intraparietal arcuate-shaped sulcus.

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It divides the brain into a superior parietal lobule,

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here,

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and an inferior parietal lobule,

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here.

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In the inferior parietal lobule,

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you have the marginal gyrus and the angular gyrus.

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So, let's summarize one more time.

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The central sulcus of Rolando can be isolated by finding

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the upswing, superiorly, of the superior frontal sulcus

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into the precentral sulcus.

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From there, it's easy.

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Precentral gyrus, central sulcus, postcentral gyrus.

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If you are a disbeliever or skeptical,

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we spent many vignettes isolating the central sulcus

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of Rolando and the sagittal projection.

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There it is.

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And it is consistent with our model.

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There's our precentral sulcus.

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There's our central sulcus.

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You can see they cross-reference very nicely.

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Isolating the superior frontal sulcus,

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following into the precentral sulcus allows you to locate

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the central sulcus of Rolando.

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Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Neuroradiology

MRI

Brain

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