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Localizing the Intraparietal Lobule Part 3

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I want to give you another tool for locating

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or localizing the intraparietal sulcus.

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Let's bifurcate the brain, as we have in prior vignettes.

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Let's use the 12 o'clock designation anteriorly.

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We'll cut the brain in half, 6 o'clock in the back.

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Widest biparietal diameter, nine and three.

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This would be 5 o'clock.

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This would be 7 o'clock.

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We already said in prior vignette that coming out at the

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5 o'clock position is the back portion of the arcuate shaped

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intraparietal sulcus. Now, on the left side,

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75% of the time, it's continuous.

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On the right side, it's frequently broken.

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So you may only see the exit and you may have to

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gerrymander it or infer it from looking

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at the more consistent left side.

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Now, another way to go at this is to look

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at the sagittal projection.

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Here's the operculum.

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And right in the back is the staircase

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descending precentral sulcus,

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precentral gyrus, central sulcus of Rolando.

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Let's tap that. Cross-reference it,

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now you got your central sulcus.

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If you got your central sulcus, easy.

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Precentral gyrus, postcentral gyrus,

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postcentral sulcus.

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Now, that you have postcentral sulcus,

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you'll know that it's the upswing of the intraparietal sulcus,

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so that must be the intraparietal sulcus.

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Therefore, that has to be the superior parietal lobule.

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That has to be the inferior parietal lobule.

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And you're home.

Report

Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Neuroradiology

MRI

Brain

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