Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar

Gungor, Abuzer; Pamir, M Necmettin; KUZUCU, PELİN

Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar

Pelin KUZUCU, (Gazi Üniversitesi, Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Abuzer GÜNGÖR, (Acıbadem Mehmet Ali Aydınlar Üniversitesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

M Necmettin PAMİR (Acıbadem Mehmet Ali Aydınlar Üniversitesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Türk Nöroşirürji Dergsi

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Yıl: 2020 Cilt: 30 Sayı: 1 Sayfa Aralığı: 90 - 100 Metin Dili: Türkçe İndeks Tarihi: 16-10-2021

Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar

Öz:

Hipotalamus karışık anatomik yapısının yanısıra çok sayıda fonksiyonu barındırmasına rağmen ilişkili olduğu ak madde yolları henüz tam olarak anlaşılamamıştır. Bu nedenle anatomik sınırları içerisinde kalan ilişkili ak madde yollarını bilmek hipotalamusa cerrahi yaklaşımlar esnasında sonuçların daha başarılı olmasını sağlamaktadır. Hipotalamusun anatomisinin ilişkili ak madde yollarına bakacak olursak; Broca’nın diagonal bandı, ventral amigdalahipotalamik lif, stria terminalis, forniks, postkommissural forniksin anteromedial hipotalamus ile singulum, supraoptik komissür, frontopontin yolların hipotalamusun anterolateral kısmı ile medial longitudinal fasikül, dorsal longitudinal fasikülün posteromedial hipotalamus ile ansa pedünkülaris, mamillaris princeps fasikül, kortikospinal yol, temporo-parieto-oksipito-pontin yol, medial lemnisküs, mamillotegmental yol, spinotalamik yol, dentato-rubro-talamik yolun posterolateral hipotalamus ile mamillotalamik yol ve fasikülüs retrofleksusun posterior hipotalamusta süperoinferior hipotalamus ile ilişkilidir. Bu önemli bölgeye yapılacak cerrahi yaklaşımlar ise endoskopik, supraorbital, subfrontal, pterional, orbitozigomatik transkallozal ve transkortikal transventriküler, transsfenoidal yöntemler olarak söylenebilir. Ayrıca DBS cerrahisinde de hedef olarak ön plana çıkmaya başlayan hipotalamusun var olan anatomik yapısının daha detaylı olarak bilinmesi ile etkin cerrahi sonuçlar almak mümkündür.

Anahtar Kelime:

Microsurgical White Matter Anatomy of the Hypothalamus and Surgical Approaches to the Hypothalamus

Öz:

Although the hypothalamus has a mixed anatomic structure and a large number of functions, the white matter pathways it isassociated with have not yet been fully understood. Therefore, knowing the associated white matter pathways within the anatomicalboundaries makes the results more successful during surgical approaches to the hypothalamus. Considering the related whitematter pathways of the anatomy of the hypothalamus; the diagonal band of Broca, ventral amygdalohypothalamic fiber, striaterminalis, fornix, and the postcommissural fornix are related to the anteromedial part of the hypothalamus; the cingulum,supraoptic commissure, and the frontopontine tracts are related to the anterolateral part of hypothalamus; the medial longitudinal fasciculus and the dorsal longitudinal fasciculus are related to the posteromedial part of the hypothalamus; the ansa peduncularis,the postcommissural fornix, the fasciculus mamillaris princeps, the corticospinal tract, the temporo-parieto-occipito-pontine tract,the medial lemniscus, the spinothalamic tract, the mammillotegmental tract and the dentatorubrothalamic tract are related to theposterolateral part of the hypothalamus; and the fasciculus retroflexus and mammillothalamic tract lie superoinferior part of thehypothalamus. Endoscopic, supraorbital, subfrontal, pterional, orbitozygomatic transcallosal and transcortical transventricular, andthe transsphenoidal methods can be used for surgical approaches to this important region. In addition, it is possible to obtaineffective surgical results by knowing the present anatomical structure of the hypothalamus, which is becoming a target in DBS surgery.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	KUZUCU P, Gungor A, Pamir M (2020). Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. , 90 - 100.
Chicago	KUZUCU PELİN,Gungor Abuzer,Pamir M Necmettin Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. (2020): 90 - 100.
MLA	KUZUCU PELİN,Gungor Abuzer,Pamir M Necmettin Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. , 2020, ss.90 - 100.
AMA	KUZUCU P,Gungor A,Pamir M Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. . 2020; 90 - 100.
Vancouver	KUZUCU P,Gungor A,Pamir M Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. . 2020; 90 - 100.
IEEE	KUZUCU P,Gungor A,Pamir M "Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar." , ss.90 - 100, 2020.
ISNAD	KUZUCU, PELİN vd. "Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar". (2020), 90-100.

APA	KUZUCU P, Gungor A, Pamir M (2020). Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. Türk Nöroşirürji Dergsi, 30(1), 90 - 100.
Chicago	KUZUCU PELİN,Gungor Abuzer,Pamir M Necmettin Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. Türk Nöroşirürji Dergsi 30, no.1 (2020): 90 - 100.
MLA	KUZUCU PELİN,Gungor Abuzer,Pamir M Necmettin Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. Türk Nöroşirürji Dergsi, vol.30, no.1, 2020, ss.90 - 100.
AMA	KUZUCU P,Gungor A,Pamir M Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. Türk Nöroşirürji Dergsi. 2020; 30(1): 90 - 100.
Vancouver	KUZUCU P,Gungor A,Pamir M Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar. Türk Nöroşirürji Dergsi. 2020; 30(1): 90 - 100.
IEEE	KUZUCU P,Gungor A,Pamir M "Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar." Türk Nöroşirürji Dergsi, 30, ss.90 - 100, 2020.
ISNAD	KUZUCU, PELİN vd. "Hipotalamusun Mikrocerrahi Ak Madde Anatomisi veHipotalamusa Cerrahi Yaklaşımlar". Türk Nöroşirürji Dergsi 30/1 (2020), 90-100.