7: The Brain, Cerebral Arterial Circle, Dura Mater, Venous Sinuses and Cranial Fossa
Introduction - Overview - Identification - Summary - Imaging - Clinical Case Study
Cerebrum

Our journey through the cerebrum begins with identification of several important sulci. First, on the lateral surface of the cerebral cortex, find the lateral sulcus . This sulcus runs in a posterosuperior direction beginning from a prominent cleft in the anteroinferior part of the cerebrum, the sylvian fossa. (Figure 7-2)

The central sulcus begins as a notch between the lateral and medial hemispherical surfaces and runs anteroinferior towards the lateral sulcus, but it usually does not reach the lateral sulcus. The central sulcus separates the precentral gyrus (primary motor cortex) from the postcentral gyrus (primary somatic sensory cortex). (Figure 7-2)

Figure 7-10
External surface of the left cerebral hemisphere.

On the posterior medial aspect of the cerebral hemisphere surface of a hemisected brian, you can easily see the parieto-occipital sulcus and the calcarine sulcus . These two form a "Y" lying on its side (the calcarine sulcus forming the stem and the inferior wing of the Y, while the parieto-occipital sulcus forms the superior wing). The stem of the "Y" begins just inferior to the posterior part of the corpus callosum. (Figure 7-8) Our last boundary maker is the pre-occipital notch . This notch is located on the posterior and inferolateral hemisphere surface. (Figure 7-10)

Using these sulci and notches identify the four lobes of the cerebral hemisphere. The frontal lobe extends from the anterior tip of the cerebrum to the central sulcus posteriorly and the lateral sulcus inferiorly.

Note the most posterior gyrus of the frontal lobe, the precentral gyrus . Remember this area is the primary motor area of the cerebral cortex.

In order to visualize the remaining three lobes, we need to draw two imaginary lines on the lateral hemispherical surface. The first line extends from the parieto-occipital sulcus, where it passes from the lateral to the medial hemispheric surface, to the preoccipital notch. The second line runs from the posterior end of the lateral sulcus in a posterior direction, to the point where it intersects the first line. (Figure 7-10)

The parietal lobe is bounded anteriorly by the central sulcus, posteriorly by the imaginary line uniting the parieto-occipital sulcus to the preoccipital notch, and inferiorly by the lateral sulcus and its imaginary posterior extension. Once again, note the most anterior gyrus of the parietal lobe, the postcentral gyrus . This is the primary sensory area of the cerebral cortex. The occipital lobe lies posterior to the first imaginary line, posterior to the parietal lobe and extends to the posterior tip of the cerebrum.

The temporal lobe lies anterior to the occipital lobe and inferior to the lateral sulcus and thus inferior to both the frontal and parietal lobes.