Turkish Neurosurgery 2018 , Vol 28 , Num 6
Computed Tomographic Localization of the Central Sulcus: A Morphometric Study in Adult Patients
Dan ZIMELEWICZ OBERMAN1,Jorge RASMUSSEN2,Maximiliano TOSCANO2,Ezequiel GOLDSCHMIDT3,Pablo AJLER2
1Instituto Universitario del Hospital Italiano, Buenos Aires, Argentina
2Hospital Italiano, Department of Neurosurgery, Buenos Aires, Argentina
3University of Pittsburgh Medical Center, Department of Neurosurgery, Pennsylvania, USA
DOI : 10.5137/1019-5149.JTN.21145-17.1 AIM: To accurately describe the relations between the anatomical landmarks of the cranial convexity and the main cortical structures.

MATERIAL and METHODS: A retrospective cross-sectional, observational study was performed. Computed tomography scans of 71 adult patients with no pathological imaging were analyzed. The position of the bregma and the central sulcus was determined. The distances from bregma to the pre-central and post-central sulci were calculated. The relationships from the nasion and glabella to cortical structures were also assessed.

RESULTS: The mean distances between the bregma and the pre-central, central and post-central sulci were 26.8 7.2; 47.8 5.9 and 60.6 5.7 mm, respectively, without gender discrepancy. The mean distance nasion-bregma and the nasion-related measures showed significant differences among sexes.

CONCLUSION: The central sulcus was located accurately, on average 47.8 mm behind the bregma, which should be used instead of nasion in order to avoid gender discrepancy. The data obtained provide useful and reliable information to guide neurosurgical procedures. Keywords : Bregma, Central sulcus, Computed tomography, Craniometric points

Corresponding author : Dan ZIMELEWICZ OBERMAN, dan.zimelewicz@hospitalitaliano.org.ar