title: Relationship between the coronal suture and the central lobe: how important is it and how can we use it in surgical planning?
abstract: The surgical treatment of the lesions located in the central lobe is a very difficult task for the neurosurgeon. The overall aim of this study is to verify the correlation of the coronal suture and the structures of the central lobe in 32 cadaver hemisphere brains and the importance of this information in surgical planning. The measurement of the nasion to the coronal suture ranged from 11.5 to 13.5 cm. The distance between the coronal suture in the midline to the central, precentral and paracentral sulcus ranged from 5.0 to 6.6, 2.5 to 4.5 and 1.3 to 4.0 cm respectively. Particularly in the normal cortex these measurements can be used to guide the surgical access. However, the identification of the central sulcus is not easy when the anatomical pattern is distorted or displaced by a lesion or edema. In cases such as these the use of other tools becomes crucial for good surgical planning and cortical mapping or awake craniotomy for a safer resection of the lesion as well.
authors.affiliation: Nova Esperança Medical School, João Pessoa PB, Brazil. steniosarmento@uol.com.br
authors.forename: Stênio Abrantes
authors.initials: SA
authors.lastname: Sarmento
authors.forename: Danielle Cartaxo
authors.initials: DC
authors.lastname: Jácome
authors.forename: Emerson Magno F
authors.initials: EM
authors.lastname: de Andrade
authors.forename: Alessandra V Albuquerque
authors.initials: AV
authors.lastname: Melo
authors.forename: Osleuse Rocha
authors.initials: OR
authors.lastname: de Oliveira
authors.forename: Helder
authors.initials: H
authors.lastname: Tedeschi
mesh_terms: D002102:Cadaver; D003393:Cranial Sutures / Q000033:anatomy & histology* / Q000601:surgery; D003399:Craniotomy; D005625:Frontal Lobe / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans