Nöroşirurjikal Pratik için Ak Madde Diseksiyon Çalışma Modeli: Klingler Tekniği ile İnek Beyni Ak Madde Diseksiyonu

Fiber Dissection Training Model for Neurosurgical Practice: White Matter Fiber Dissection with Klingler's technique in Bovine Brain

Abstract

Background: Our aim was to assess an alternative to human brain microsurgical white matterfiber dissection using bovine brain and Klingler's technique.Methods: Eight previously frozen, formalin-fixed bovine brains were dissected from thelateral surface to the medial using the microscope.Results: We started to dissect the lateral surface of the brain and exposed the main fiberbundles. Arcuate fibers are visible after peeling the frontal and parietal lobes and thereafterthe temporal lobe. Beneath the arcuate fibers, superior longitudinal fasciculustheconnection between the frontal, parietal, temporal and occipital lobes are detected. Deepen thedissection in the central core of the brain makes the extreme capsule, external capsule,putamen, globus pallidus, internal capsule and anterior commisure visible.Conclusions: Bovine brain is a reasonable alternative to human brain for white matter fiberdissection, especially for those starting to develop this skill. This method enhances the basicknowledge and the level of patience that is required for a successful outcome.

Özet

Amacımız, Klingler tekniği yardımıyla, inek beyni üzerinde nöroşirurjikal pratiğe biralternatif oluşturabilmektir. Sekiz adet formaldehidde bekletilmiş inek beyni, mikroskopaltında lateral yüzeyden mediale doğru diseke edildi. Temel ak madde liflerini tanımak veinsan beyninin karmaşık yapısını anlama yolculuğunda alternatif olabilecek bu modeliönermekteyiz.