Neglected tracts of the brainstem: transverse peduncular tract of Gudden and taenia pontis

dc.authorscopusidAbuzer Güngör / 54895233300
dc.authorwosidAbuzer Güngör / KNR-5035-2024
dc.contributor.authorRahmanov, Serdar
dc.contributor.authorGüngör, Abuzer
dc.contributor.authorGülsuna, Beste
dc.contributor.authorMunoz-Gualan, Alberth Patricio
dc.date.accessioned2025-04-18T10:04:34Z
dc.date.available2025-04-18T10:04:34Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractOBJECTIVE The anatomy and function of the brainstem have fascinated scientists for centuries; however, the brain- stem remains one of the least studied regions of the human brain. As the authors delved into studying this structure, they observed a growing tendency to forget or neglect previously identified structures. The aim of this study was to describe two such structures: the transverse peduncular tract, also known as the Gudden tract, and the taenia pontis. The authors analyzed the potential effects of neglecting these structures during brainstem surgery and the implications for clinical practice. METHODS After removal of the arachnoid and vascular structures, 20 human brainstem specimens were frozen and stored at -16 degrees C degrees C for 2 weeks, according to the method described by Klingler. The specimens were then thawed and dissected with microsurgical techniques. The results of microsurgical fiber dissection at each step were photographed. RESULTS This study revealed two previously neglected or forgotten structures within the brainstem. The first is the transverse peduncular tract of Gudden, which arises from the brachium of the superior colliculus. This tract follows an arcuate course along the lateral and ventral surfaces of the midbrain, perpendicular to the cerebral peduncle, and terminates in the nuclei of the transverse peduncular tract within the interpeduncular fossa. The second structure is the taenia pontis, which originates contralaterally in the interpeduncular fossa. It becomes visible at the level of the pontomesencephalic sulcus and extends to the base of the lateral mesencephalic sulcus, where it divides into several thin bundles. Along the interpeduncular sulcus, between the superior and middle cerebellar peduncles, it reaches the parabrachial recess and enters the cerebellum. CONCLUSIONS Recently, with increasing understanding and expertise in brainstem research, surgical approaches to this area have become more common, emphasizing the importance of a detailed knowledge of the brainstem. The two structures mentioned in this paper are described in history books and were widely studied in the 19th century but have not been mentioned in modern literature. The authors propose that a deeper understanding of these structures may prove valuable in neurosurgical practice and help reduce patient comorbidity.
dc.identifier.citationRahmanov, S., Güngör, A., Gulsuna, B., Munoz-Gualan, A. P., & Türe, U. (2024). Neglected tracts of the brainstem: transverse peduncular tract of Gudden and taenia pontis. Journal of Neurosurgery, 1(aop), 1-11.
dc.identifier.doi10.3171/2024.1.JNS232027
dc.identifier.endpage539
dc.identifier.issn0022-3085
dc.identifier.issn1933-0693
dc.identifier.issue2
dc.identifier.pmid38457813
dc.identifier.scopus2-s2.0-85192459791
dc.identifier.startpage529
dc.identifier.urihttp://dx.doi.org/10.3171/2024.1.JNS232027
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6937
dc.identifier.volume141
dc.identifier.wosWOS:001284043500001
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGüngör, Abuzer
dc.institutionauthoridAbuzer Güngör / 0000-0002-2792-7610
dc.language.isoen
dc.publisherAmerican association of neurological surgeons
dc.relation.ispartofJournal of neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBrainstem
dc.subjectGudden Tract
dc.subjectMicroscopic Fiber Dissection
dc.subjectMicrosurgical Anatomy
dc.subjectTaenia Pontis
dc.subjectTransverse Peduncular Tract
dc.titleNeglected tracts of the brainstem: transverse peduncular tract of Gudden and taenia pontis
dc.typeArticle

Dosyalar

Lisans paketi
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
license.txt
Boyut:
1.17 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama: