windows to the brain: axial atlas 1

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VA Mid-Atlantic Health Care Network MIRECC Mental Illness Research, Education and Clinical Center R R e e s s e e a a r r c c h h E E d d u u c c a a t t i i o o n n C C l l i i n n i i c c a a l l E E v v a a l l u u a a t t i i o o n n Post Deployment Mental Health VISN 6 Windows to the Brain: Axial Atlas 1 Lobes Major Regions Arterial Territories Major Tracts Katherine Taber, PhD, FANPA MIRECC Assistant Director - Education Research Health Scientist W.G. “Bill” Hefner VAMC, Salisbury NC Research Professor, Div Biomedical Sci Edward Via College of Osteopathic Medicine Robin Hurley, MD, FANPA MIRECC Associate Director - Education ACOS/Research and Education Service Line W.G. “Bill” Hefner VAMC, Salisbury NC Professor, Psychiatry and Radiology Wake Forest University School of Medicine revised July 2011

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VA Mid-Atlantic Health Care Network

MIRECC Mental Illness Research,

Education and Clinical Center

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EEdduuccaattiioonn

CCllii nniiccaall

EEvvaalluuaattiioonn

Post Deployment Mental Health VISN 6

Windows to the Brain: Axial Atlas 1 Lobes Major Regions Arterial Territories Major Tracts

Katherine Taber, PhD, FANPA MIRECC Assistant Director - Education

Research Health Scientist W.G. “Bill” Hefner VAMC, Salisbury NC

Research Professor, Div Biomedical Sci Edward Via College of Osteopathic Medicine

Robin Hurley, MD, FANPAMIRECC Associate Director - Education

ACOS/Research and Education Service Line W.G. “Bill” Hefner VAMC, Salisbury NC

Professor, Psychiatry and Radiology Wake Forest University School of Medicine

revised July 2011

Source: http://www.mirecc.va.gov/visn6/Tools-Tips.asp

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1

Right side of each section: Arterial territories are color-coded to match thefigures below.*

2

posterior inferiorcerebellar

vertebral

superior cerebellar

basilar

posterior cerebral

anterior cerebral

anterior cerebral

posterior cerebral

middle cerebral

anterior inferiorcerebellar

superior cerebellar

posterior inferiorcerebellarbasilar

*Hurley RA, Fisher R, Taber KH. Clinical and functional imaging in neuropsychiatry. In: Yudofsky SC,Hales RE (eds). The American Psychiatric Press Textbook of Neuropsychiatry 5th Edition. AmericanPsychiatric Press 2007: 245-300.

Arterial Territories

Left side of each section: Cerebral lobes, major regions, and major subcorticalstructures are labeled and color-coded to match the figures below.

3

Cerebra l Lobes & Major Regions

frontal lobe

parietal lobe

occipital lobe

limbic lobe

temporal lobe

frontal lobeparietal lobe

occipital lobe

cerebellum

medulla

midbrain

cerebellumpons

medulla

pons

Major Subcortical StructuresThis cartoon of a lateral view of the brain and skull shows the approximate positions andconfigurations of the major subcortical structures. The colors assigned in this figure are usedin the sectional atlas to facilitate structure identification.*

Putamen

ThalamusCaudate

FornixGlobus pallidus

Hippocampus

Mammillary body

Hypothalamus

Amygdala

Pons

Substantia nigra

Katherine H

. Tab

er, P

h.D.

*Naumescu I, Hurley RA, Hayman LA, Taber KH. Int J Neuroradiol 1999; 5(1): 51-59.

4

Cerebral Lobes & MajorRegions

Arterial Territories &Major Tracts

posterior inferior cerebellar

vertebral

superior cerebellar

posterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

pons

temporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

p r e c e n t r a l g y r u s

pp oo ss tt cc ee nn tt rr aa ll gg yy rr uu ss

ss uu pp ee rr ii oo rrff rr oo nn tt aa llgg yy rr uu ss

mm ii dd dd ll eeff rr oo nn tt aa llgg yy rr uu ss

CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss

AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss

posterior inferior cerebellar

vertebral

superior cerebellar

posterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

pons

temporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

pp rr ee cc ee nn tt rr aa llpp oo ss tt cc ee nn tt rr aa ll

ss uu pp ee rr ii oo rrff rr oo nn tt aa llgg yy rr uu ss

mm ii dd dd ll eeff rr oo nn tt aa llgg yy rr uu ss

cc ii nn gg uu ll aa tt eecc oo rr tt ee xx

5

CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss

AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss

pp rr ee cc ee nn tt rr aa llpp oo ss tt cc ee nn tt rr aa ll

cc ii nn gg uu ll aa tt eecc oo rr tt ee xx

ddoo rr ssoo ll aa

tt eerr aa

ll

pp rr eeff rr

oo nn tt aall

cc oo rr ttee xx

ccoorrppuuss ccaalllloossuumm((bbooddyy))

cc ii nn gg uu ll aa tt eecc oo rr tt ee xx

ss uu pp ee rr ii oo rrff rr oo nn tt aa llgg yy rr uu ss

posterior inferior cerebellar

vertebral

superior cerebellar

posterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

pons

temporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

llaatteerraall vveennttrriiccllee

ccaauuddaattee ((bbooddyy))

6

CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss

AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss

posterior inferior cerebellar

vertebral

superior cerebellar

posterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

pons

temporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

ccoorrppuuss ccaalllloossuumm((ggeennuu))

llaatteerraall vveennttrriiccllee

ccaauuddaattee ((hheeaadd))

vv ee nn tt rr oo ll aa tt ee rr aa llpp rr ee ff rr oo nn tt aa ll

cc oo rr tt ee xx

dd oo rr ss oo ll aa tt ee rr aa llpp rr ee ff rr oo nn tt aa ll

cc oo rr tt ee xx

cc ii nn gg uu ll aa tt eecc oo rr tt ee xx

cc ii nn gg uu ll aa tt eecc oo rr tt ee xx

tthhaallaammuuss ffoorrnniixx

gglloobbuuss ppaalllliidduuss

ppuuttaammeenniinnssuullaa

ccllaauussttrruumm

ccoorrppuuss ccaalllloossuumm((sspplleenniiuumm))

iinntteerrnnaall ccaappssuullee((aanntteerriioorr lliimmbb))

iinntteerrnnaall ccaappssuullee((ppoosstteerriioorr lliimmbb))

eexxtteerrnnaallccaappssuullee

eexxttrreemmeeccaappssuullee

WWeerrnniicckkee’’ss aarreeaalleefftt hheemmiisspphheerree

BBrrooccaa’’ss aarreeaalleefftt hheemmiisspphheerree

7

CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss

AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss

posterior inferior cerebellar

vertebral

superior cerebellar

posterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

ponstemporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

ccoorrppuuss ccaalllloossuummccaauuddaattee ((hheeaadd))

vv ee nn tt rr oo ll aa tt ee rr aa llpp rr ee ff rr oo nn tt aa ll

cc oo rr tt ee xx

cc ii nn gg uu ll aa tt eecc oo rr tt ee xx

ffoorrnniixx((ppoossttccoommmmiissssuurraall))

iinnssuullaaaanntteerriioorr

ccoommmmiissssuurree

iinntteerrnnaallccaappssuullee

BBrrooccaa’’ss aarreeaalleefftt hheemmiisspphheerree

ffoorrnniixx((pprreeccoommmmiissssuurraall))

gglloobbuuss ppaalllliidduuss

ppuuttaammeenntthhaallaammuussccaauuddaattee

((ttaaiill))llaatteerraall

vveennttrriiccllee

33rrdd vveennttrriiccllee

ppaarraahhiippppooccaammppaallggyyrruuss

ssuuppeerriioorr ccoolllliiccuulluuss

hhiippppooccaammppuuss hhyyppootthhaallaammuuss

cceerreebbeelllluumm -- aanntteerriioorr lloobbee((vveerrmmiiss))

eexxttrreemmeeccaappssuullee

8

CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss

AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss

posterior inferior cerebellar

vertebral

superior cerebellarposterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

pons

temporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

II VV

VV

II II IIII ,, II II

VV II

iinnssuullaa

ooppttiicc ttrraacctt

cceerreebbrraallaaqquueedduucctt

hhiippppooccaammppuuss

ssuubbiiccuulluumm &&eennttoorrhhiinnaall ccoorrtteexx

hhyyppootthhaallaammuuss

oo rr bb ii tt aa llpp rr ee ff rr oo nn tt aa ll

cc oo rr tt ee xx

bb aa ss aa llff oo rr ee bb rr aa ii nn

cceerreebbrraallppeedduunnccllee

aanntteerr iioorrcchhoorrooiiddaall

aarrtteerryyaammyyggddaallaa

mmaammmmiillllaarryybbooddyy

ssuubbssttaannttiiaa nniiggrraa

-- pprriimmaarryy ffiissssuurree

cceerreebbeelllluumm -- aanntteerriioorr&& ppoosstteerriioorr lloobbeess

((hheemmiisspphheerree))

-- aanntteerriioorr lloobbee ((vveerrmmiiss))

9

CCeerreebbrraall LLoobbeess && MMaajjoorrRReeggiioonnss

AArrtteerriiaall TTeerrrriittoorriieess &&MMaajjoorr TTrraaccttss

posterior inferior cerebellar

vertebral

superior cerebellarposterior cerebral

anterior cerebral

middle cerebral

anterior inferior cerebellarbasilar

cerebellummidbrainmedulla

pons

temporal lobe

frontal lobe parietal lobe

occipital lobe

limbic lobe

44tthh vveennttrriiccllee

hhiippppooccaammppuuss

eennttoorrhhiinnaallccoorrtteexx

oo rr bb ii tt aa llpp rr ee ff rr oo nn tt aa ll

cc oo rr tt ee xx

ssuuppeerriioorr cceerreebbeellllaarrppeedduunnccllee

aanntteerr iioorrcchhoorrooiiddaall

aarrtteerryy

aammyyggddaallaa

pprriimmaarryy ffiissssuurree

cceerreebbeelllluumm((hheemmiisspphheerree))

aa nn tt ee rr ii oo rrll oo bb ee

pp oo ss tt ee rr ii oo rrll oo bb ee

ggyyrruuss rreeccttuuss

pp oo nn ss

iinntteerrnnaall ccaarroottiiddaarrtteerryy

10