{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T05:24:00Z","timestamp":1755926640080},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,9,14]],"date-time":"2022-09-14T00:00:00Z","timestamp":1663113600000},"content-version":"vor","delay-in-days":1474,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>Aim: The medial temporal lobe (MTL) is a highly complex neuroanatomical structure of tremendous neurosurgical importance. It is a common site for epilepsy, vascular lesions, and tumors. Owing to the critical location behind the sphenoid wing, it is more prone for traumatic contusion often with surgical implications. Hence, its microneurosurgical anatomy needs to be evaluated in detail. Materials and Methods: Twelve formalin-fixed human cadaveric brains from North-west Indian population were dissected under neurosurgical microscope and various dimensions of the MTL and their distance from important neurovascular structures were measured. Results: The MTL consists of important neural structures such as parahippocampal gyrus, uncus, hippocampus, temporal horn, and choroidal fissure. The average distance of tentorium from the uncus was 1.96 mm. The temporal horn and the inferior choroidal point were located from the anterior temporal pole at 22.9 mm and 30.9 mm, respectively. Important vessels that are intimately related to the MTL were anterior choroidal artery (AchA), posterior communicating artery, the P1 segment of posterior cerebral artery, and the M1 segment of middle cerebral artery. Conclusion: Complex anatomic and cytostructural organization makes the MTL unique. In this study, along with the descriptive anatomy, morphometric measurements of various structures were performed. The uncus and its relation to other neurovascular structures is well described in literature, but its exact distance from them as determined in this study is particularly helpful in guiding the surgeons while approaching in this area. Knowledge of the distance of the temporal horn from various surfaces is important while opening the temporal horn to avoid unnecessary damage to nearby structures.<\/jats:p>","DOI":"10.4103\/1793-5482.238077","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T09:34:29Z","timestamp":1641288869000},"page":"674-680","source":"Crossref","is-referenced-by-count":2,"title":["Microsurgical anatomy of medial temporal lobe in North-West Indian population: Cadaveric brain dissection"],"prefix":"10.1055","volume":"13","author":[{"given":"Devi","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoj","family":"Tewari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisy","family":"Sahni","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh","family":"Mathuriya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,14]]},"reference":[{"key":"key-10.4103\/1793-5482.238077-1","unstructured":"Yasargil MG. 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New York: Georg Thieme Verlag; 1994."},{"key":"key-10.4103\/1793-5482.238077-2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.3171\/jns.1984.60.1.0023","article-title":"Arteriovenous malformations of the medial cerebral hemisphere and the limbic system","author":"Stein","year":"1984","journal-title":"J Neurosurg"},{"key":"key-10.4103\/1793-5482.238077-3","doi-asserted-by":"crossref","first-page":"365","DOI":"10.3171\/jns.1984.60.2.0365","article-title":", Barry M.Microsurgical anatomy of the region of the tentorial incisura","author":"Ono","year":"1984","journal-title":"J Neurosurg"},{"key":"key-10.4103\/1793-5482.238077-4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1159\/000007893","article-title":"Hippocampus and parahippocampal gyrus linear measurements based on magnetic resonance in Alzheimer's disease","author":"Pucci","year":"1998","journal-title":"Eur Neurol"},{"key":"key-10.4103\/1793-5482.238077-5","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1007\/s00415-006-0120-4","article-title":"Comprehensive dissection of the medial temporal lobe in AD: Measurement of hippocampus, amygdala, entorhinal, perirhinal and parahippocampal cortices using MRI","author":"Teipel","year":"2006","journal-title":"J Neurol"},{"key":"key-10.4103\/1793-5482.238077-6","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1176\/ajp.157.1.40","article-title":"Anomalous asymmetry of fusiform and parahippocampal gyrus gray matter in schizophrenia: A postmortem study","author":"McDonald","year":"2000","journal-title":"Am J Psychiatry"},{"key":"key-10.4103\/1793-5482.238077-7","unstructured":"Gloor P. The Temporal Lobe and Limbic System. New York: Oxford University Press; 1997."},{"key":"key-10.4103\/1793-5482.238077-8","doi-asserted-by":"crossref","unstructured":"Nieuwenhuys R, Voogd J, van Huijzen C. The Human Central Nervous System: A Synopsis and Atlas. 3rd ed. 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Microsurgical anatomy of the temporal lobe: Part 1: Mesial temporal lobe anatomy and its vascular relationships as applied to amygdalohippocampectomy","author":"Wen","year":"1999","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.238077-15","first-page":"S53","article-title":"The supratentorial arteries","author":"Rhoton","year":"2002","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.238077-16","first-page":"709","article-title":"The hippocampus","author":"Mark","year":"1993","journal-title":"AJNR Am J Neuroradiol"},{"key":"key-10.4103\/1793-5482.238077-17","first-page":"685","article-title":", Barry M.Microsurgical anatomy and operative approaches to the lateral ventricles","author":"Timurkaynak","year":"1986","journal-title":"Neurosurgery"},{"key":"key-10.4103\/1793-5482.238077-18","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/0090-3019(88)90180-2","article-title":", Barry M.Microsurgical anatomy of the choroidal fissure","author":"Nagata","year":"1988","journal-title":"Surg Neurol"}],"container-title":["Asian Journal of Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/1793-5482.238077.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T00:15:04Z","timestamp":1663200904000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/1793-5482.238077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":18,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,9,14]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.4103\/1793-5482.238077","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1793-5482","2248-9614"],"issn-type":[{"value":"1793-5482","type":"print"},{"value":"2248-9614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}