Evidence map›Paper›PMID 42192803›Full record

ArticleBrain sciences2026

Microsurgical Anatomy of the Posterior Commissure and Habenular Commissure in the Human Cadaveric Brain.

Aysegul Esen Aydin, Mehmet Emin Akdeniz, Orhun Mete Cevik

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Article in Brain sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Aysegul Esen AydinDepartment of Neurosurgery, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul 34384, Turkey.
Mehmet Emin AkdenizDepartment of Neurosurgery, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul 34384, Turkey.
Orhun Mete CevikDepartment of Neurosurgery, Bakırköy Teaching and Research Hospital, Istanbul 34140, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe posterior commissure (PC) and habenular commissure (HC) are fine-caliber midline fiber bundles located within the epithalamic roof of the third ventricle. Their small size and deep anatomical position render them vulnerable during fiber dissection, and it is difficult to delineate reliably with conventional diffusion MRI. To define a reproducible microsurgical strategy for three-dimensional exposure of the PC and HC, and to evaluate their tractographic representation using high-resolution diffusion template data.

methodsFour formalin-fixed adult cadaveric brains were prepared using a modified Klingler technique and underwent systematic microsurgical fiber dissection focused on preservation of the epithalamic roof and midline commissures. Diffusion MRI data from the Human Connectome Project (HCP-1065) were reconstructed in MNI space using q-space diffeomorphic reconstruction in DSI Studio to attempt deterministic tractographic reconstruction of the PC and HC.

resultsIn all specimens, the PC was identified as a compact transverse bundle superior to the rostral cerebral aqueduct within the inferior pineal lamina. The HC appeared as a thinner band superior to the pineal recess, interconnecting the bilateral habenular nuclei and separated from the PC by the hypothalamic sulcus. A midline-prioritized dissection sequence facilitated preservation of commissural continuity. Deterministic tractography reproduced adjacent peduncular trajectories but failed to consistently reconstruct discrete HC or PC streamlines.

conclusionsCadaveric fiber dissection remains the most reliable method for studying the fine commissural anatomy of the epithalamus. A midline-first, roof-preserving strategy enhances visualization of the PC and HC and may have implications for posterior third ventricular surgery and stereotactic targeting.

Indexed as

diffusion tractographyhabenular commissureposterior commissurewhite matter fiber dissection

Identifiers

PMID42192803
PMCPMC13204166

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