Department of Neurosurgery, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands.
Department of Cognitive Neuropsychology, University of Tilburg, Tilburg, the Netherlands.
J Neurosurg Sci. 2021 Dec;65(6):548-559. doi: 10.23736/S0390-5616.21.05423-0.
One of the major associative fiber pathways in the brain is the superior longitudinal system. This review discusses the current knowledge gained from studies on the third branch of the superior longitudinal system (SLS) regarding its anatomy, functional role in healthy individuals, results from lesion-symptom mapping studies and intraoperative electrostimulation studies. The results of these studies clearly indicate that the third branch of the SLS is a distinct pathway, as seen both from a functional and anatomical perspective. The third branch of the SLS should be distinguished from the long segment of the arcuate fasciculus, that courses along its trajectory but seems implicated in different functions. Moreover, these studies also provide substantial evidence that the right and left third branch of the SLS have different functional roles. Finally, a hypothesis for an integrated anatomo-functional model is proposed, that describes three subcomponents of the third branch of the superior longitudinal system.
大脑中的主要联合纤维通路之一是上纵束。这篇综述讨论了目前从关于上纵束第三分支(SLS-III)的研究中获得的知识,包括其解剖结构、在健康个体中的功能作用、病变-症状映射研究和术中电刺激研究的结果。这些研究的结果清楚地表明,从功能和解剖学的角度来看,SLS-III 是一条独特的通路。SLS-III 应与沿其轨迹走行但似乎涉及不同功能的弓状束的长段区分开来。此外,这些研究还提供了充分的证据表明,左右 SLS-III 具有不同的功能作用。最后,提出了一个整合解剖-功能模型的假说,该模型描述了上纵束第三分支的三个亚成分。