ABSTRACT
Objective:
Cingulum bundle is a major fiber tract that extends into the cingulate gyrus and reaches to the temporal tip. It carries striatal, projection, association and commissural fibers. Therefore, it has an important role in the diagnosis and treatment of many psychiatric and neurological diseases. Our aim; to describe the structure of the cingulum fiber, to reveal its neighborhood and connections and to find an anatomical-functional classification that clinicians can use.
Method:
Ten human cadaver brains were prepared by using the Klingler method. In all brains, medial to lateral, inferior to superior, and superior to inferior dissection were performed. Dissection was performed under microscopic magnification. All dissection stages were visualized with the camera.
Results:
Singulum fiber is a long and major fiber of the brain that is approximately 9-10 cm. It starts from the orbitofrontal cortex and extends on the corpus callosum. It turns to the lateral and inferior on the splenium level. And it reaches the temporal pole. It divides into 5 segments. These are subgenual, anterior cingulate, mid-cingulate, retrosplenial and parahippocampal cingulum segments. Each segment has different projections.
Conclusions:
The functional and anatomical relationships and segments of the cingulum bundle will guide the diagnosis and treatment of some psychiatric and neurological diseases.
Keywords:
Cingulum, cingulate gyrus, classification, white matter, fiber, dissection
References
1Hitotsumatsu T, Matsushima T, Rhoton Jr AL. Surgical anatomy of the midface and the midline skull base. Operative Techniques in Neurosurgery. 1999;2(4):160-80.
2Agrawal A, Kapfhammer JP, Kress A, Wichers H, Deep A, Feindel W, et al. Josef Klingler’s models of white matter tracts: influences on neuroanatomy, neurosurgery, and neuroimaging. Neurosurgery. 2011;69(2):238-54.
3Locke S, Angevine JB, Jr., Yakovlev PI. Limbic nuclei of thalamus and connections of limbic cortex. II. Thalamocortical projection of the lateral dorsal nucleus in man. Arch Neurol. 1961;4:355-64. Epub 1961/04/01. PubMed PMID: 13762982.
4Papez JW. A proposed mechanism of emotion. Archives of Neurology & Psychiatry. 1937;38(4):725-43.
5Mesulam M-M. Spatial attention and neglect: parietal, frontal and cingulate contributions to the mental representation and attentional targeting of salient extrapersonal events. Philosophical Transactions of the Royal Society of London B: Biological Sciences. 1999;354(1387):1325-46.
6Kaada B, Pribram K, Epstein J. Respiratory and vascular responses in monkeys from temporal pole, insula, orbital surface and cingulate gyrus: a preliminary report. Journal of neurophysiology. 1949;12(5):347-56.
7Showers MJC. The cingulate gyrus: additional motor area and cortical autonomic regulator. Journal of Comparative Neurology. 1959;112(1):231-301.
8Watson CG. Abstract thinking deficit and autism in process and reactive schizophrenics. Journal of abnormal psychology. 1973;82(3):399.
9Morecraft RJ, Louie JL, Herrick JL, Stilwell-Morecraft KS. Cortical innervation of the facial nucleus in the non-human primate: a new interpretation of the effects of stroke and related subtotal brain trauma on the muscles of facial expression. Brain. 2001;124(1):176-208.
10Stuss D, Benson D, Clermont R, Della Malva C, Kaplan E, Weir W. Language functioning after bilateral prefrontal leukotomy. Brain and language. 1986;28(1):66-70.
11Morris JS, Öhman A, Dolan RJ. A subcortical pathway to the right amygdala mediating “unseen” fear. Proceedings of the National Academy of Sciences. 1999;96(4):1680-5.
12Moniz E. Prefrontal leucotomy in the treatment of mental disorders. American Journal of Psychiatry. 1937;93(6):1379-85.
13Wilkinson HA, Davidson KM, Davidson RI. Bilateral anterior cingulotomy for chronic noncancer pain. Neurosurgery. 1999;45(5):1129-36.
14Guinjoan SM, Mayberg HS, Costanzo EY, Fahrer RD, Tenca E, Antico J, et al. Asymmetrical contribution of brain structures to treatment-resistant depression as illustrated by effects of right subgenual cingulum stimulation. The Journal of neuropsychiatry and clinical neurosciences. 2010;22(3):265-77.
15Hayes DJ, Lipsman N, Chen DQ, Woodside DB, Davis KD, Lozano AM, et al. Subcallosal cingulate connectivity in anorexia nervosa patients differs from healthy controls: a multi-tensor tractography study. Brain stimulation. 2015;8(4):758-68.
16Kullmann S, Schweizer F, Veit R, Fritsche A, Preissl H. Compromised white matter integrity in obesity. Obesity reviews. 2015;16(4):273-81.
17Klingler J, Gloor P. The connections of the amygdala and of the anterior temporal cortex in the human brain. Journal of Comparative Neurology. 1960;115(3):333-69.
18Bubb EJ, Metzler-Baddeley C, Aggleton JP. The cingulum bundle: anatomy, function, and dysfunction. Neuroscience & Biobehavioral Reviews. 2018.
19Heilbronner SR, Haber SN. Frontal cortical and subcortical projections provide a basis for segmenting the cingulum bundle: implications for neuroimaging and psychiatric disorders. Journal of Neuroscience. 2014;34(30):10041-54.
20Vogt BA, Paxinos G. Cytoarchitecture of mouse and rat cingulate cortex with human homologies. Brain Structure and Function. 2014;219(1):185-92.
21Vogt BA, Nimchinsky EA, Vogt LJ, Hof PR. Human cingulate cortex: surface features, flat maps, and cytoarchitecture. J Comp Neurol. 1995;359(3):490-506. Epub 1995/08/28. doi: 10.1002/cne.903590310. PubMed PMID: 7499543.
22Schmahmann J, Pandya D. Fiber pathways of the brain: OUP USA; 2009.
23Wu Y, Sun D, Wang Y, Wang Y, Ou S. Segmentation of the cingulum bundle in the human brain: a new perspective based on DSI tractography and fiber dissection study. Frontiers in neuroanatomy. 2016;10:84.
24Kamali A, Flanders AE, Brody J, Hunter JV, Hasan KM. Tracing superior longitudinal fasciculus connectivity in the human brain using high resolution diffusion tensor tractography. Brain Structure and Function. 2014;219(1):269-81.
25Güngör A, Baydin S, Middlebrooks EH, Tanriover N, Isler C, Rhoton Jr AL. The white matter tracts of the cerebrum in ventricular surgery and hydrocephalus. Journal of neurosurgery. 2017;126(3):945-71.
26Fernandez-Miranda JC. Beyond diffusion tensor imaging. Journal of neurosurgery. 2013;118(6):1363-6.
27McNeely HE, Mayberg HS, Lozano AM, Kennedy SH. Neuropsychological impact of Cg25 deep brain stimulation for treatment-resistant depression: preliminary results over 12 months. The Journal of nervous and mental disease. 2008;196(5):405-10.
28Spooner J, Yu H, Kao C, Sillay K, Konrad P. Neuromodulation of the cingulum for neuropathic pain after spinal cord injury. 2007.