The method of =Pitres= (see Fig. 30) is also employed for the same
purpose. After the inspection of the meninges and basal vessels
and opening of lateral ventricles, the brain is divided into three
parts, consisting of the two hemispheres and one part made up
of the cerebellum, pons and medulla. The anterior ends of the
cerebral peduncles are cut transversely in front of the corpora
quadrigemina, and the hemispheres are then separated by a sagittal
median incision through the corpus callosum, septum pellucidum,
commissure of third ventricle, substantia perforata posterior,
tuber cinereum and infundibulum, the optic chiasm and neighboring
optic tract having first been removed. The hemispheres are then cut
as follows: The hemisphere is laid upon its median surface with
the occipital lobe toward the operator. The four fingers of the
left hand are then put into the central fissure and six parallel
transverse cuts (see Fig. 30) are made through the hemisphere with
a dry brain-knife, as follows:
1. _Sectio praefrontalis_, through the frontal lobe about 5 cm. in
front of and parallel to the central fissure, exposing the cortex
and medulla of the three frontal convolutions, gyrus orbitalis, and
the convolutions of the median surface of the frontal lobe.
2. _Sectio pediculo-frontalis_, through the “foot” of the frontal
convolutions, exposing the three frontal convolutions, anterior
end of the island of Reil, gyrus orbitalis, corpus callosum, head
of caudate nucleus, anterior portion of lentiform nucleus and
lenticular striated portion of the internal capsule.
3. _Sectio frontalis_, through the anterior central convolution,
showing the anterior central convolution, island of Reil, the
temporal convolutions, corpus callosum, tail of caudate nucleus,
the optic thalamus, middle portion of lentiform nucleus, the
anterior portion of the lenticular part of the internal capsule,
the external capsule and claustrum.
4. _Sectio parietalis_, through the posterior central convolution,
showing the same, the island of Reil, temporal convolutions, corpus
callosum, tail of caudate nucleus, posterior end of optic thalamus
and lentiform nucleus, posterior end of the lenticular-optic part
of internal capsule, the external capsule and the claustrum.
5. _Sectio pediculo-parietalis_, through the foot of the parietal
convolution, 3 cm. posterior to the fissure of Rolando, showing
superior and inferior parietal lobules, temporal convolutions,
corpus callosum, extreme posterior portion of optic thalamus and
tail of caudate nucleus.
6. _Sectio occipitalis_, about 1 cm. in front of the
parieto-occipital sulcus, showing cortex and medulla of occipital
lobe.
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