KORTEKS SEREBRI

24 Februari 2018
Presentan: Surya Pratama

Pembimbing: dr. Syaiful Ichwan, SpBS (K)

 SEL-SEL SARAF KORTEK SEREBRI

1. Sel piramidal
2. Sel stelata
3. Sel fusiformis
4. Sel horizontal cajal
5. Sel martinoti
 SEL-SEL SARAF KORTEK SEREBRI

Snell RS. Clinical Neuroanatomy 7th edition. Philadelphia: Lippincott Williams & Wilkins; 2010.
 KORTEKS SEREBRI

• MERUPAKAN GABUNGAN DARI

SEL SARAF, NEUROGLIA, DAN
PEMBULUH DARAH
• MIKROSKOPIK  NEOCORTEX:
• MOLEKULER/PLEKSIFORM
• GRANULAR EKSTERNA
• PIRAMIDAL EKSTERNA
• GRANULAR INTERNA
• PIRAMIDAL INTERNA
• MULTIFORMIS

Patestas MA, Gartner LP. A Textbook of Neuroanatomy. USA: Blackwell Publishing; 2006
Junquiera LC, Carneiro J. Basic Histology: Text and Atlas, 13th edition. USA: McGraw-Hill; 2010.
 PERMUKAAN SUPERIOR DAN LATERAL

Snell RS. Clinical Neuroanatomy 7th edition. Philadelphia: Lippincott Williams & Wilkins; 2010.
 LATERAL VIEW OF THE LEFT HEMISPHERE

1,Central sulcus; 2, superior frontal sulcus and gyrus; 3, precentral sulcus and gyrus; 4, postcentral sulcus and gyrus; 5,
middle frontal gyrus; 6, inferior frontal sulcus; 7, supramarginal gyrus; 8, pli de passage; 9, anterior horizontal ramus;
10, pars triangularis; 11, ascending ramus and pars opercularis; 12, posterior ramus; 13, Heschl’s gyrus; 14, pars
orbitalis; 15, superior temporal gyrus and sulcus; 16, middle temporal gyrus; 17, inferior temporal sulcus and gyrus.

Youmans NeurologicalSurgery .Surgical Anatomy of the Brain

MEDIAL VIEW
 BASAL VIEW

Left.1. Anterior orbital gyrus. 2.medial orbital gyrus. 3. lateral orbital gyrus. 4. rectus gyrus and olfactory tract. 5.
posterior orbital gyrus. 6. temporal pole. 7. genu of the middle cerebral artery and insular pole. 8. uncus and rhinal
sulcus. 9. occipitotemporalsulcus and inferior temporal gyrus. 10. parahippocampal gyrus and collateral sulcus. 11.
fusiform gyrus. Right. 1. Frontal horn. 2. caudatenucleus(head). 3. lentiformnucleus. 4. pituitary stalk. 5. anterior
perforated substance. 6. tubercinereum and mammillary body. 7. cruscerebri. 8. posterior perforated substance. 9.
substantianigra. 10. tegmentum. 11. tectum.
Youmans NeurologicalSurgery .Surgical Anatomy of the Brain
Snell RS. Clinical Neuroanatomy 7th edition. Philadelphia: Lippincott Williams & Wilkins; 2010.
 LOBUS

TERDAPAT 4 LOBUS :
• FRONTAL
• PARIETAL
• OKSIPITAL
• TEMPORAL

Youmans Neurological Surgery. USA: Elsevier; 2011.

 LOBUS FRONTAL

• KORTEKS MOTORIK PRIMER Primary motor cortex

(GIRUS PRESENTRAL): MENGATUR
GERAKAN TUBUH
• AREA BROCA: MENGONTROL
PEMAHAMAN BERBAHASA, DI
LOBUS FRONTAL DOMINAN
• APHASIA BROCA:
KETIDAKMAMPUAN BERBICARA
DAN MEMBENTUK KATA NAMUN
DAPAT MEMAHAMI PERKATAAN
Broca’s area

Orbitofrontal cortex

Baehr M, Frotscher M. Duus’ Topical Diagnosis in Neurology. USA; Thieme: 2005

 LOBUS PARIETAL
Associated somatosensory area (7)
• KORTEKS SOMATOSENSORIK PRIMER
(GIRUS POSTSENTRAL): MEMPROSES
RANGSANGAN TAKTIL DAN
PROPRIOSEPTIF
• KORTEKS ASOSIASI
SOMATOSENSORIK: INTEGRASI DAN
INTERPRETASI POSISI TUBUH DAN
ORIENTASI RUANG
• KORTEKS GUSTATORIK PRIMER:
LOKASI PRIMER INTERPRETASI
RANGSANGAN RASA

Primary gustatory area (43)

Primary somatosensory area
(3, 1, 2)
Baehr M, Frotscher M. Duus’ Topical Diagnosis in Neurology. USA; Thieme: 2005
 LOBUS TEMPORAL

• DIDENTIFIKASI DARI FISURA LATERALIS

• DAERAH HESCL (KORTEKS AUDITORIK, 41 & 42) DAN KORTEKS ASOSIASI AUDITORIK (22)

Snell RS. Clinical Neuroanatomy 7th edition. Philadelphia: Lippincott Williams & Wilkins; 2010
 LOBUS OKSIPITAL

• KORTEKS VISUAL PRIMER:

PENGLIHATAN – PENGENALAN
UKURAN, WARNA, CAHAYA,
GERAK, DIMENSI
• AREA ASOSIASI VISUAL:
MENERJEMAHKAN INFORMASI
YANG DITERIMA KORTEKS
VISUAL PRIMER

Baehr M, Frotscher M. Duus’ Topical Diagnosis in Neurology. USA; Thieme: 2005

 LOBUS OKSIPITAL

Sulkus kalkarina

a. Lateral view
b. Medial view.

Baehr M, Frotscher M. Duus’ Topical Diagnosis in Neurology. USA; Thieme: 2005

TERIMA KASIH