The arcuate fasciculus: Combining structure and function into surgical considerations

Abstract Background Two Centuries from today, Karl Friedrich Burdach attributed the nomenclature “arcuate fasciculus” to a white matter (WM) pathway connecting the frontal to the temporal cortices by arching around the Sylvian fissure. Although this label remained essentially unvaried, the concepts...

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Main Authors: Laura Vavassori, Martina Venturini, Luca Zigiotto, Luciano Annicchiarico, Francesco Corsini, Paolo Avesani, Laurent Petit, Alessandro De Benedictis, Silvio Sarubbo
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3107
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author Laura Vavassori
Martina Venturini
Luca Zigiotto
Luciano Annicchiarico
Francesco Corsini
Paolo Avesani
Laurent Petit
Alessandro De Benedictis
Silvio Sarubbo
author_facet Laura Vavassori
Martina Venturini
Luca Zigiotto
Luciano Annicchiarico
Francesco Corsini
Paolo Avesani
Laurent Petit
Alessandro De Benedictis
Silvio Sarubbo
author_sort Laura Vavassori
collection DOAJ
description Abstract Background Two Centuries from today, Karl Friedrich Burdach attributed the nomenclature “arcuate fasciculus” to a white matter (WM) pathway connecting the frontal to the temporal cortices by arching around the Sylvian fissure. Although this label remained essentially unvaried, the concepts related to it and the characterization of the structural properties of this bundle evolved along with the methodological progress of the past years. Concurrently, the functional relevance of the arcuate fasciculus (AF) classically restricted to the linguistic domain has extended to further cognitive abilities. These features make it a relevant structure to consider in a large variety of neurosurgical procedures. Objective Herein, we build on our previous review uncovering the connectivity provided by the Superior Longitudinal System, including the AF, and provide a handy representation of the structural organization of the AF by considering the frequency of defined reports in the literature. By adopting the same approach, we implement an account of which functions are mediated by this WM bundle. We highlight how this information can be transferred to the neurosurgical field by presenting four surgical cases of glioma resection requiring the evaluation of the relationship between the AF and the nearby structures, and the safest approaches to adopt. Conclusions Our cumulative overview reports the most common wiring patterns and functional implications to be expected when approaching the study of the AF, while still considering seldom descriptions as an account of interindividual variability. Given its extension and the variety of cortical territories it reaches, the AF is a pivotal structure for different cognitive functions, and thorough understanding of its structural wiring and the functions it mediates is necessary for preserving the patient's cognitive abilities during glioma resection.
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spelling doaj.art-8649a79750f84d1f99d4e1fd1d7521712024-01-10T10:25:35ZengWileyBrain and Behavior2162-32792023-08-01138n/an/a10.1002/brb3.3107The arcuate fasciculus: Combining structure and function into surgical considerationsLaura Vavassori0Martina Venturini1Luca Zigiotto2Luciano Annicchiarico3Francesco Corsini4Paolo Avesani5Laurent Petit6Alessandro De Benedictis7Silvio Sarubbo8Department of Neurosurgery Azienda Provinciale per i Servizi Sanitari (APSS), “S. Chiara” Hospital Trento Provincia Autonoma di Trento ItalyDepartment of Neurosurgery Azienda Provinciale per i Servizi Sanitari (APSS), “S. Chiara” Hospital Trento Provincia Autonoma di Trento ItalyDepartment of Neurosurgery Azienda Provinciale per i Servizi Sanitari (APSS), “S. Chiara” Hospital Trento Provincia Autonoma di Trento ItalyDepartment of Neurosurgery Azienda Provinciale per i Servizi Sanitari (APSS), “S. Chiara” Hospital Trento Provincia Autonoma di Trento ItalyDepartment of Neurosurgery Azienda Provinciale per i Servizi Sanitari (APSS), “S. Chiara” Hospital Trento Provincia Autonoma di Trento ItalyCenter for Mind and Brain Sciences (CIMeC) University of Trento Trento Provincia Autonoma di Trento ItalyGroupe d'Imagerie Neurofonctionnelle, Institut des Maladies Neurodégénératives (GIN‐IMN), UMR5293, CNRS, CEA University of Bordeaux Bordeaux FranceNeurosurgery Unit, Department of Neurosciences Bambino Gesù Children's Hospital IRCCS Rome ItalyDepartment of Neurosurgery Azienda Provinciale per i Servizi Sanitari (APSS), “S. Chiara” Hospital Trento Provincia Autonoma di Trento ItalyAbstract Background Two Centuries from today, Karl Friedrich Burdach attributed the nomenclature “arcuate fasciculus” to a white matter (WM) pathway connecting the frontal to the temporal cortices by arching around the Sylvian fissure. Although this label remained essentially unvaried, the concepts related to it and the characterization of the structural properties of this bundle evolved along with the methodological progress of the past years. Concurrently, the functional relevance of the arcuate fasciculus (AF) classically restricted to the linguistic domain has extended to further cognitive abilities. These features make it a relevant structure to consider in a large variety of neurosurgical procedures. Objective Herein, we build on our previous review uncovering the connectivity provided by the Superior Longitudinal System, including the AF, and provide a handy representation of the structural organization of the AF by considering the frequency of defined reports in the literature. By adopting the same approach, we implement an account of which functions are mediated by this WM bundle. We highlight how this information can be transferred to the neurosurgical field by presenting four surgical cases of glioma resection requiring the evaluation of the relationship between the AF and the nearby structures, and the safest approaches to adopt. Conclusions Our cumulative overview reports the most common wiring patterns and functional implications to be expected when approaching the study of the AF, while still considering seldom descriptions as an account of interindividual variability. Given its extension and the variety of cortical territories it reaches, the AF is a pivotal structure for different cognitive functions, and thorough understanding of its structural wiring and the functions it mediates is necessary for preserving the patient's cognitive abilities during glioma resection.https://doi.org/10.1002/brb3.3107arcuate fasciculusfunctionglioma resectionstructuresurgical approacheswhite matter
spellingShingle Laura Vavassori
Martina Venturini
Luca Zigiotto
Luciano Annicchiarico
Francesco Corsini
Paolo Avesani
Laurent Petit
Alessandro De Benedictis
Silvio Sarubbo
The arcuate fasciculus: Combining structure and function into surgical considerations
Brain and Behavior
arcuate fasciculus
function
glioma resection
structure
surgical approaches
white matter
title The arcuate fasciculus: Combining structure and function into surgical considerations
title_full The arcuate fasciculus: Combining structure and function into surgical considerations
title_fullStr The arcuate fasciculus: Combining structure and function into surgical considerations
title_full_unstemmed The arcuate fasciculus: Combining structure and function into surgical considerations
title_short The arcuate fasciculus: Combining structure and function into surgical considerations
title_sort arcuate fasciculus combining structure and function into surgical considerations
topic arcuate fasciculus
function
glioma resection
structure
surgical approaches
white matter
url https://doi.org/10.1002/brb3.3107
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