The cerebral cortex folding in humans allow that an extensive area of cerebral cortex fit into the limited space of the skull. The factors that guide this folding are complex and its final result leads to sulci and gyrus patterns in adult brain. These patterns, depending on the region of cerebral cortex analyzed, can have or not a high degree of variability 1 . There are some evidence that factors guiding the cerebral cortex folding starts in the beginning of cerebral morphogenesis. First, in a coronal brain slice, we can see that sulcus in the inferior and lateral surface of the brain are oriented toward the ventricular cavity and sulcus in the medial surface are oriented parallel to corpus callosum fibers. (In cases of total corpus callosum agenesis, the sulcus in the medial surface seems to be ventricular-guided too). Second, neurons sends axons across the corpus callosum even before the neuron migration process end 2 , and this neuronal projection affect the final brain morphology 3 . Based on these observations, we can suppose that the final brain morphology depends on neuronal migration, axonal connection and probably others factors.The frontal lobe has four surfaces: a lateral, a medial, a basal and a sylvian surface 4 . The basal surface is in contact with the orbital roof, compounded of the frontal, ethmoid and sphenoid bones being, for this reason, called orbitofrontal surface.In the last ten years, many studies have showed the relationship between altered orbitofrontal cortical pattern and
ABSTRACTThe anatomical characterization of the orbitofrontal cortex in human is limited in literature instead of many functional and clinical studies involving it. Objective: Anatomically define the orbitofrontal region aiming to possible neurosurgical treatments and unify the scientific nomenclature as well. Method: We analyze eighty four human hemispheres using a surgical microscope. Then we chose four hemispheres and dissect them according to Klinger' technique. Results: We found five main sulcus: olfatory sulcus, orbital medial sulcus, orbital lateral sulcus, orbital transverse sulcus and orbital intermediate sulcus. These sulcus, excluding the intermediate sulcus, delimit five gyrus: rectus gurys, orbital medial gyrus, orbital anterior gyrus, orbital lateral gyrus and orbital posterior gyrus. The main sulcal configuration can be divided on four more frequently patterns. Conclusion: Orbitofrontal cortex is associated with many psychiatric disorders. Better anatomical and functional characterization of the orbitofrontal cortex and its connections will improve our knowledge about these diseases.