The central sulcus, also called the fissure of Rolando, is a deep groove running down and forwards across the lateral surface of each hemisphere from near the top midline to just above the lateral sulcus. It separates the frontal lobe in front from the parietal lobe behind. The primary motor cortex lies in front of it and the primary somatosensory cortex behind it.
| Location | Lateral surface of the hemisphere, from the superior margin to just above the lateral sulcus, between the precentral and postcentral gyri |
|---|---|
| Connections | |
| Blood Supply | Middle cerebral artery (central sulcal or Rolandic artery) |
Marks the boundary between the motor cortex in front and the sensory cortex behind, a key landmark for brain mapping.
Finding the central sulcus is key before brain surgery, since injury to the cortex on either side causes weakness or sensory loss. On MRI it is identified by signs such as the 'hand knob' of the precentral gyrus. Benign childhood epilepsy with centrotemporal spikes (rolandic epilepsy) arises in the lower part of this region.
A common childhood epilepsy with facial twitching and drooling, usually during sleep, which is outgrown by adolescence.
A tumour near the central sulcus that threatens motor and sensory function and needs careful surgical mapping.
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