Klingler's method of brain dissection: review of the technique including its usefulness in practical neuroanatomy teaching, neurosurgery and neuroimaging

Folia Morphol (Warsz). 2019;78(3):455-466. doi: 10.5603/FM.a2018.0113. Epub 2018 Dec 11.

Abstract

Klingler's technique was discovered in the 1930s. It is a modified method of brain fixation and dissection, based on freezing and thawing of the brain tissue, subsequent peeling away of white matter fibres and the gradual exposure of white matter tracts. The added value of this technique is that it is carried out in a stratigraphic manner. This fact makes it an invaluable tool for an in-depth understanding of the complex anatomical organisation of the cerebral hemispheres. The purpose of this paper is to provide a review of Klingler's method while taking into account the original description of the technique and its value for medical training. The historical background, the concise outline of white matter organisation, as well as our own experience in using this procedure for research and teaching activities were also included. The fibre dissection technique may still be considered an excellent complementary research tool for neuroanatomical studies. Numerous detailed observations about the white matter topography and spatial organisation have been recently made by applying this method. Using this technique may also improve understanding of the three-dimensional intrinsic structure of the brain, which is particularly important both in under- and postgraduate training in the field of neuroanatomy.

Keywords: Klingler’s technique; fibre dissection technique; neuroanatomy; tractography; white matter.

Publication types

  • Review

MeSH terms

  • Brain / anatomy & histology
  • Brain / surgery*
  • Dissection / education*
  • Dissection / methods*
  • Humans
  • Neuroanatomy / education*
  • Neuroimaging*
  • Neurosurgery / education*