The optic radiation (also known as the geniculocalcarine tract, the geniculostriate pathway, and posterior thalamic radiation) are axons from the neurons in the lateral geniculate nucleus to the primary visual cortex.
They carry visual information through two divisions (called Upper and Lower division) to the visual cortex (also called striate cortex) along the calcarine fissure. There is one such tract on each side of the brain. If a lesion only exists in one optic radiation, the consequence is called quadrantanopia.
The optic radiation can be accurately delineated by tractography and propagated onto postoperative images. The technique is fast enough to propagate accurate preoperative tractography onto intraoperative scans acquired during neurosurgery, with the potential to reduce the risk of visual field deficit (VFD) 1).
Sparing optic radiations can be of paramount importance during epilepsy surgery of the temporal lobe. The anatomical heterogeneity of the Meyers loop of the optic radiations could be assessed by means of diffusion tensor tractography.
The posterior interhemispheric transprecuneus gyrus approach is one of the surgical routes that has been suggested to reach the atrium of the lateral ventricle. It has the advantage of avoiding the disruption of the optic radiations; however, it has a narrow working area that at times makes the execution of this approach rather challenging.
A modification of the approach that might create a better surgical angle and a wider corridor by accessing the atrium from the contralateral side after transection of the falx, named this new approach the “posterior interhemispheric transfalx transprecuneus approach.” 2).