There are three telencephalic commissures which are paleocortical (the anterior commissure), archicortical (the hippocampal
commissure), and neocortical. In non-placental mammals, the neocortical commissural fibers cross the midline together with
the anterior and possibly the hippocampal commissure, across the lamina reuniens (joining plate) in the upper part of the
lamina terminalis. In placental mammals, a phylogenetically new feature emerged, which is the corpus callosum: it results
from an interhemispheric fusion line with specialized groups of mildline glial cells channeling the commissural axons through
the interhemispheric meninges toward the contralateral hemispheres. This concerns the frontal lobe mainly however: commissural
fibers from the temporo-occipital neocortex still use the anterior commissure to cross, and the posterior occipito-parietal
fibers use the hippocampal commissure, forming the splenium in the process. The anterior callosum and the splenium fuse secondarily
to form the complete commissural plate. Given the complexity of the processes involved, commissural ageneses are many and
usually associated with other diverse defects. They may be due to a failure of the white matter to develop or to the commissural
neurons to form or to migrate, to a global failure of the midline crossing processes or to a selective failure of commissuration
affecting specific commissural sites (anterior or hippocampal commissures, anterior callosum), or specific sets of commissural
axons (paleocortical, hippocampal, neocortical commissural axons). Severe hemispheric dysplasia may prevent the axons from
reaching the midline on one or both sides. Besides the intrinsically neural defects, midline meningeal factors may prevent
the commissuration as well (interhemispheric cysts or lipoma). As a consequence, commissural agenesis is a malformative feature,
not a malformation by itself. Good knowledge of the modern embryological data may allow for a good understanding of a specific
pattern in a given individual patient, paving the way for better clinical correlation and genetic counseling.
Keywords Corpus callosum - Anterior commissure - Hippocampal commissure - Septum pellucidum - Commissural anatomy - Commissural development - Commissural malformation - Commissural agenesis