2005, Number 1
<< Back Next >>
Anales de Radiología México 2005; 4 (1)
Radiologic Anatomy of the Subarachnoid Space:
Roldán VE, Osorio PS, Facha MT, Martínez LM, Taboada BJ
Language: Spanish
References: 17
Page: 27-34
PDF size: 260.32 Kb.
ABSTRACT
Introduction: Encephalon cisterns constitute a of cephalorrhachidea liquid reservoir with a greater volume than that one of the ventricles; they contain blood vessels and venous structures; they are continual with each others and they communicate with the ventricular system through the medium and lateral holes, located in the fourth ventricle.
Material and method: The magnetic resonance (MR) avoids invasive procedures by means of sequences that allow to observe the cephalorrhachidean liquid without contrast, for example the T2-P and the FIESTA sequence. The neumocisternography and the injection of hydrosoluble medium into the subarachnoid space have became obsolete.
Results and remarks: We describe the 15 more important cisterns of the subarachnoid space, classifying them in four groups: I. Posterior fossa (1. Bulbar, 2. Protuberance or pontine, 3. Magna, 4. Ponto cerebellar, 5. Superior cerebellar or vermiana). II. Perimesencephalic (6. Interpeduncular, 7. Crural, 8. Ambiens, 9. Cuadrigeminal). III. (10. Retrothalamic, 11. Interposed veil, 12. Of the callosum body). IV Suprasellar (13. chiasmatic, 14. Terminal Lamina, 15. Sylvian).
Conclusions:This revision shows in didactic form the basic information that is to remember of each cistern (content and anatomical relation with the rest of the encephalic structures), supported of schemes, images of TC and MR.
REFERENCES
Lee SH, Lewis E, Montoya JH, Seelaus JF. Bilateral cerebellopontine angle air-CT cisternography. AJNR 1981; 2: 105-6.
Davis JR, Zito JL, Hesselink JR, Taveras JM, Kjellberg RN. Metrizamide sagittal tomography: adjunct to CT cisternography of the sel-lar region. AJR 1980; 134: 1205-8.
Taveras JM, Ferrucci JT. Neuroradiology and radiology of the head and neck. In: Radiology on CD-ROM. Diagnosis, imaging, intervention. JM Taveras, JT Ferrucci. (Ed.) Vol 3, Lippincott, Williams & Wilkins; 2000.
Patel VH, Friedman L. Cisternal anatomy. In: MRI of the brain. Normal anatomy and normal variants. VH Patel and L Friedman. (Ed.) Philadelphia, Pennsylvania: W.B. Saunders; 1997, p. 285-307.
Eleta FA, Velán O. Radiología del espacio subaracnoideo. Las cisternas. In: Diagnóstico por imágenes de la cara, cráneo y endocráneo. FA Eleta, O Velán (Ed.) Vol. 1, Barcelona, España: JIMS; 1985, p. 439-54.
Zeumer H, Hacke W, Hartwich P. A quantitative approach to measuring the cerebrospinal fluid space with CT. Neuroradiology 1982; 22: 193-7.
Wiggli U, Benz UF. Normal computed tomography anatomy of the suprasellar subarachnoid space. Radiology 1978; 128: 65-70.
Zatz LM, Janon EA, Newton TH. The enlarged sella and the intrasellar cistern. Radiology 1969; 93: 1085-91.
Syvertsen A, Haughton VM, Williams AL, Cusick JF. The computed tomographic appearance of the normal pituitary gland and pituitary microadenomas. Radiology 1979; 133: 385-91.
Nutrizio V, Ivekovic V, Paladino J, Papa J, Marinsek Cicin-Sain V. Radiologic anatomy of the subarachnoid space of the brain displayed by means of contrast materials during computerized tomography. Acta Med Lugosl 1981; 35: 157-64.
Nauta HJ, Dolan E, Yasargil MG. Microsurgical anatomy of spinal subarachnoid space. Surg Neurol 1983; 19: 431-7.
Just NW, Goldenberg M. Computed tomography of the enlarged cisterna magna. Radiology 1979; 131: 385-91.
Haughton VM, Rosenbaum AE, Williams AL, Drayer B. Recognizing the empty sella by CT: the infundibulum sign. AJR 1981; 136: 293-5.
Drayer BP, Rosenbaum AE, Kennerdell JS, Robinson AG, Bank WO, Deeb ZL. Computed tomographic diagnosis of suprasellar masses by intrathecal enhancement. Radiology 1977; 123: 339-44.
Daniels DL, Haughton VM, Williams AL, Berns TF. The flocculus in computed tomography. AJNR 1981; 2: 227-9.
Daniels DL, Haughton VM, Williams AL, Gager WE, Berns TF. Computed tomography of the optic chiasm. Radiology 1980; 137: 123-7.
Berns TF, Daniels DL, Williams AL, Haugh-ton VM. Mesencephalic anatomy: demonstration by computed tomography. AJNR 1981; 2: 65-7.