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Midline Cisterns and Spaces

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Let's take a look at cisterns and spaces

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on the sagittal thin section FLAIR image.

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Let's start down low.

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We've got the cisterna magna

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at the level of the foramen magnum.

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Anteriorly, the inferior premedullary cistern.

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Here's our fourth ventricle with

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the inferior midline opening,

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the foramen of Magendie.

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Just anterior to it is a little bump here,

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the medullary clava and the obex as a landmark.

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The vestigium of the fourth ventricle

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is pointed posteriorly,

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and its development and pointedness

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should be pointed out.

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Above the fourth ventricle continues as the aqueduct

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of sylvius. Above the cerebellum,

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the supra or superior cerebellar cistern,

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the cistern of the vein of Galen

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and the peripineal cistern.

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Anteriorly, the interpeduncular cistern

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through which the apparent exit of the third nerve

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can be found with the pre-pontine cistern

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off to the side will be the peripontine

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and perimedullary cisterns.

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And off to the side, you'll find the foramina of Luschka

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at lateral recesses of the fourth.

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We don't see them on the midline cut.

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The third ventricle is a little bit squirrely.

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It's got a few recesses.

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Let's draw them in.

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We've got a recess above the pineal gland

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called a supra pineal recess.

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A little nubbin that bumps right into the pineal

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called the pineal recess of the third.

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Then as we come forward,

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we've got the supra infundibular recess right here.

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And then we also have anterior to that,

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the supraoptic recess in front of it.

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The four recesses of the third ventricle.

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And we've also got the suprasellar cistern and volume

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averaged is the midline portion of the lateral ventricle.

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Those are the major cisterns that you see on a

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aagittal midline view.

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Pomeranz out.

Report

Description

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Neuroradiology

MRI

Brain

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