The quadrigeminal cistern[1] (also cistern of great cerebral vein,[1] vein of Galen cistern,[2] superior cistern,[2][3] Bichat's canal,[3] or peripineal cistern[2]) is a subarachnoid cistern situated between splenium of corpus callosum, and the superior surface of the cerebellum.[2][4] It contains a part of the great cerebral vein, the posterior cerebral artery, quadrigeminal artery, glossopharyngeal nerve (CN IX), and the pineal gland.
| Quadrigeminal cistern | |
|---|---|
| Details | |
| Identifiers | |
| Latin | cisterna quadrigeminalis,[1] cisterna venae magnae cerebri[1] |
| TA98 | A14.1.01.217 |
| TA2 | 5399 |
| FMA | 74511 |
| Anatomical terms of neuroanatomy | |
Structure edit
The quadrigeminal cistern lies between the splenium of the corpus callosum (superiorly), the cerebellar vermis (inferiorly and posteriorly),[5][6] and the tentorial margin.[6] It is just superior to the tectum of the mesencephalon (midbrain).[3] It lies medial to part of the medial occipital cortex.[6] It is posterior to the brainstem and third ventricle;[2] it extends between the layers of the tela choroidea of the third ventricle.[5]
The cistern may extend anterior-ward between the thalamus and corpus callosum to form the cistern of velum interpositum.[3]
Contents edit
The superior cistern contains a number of important structures, including:
- great cerebral vein[5][4][2] - lies superiorly, helps to form its superior wall.[6]
- (caudal, distal portions of) internal cerebral veins (as they converge to form the great cerebral vein)[3]
- (parts of the) posterior cerebral arteries[5][2] (their (sources differ) P3 segments[2]/P4 segments[3])
- (parts of the) medial posterior choroidal arteries and lateral posterior choroidal artery[2]
- (parts of the) quadrigeminal artery[5]
- (the exit of the) trochlear nerve (CN IV)[3]
- (the exit of the) glossopharyngeal nerve (CN IX)[5]
- pineal gland[6][7][2]
Clinical significance edit
Arteriovenous malformations of the great cerebral vein can create an enlarged pouch of vein in the superior cistern.[8] This is derived from the prosencephalic vein present during prenatal development.[8] This can be diagnosed soon after birth.[8] Medical ultrasound may be used, where it displaces the third ventricle.[8] Angiography may also be used.[8]
The superior cistern may be opened during neurosurgery.[9] This is used in order to access deeper brain structures, such as the superior colliculus.[9]
History edit
The superior cistern may also be known as the cistern of great cerebral vein, the quadrigeminal cistern, and Bichat's canal.[5]
References edit
- ^ a b c d "Anatonomina". www.terminologia-anatomica.org. Retrieved 2023-08-02.
- ^ a b c d e f g h i j Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York. p. 413. ISBN 978-0-7020-7707-4. OCLC 1201341621.
{{cite book}}: CS1 maint: location missing publisher (link) - ^ a b c d e f g "quadrigeminal cistern". TheFreeDictionary.com. Retrieved 2023-08-02.
- ^ a b Moore, Keith L.; Dalley, Arthur F.; Agur, Anne M. R. (2018). Clinically Oriented Anatomy (8th ed.). Wolters Kluwer. p. 889. ISBN 978-1-4963-4721-3.
- ^ a b c d e f g Jhaveri, Miral D.; Salzman, Karen L.; Ross, Jeffrey S.; Moore, Kevin R.; Osborn, Anne G.; Yueh, Chang (2018). "Pineal Region Mass, General". Expertddx: Brain and Spine - Part 1 (2nd ed.). Elsevier. pp. 556–559. doi:10.1016/B978-0-323-44308-1.50227-0. ISBN 978-0-323-44308-1.
- ^ a b c d e Meybodi, Ali Tayebi; Tabani, Halima; Benet, Arnau (2020). "2 - Arachnoid and dural reflections". Handbook of Clinical Neurology. Vol. 169. Elsevier. pp. 17–54. doi:10.1016/B978-0-12-804280-9.00002-0. ISBN 978-0-12-804280-9. ISSN 0072-9752. PMID 32553288. S2CID 219906251.
- ^ Lindberg, Matthew R.; Lamps, Laura W. (2018). "Pineal Gland". Diagnostic Pathology: Normal Histology - Diagnostic Pathology (2nd ed.). Elsevier. pp. 408–409. doi:10.1016/B978-0-323-54803-8.50084-X. ISBN 978-0-323-54803-8.
- ^ a b c d e Altstadt, Thomas J.; Shah, Mitesh V. (2009). "16 - Pediatric Central Nervous System Vascular Malformations". Stroke in Children and Young Adults (2nd ed.). Saunders. pp. 315–326. doi:10.1016/B978-0-7506-7418-8.00016-1. ISBN 978-0-7506-7418-8.
- ^ a b Pasik, Pedro; Pasik, Tauba (1995). "Visual Functions in Monkeys after Total Removal of Visual Cerebral Cortex". Contributions to Sensory Physiology. Vol. 7. Elsevier. pp. 147–200. doi:10.1016/B978-0-12-151807-3.50011-2. ISBN 978-0-12-151807-3. ISSN 0069-9705.
