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Interpeduncular cistern. It is situated at the base of the brain, between the two cerebral peduncles of midbrain and dorsum sellae and continuous below with the pontine cistern and superiorly with the chiasmatic cistern. It contains: The optic chiasm; The bifurcation of the basilar artery; Peduncular segments of the posterior cerebral arteries ...
The interpeduncular cistern (or basal cistern [1]) is the subarachnoid cistern situated between the dorsum sellae (anteriorly) [2] and the two cerebral peduncles [1] [3] [2] at the front of the midbrain. [3] Its roof is represented by the floor of the third ventricle (i.e. posterior perforated substance, and the two mammillary bodies).
This allows the cerebrospinal fluid to flow directly to the basal cisterns, thereby bypassing any obstruction. A surgical procedure to make an entry hole to access any of the ventricles is called a ventriculostomy. This is done to drain accumulated cerebrospinal fluid either through a temporary catheter or a permanent shunt.
Compression of the nervous tissue usually results in irreversible brain damage. If the skull bones are not completely ossified when the hydrocephalus occurs, the pressure may also severely enlarge the head. The cerebral aqueduct may be blocked at the time of birth or may become blocked later in life because of a tumor growing in the brainstem. [45]
SAH is generally located within basal cisterns, extends diffusely to all subarachnoid spaces (cerebral sulci) or into the ventricular system, or brain parenchyma. Modified Fisher scale is used to describe the volume and distribution of SAH, just predicting the probability of cerebral artery vasospasm after SAH. [3]
The cisterna magna (posterior cerebellomedullary cistern, [1] or cerebellomedullary cistern [2] [3]) is the largest of the subarachnoid cisterns.It occupies the space created by the angle between the caudal/inferior surface of the cerebellum, and the dorsal/posterior surface of the medulla oblongata (it is created by the arachnoidea that bridges this angle [3]).
Radiographically, downward herniation is characterized by obliteration of the suprasellar cistern from temporal lobe herniation into the tentorial hiatus with associated compression on the cerebral peduncles. Upwards herniation, on the other hand, can be radiographically characterized by obliteration of the quadrigeminal cistern.
Within the dural confines of the trigeminal cave, there is a continuation of subarachnoid space along the posterior aspect of the cave, representing a continuation of the cerebral basal cisterns. [ 1 ]