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Fourth ventricle location shown in red (E), pons (B); the floor of the ventricle is to the right, the roof to the left. The fourth ventricle has a roof at its upper (posterior) surface and a floor at its lower (anterior) surface, and side walls formed by the cerebellar peduncles (nerve bundles joining the structure on the posterior side of the ventricle to the structures on the anterior side).
The superior cerebellar peduncles (bracchia conjunctiva) emerge from the cerebellum and ascend to form the lateral portion of the roof of the fourth ventricle, where they enter the brainstem below the inferior colliculi. They are bridged by the superior medullary velum.
The inferior cerebellar peduncle is the smallest of the three cerebellar peduncles. The upper part of the posterior district of the medulla oblongata is occupied by the inferior cerebellar peduncle, a thick rope-like strand situated between the lower part of the fourth ventricle and the roots of the glossopharyngeal and vagus nerves.
The middle cerebellar peduncle is the largest of the three cerebellar peduncles. It connects the pons and cerebellum.It consists almost entirely of fibers passing from the pons to the cerebellum (fibrocerebellar fibers); the fibers arise from the pontine nuclei and decussate within the pons before entering the peduncle [1] to end in the contralateral cerebellar hemisphere.
The upper portion of the roof is formed by the cerebellum. The roof of ventricle is diamond shaped and can be divided into superior and inferior parts. The superior part or cranial part is formed by superior cerebellar peduncles and superior medullary velum. The inferior or caudal part is formed by ventricular ependyma and double fold of pia mater.
Ventricular system anatomy showing the cerebral aqueduct, labelled centre right. The cerebral aqueduct is the part of the ventricular system which links the third ventricle (rostrally) with the fourth ventricle (caudally); as such it is responsible for continuing the circulation of cerebrospinal fluid.
The superior medullary velum (anterior medullary velum) is a thin, transparent lamina of white matter [citation needed] which - together with the inferior medullary velum - forms the roof of the fourth ventricle. It extends between the two superior cerebellar peduncles. The lingula of cerebellum covers - and adheres to - its dorsal surface. [1]
The fastigial nuclei is situated atop the roof of the fourth ventricle (thence its name: "fastigus" is Latin for "summit"). [1]The fastigial nucleus is a mass of gray matter nearest to the middle line at the anterior end of the superior vermis, immediately over the roof of the fourth ventricle (the peak of which is called the fastigium), from which it is separated by a thin layer of white matter.
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