Quadrigeminal cistern

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
Latincisterna quadrigeminalis,[1]
cisterna venae magnae cerebri[1]
TA98A14.1.01.217
TA25399
FMA74511
Anatomical terms of neuroanatomy

Structure

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

The superior cistern contains a number of important structures, including:

Clinical significance

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

The superior cistern may also be known as the cistern of great cerebral vein, the quadrigeminal cistern, and Bichat's canal.[5]

References
  1. "Anatonomina". www.terminologia-anatomica.org. Retrieved 2023-08-02.
  2. 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)
  3. "quadrigeminal cistern". TheFreeDictionary.com. Retrieved 2023-08-02.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
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