Median Aperture of the Fourth Ventricle Revisited
Total Page:16
File Type:pdf, Size:1020Kb

Load more
Recommended publications
-
Spatially Heterogeneous Choroid Plexus Transcriptomes Encode Positional Identity and Contribute to Regional CSF Production
The Journal of Neuroscience, March 25, 2015 • 35(12):4903–4916 • 4903 Development/Plasticity/Repair Spatially Heterogeneous Choroid Plexus Transcriptomes Encode Positional Identity and Contribute to Regional CSF Production Melody P. Lun,1,3 XMatthew B. Johnson,2 Kevin G. Broadbelt,1 Momoko Watanabe,4 Young-jin Kang,4 Kevin F. Chau,1 Mark W. Springel,1 Alexandra Malesz,1 Andre´ M.M. Sousa,5 XMihovil Pletikos,5 XTais Adelita,1,6 Monica L. Calicchio,1 Yong Zhang,7 Michael J. Holtzman,7 Hart G.W. Lidov,1 XNenad Sestan,5 Hanno Steen,1 XEdwin S. Monuki,4 and Maria K. Lehtinen1 1Department of Pathology, and 2Division of Genetics, Boston Children’s Hospital, Boston, Massachusetts 02115, 3Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, 4Department of Pathology and Laboratory Medicine, University of California Irvine School of Medicine, Irvine, California 92697, 5Department of Neurobiology and Kavli Institute for Neuroscience, Yale School of Medicine, New Haven, Connecticut 06510, 6Department of Biochemistry, Federal University of Sa˜o Paulo, Sa˜o Paulo 04039, Brazil, and 7Pulmonary and Critical Care Medicine, Department of Medicine, Washington University, St Louis, Missouri 63110 A sheet of choroid plexus epithelial cells extends into each cerebral ventricle and secretes signaling factors into the CSF. To evaluate whether differences in the CSF proteome across ventricles arise, in part, from regional differences in choroid plexus gene expression, we defined the transcriptome of lateral ventricle (telencephalic) versus fourth ventricle (hindbrain) choroid plexus. We find that positional identitiesofmouse,macaque,andhumanchoroidplexiderivefromgeneexpressiondomainsthatparalleltheiraxialtissuesoforigin.We thenshowthatmolecularheterogeneitybetweentelencephalicandhindbrainchoroidplexicontributestoregion-specific,age-dependent protein secretion in vitro. -
Role of Endoscopy in Management of Hydrocephalus
8 Role of Endoscopy in Management of Hydrocephalus Nasser M. F. El-Ghandour Department of Neurosurgery, Faculty of Medicine, Cairo University Egypt 1. Introduction Management of hydrocephalus is the most beneficial indication for endoscopy. To cure hydrocephalus and thereby render an individual shunt independent is a great achievement. The standard and the most commonly performed endoscopic procedure is endoscopic third ventriculostomy. However, the field of neuroendoscopy is prepared to extend itself beyond just the ventriculostomy procedure. The neuroendoscope plays other important roles in the management of hydrocephalus. Although the literature is focusing mainly on the role of endoscopic third ventriculostomy in the treatment of aqueduct stenosis, the indications for endocopy continues to increase rapidly. With increasing experience, and improved endoscopic instruments, another important role of endoscopy has been emerged in approaching intraventricular tumors which may be completely removed without microsurgical brain dissection (Gaab & Schroeder, 1998). In addition to tumor removal it is usually possible to restore obstructed cerebrospinal fluid pathways using the same approach by performing ventriculostomies, septostomies or stent implantation (Oka et al., 1994). The goal of this chapter is to present the role of endoscopy in the management of hydrocephalus. The following chapter gives a comprehensive review about the indications, outcome, complications, and advantages of endoscopy. Various procedures which can be performed endoscopically for the management of hydrocephalus will be discussed. 2. Historical perspectives Endoscopy was introduced in the neurosurgical speciality at the beginning of this century. In 1910, L’Espinasse used the cystoscope to perform the first registered endoscopic procedure. He explored the lateral ventricle and coagulated the choroid plexus in 2 infants with hydrocephalus (Walker, 2001). -
Human Cerebrospinal Fluid Induces Neuronal Excitability Changes in Resected Human Neocortical and Hippocampal Brain Slices
bioRxiv preprint doi: https://doi.org/10.1101/730036; this version posted August 8, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. Human cerebrospinal fluid induces neuronal excitability changes in resected human neocortical and hippocampal brain slices Jenny Wickham*†1, Andrea Corna†1,2,3, Niklas Schwarz4, Betül Uysal 2,4, Nikolas Layer4, Thomas V. Wuttke4,5, Henner Koch4, Günther Zeck1 1 Neurophysics, Natural and Medical Science Institute (NMI) at the University of Tübingen, Reutlingen, Germany 2 Graduate Training Centre of Neuroscience/International Max Planck Research School, Tübingen, Germany. 3 Institute for Ophthalmic Research, University of Tübingen, Tübingen, Germany 4 Department of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany 5 Department of Neurosurgery, University of Tübingen, Tübingen, Germany * Communicating author: Jenny Wickham ([email protected]) and Günther Zeck ([email protected]) † shared first author, Shared last author Acknowledgments: This work was supported by the German Ministry of Science and Education (BMBF, FKZ 031L0059A) and by the German Research Foundation (KO-4877/2-1 and KO 4877/3- 1) Author contribution: JW and AC performed micro-electrode array recordings, NS, BU, NL, TW, HK and JW did tissue preparation and culturing, JW, AC, GZ did data analysis and writing. Proof reading and study design: all. Conflict of interest: None Keywords: Human tissue, human cerebrospinal fluid, Microelectrode array, CMOS-MEA, hippocampus, cortex, tissue slice 1 bioRxiv preprint doi: https://doi.org/10.1101/730036; this version posted August 8, 2019. -
Cerebrospinal Fluid in Critical Illness
Cerebrospinal Fluid in Critical Illness B. VENKATESH, P. SCOTT, M. ZIEGENFUSS Intensive Care Facility, Division of Anaesthesiology and Intensive Care, Royal Brisbane Hospital, Brisbane, QUEENSLAND ABSTRACT Objective: To detail the physiology, pathophysiology and recent advances in diagnostic analysis of cerebrospinal fluid (CSF) in critical illness, and briefly review the pharmacokinetics and pharmaco- dynamics of drugs in the CSF when administered by the intravenous and intrathecal route. Data Sources: A review of articles published in peer reviewed journals from 1966 to 1999 and identified through a MEDLINE search on the cerebrospinal fluid. Summary of review: The examination of the CSF has become an integral part of the assessment of the critically ill neurological or neurosurgical patient. Its greatest value lies in the evaluation of meningitis. Recent publications describe the availability of new laboratory tests on the CSF in addition to the conventional cell count, protein sugar and microbiology studies. Whilst these additional tests have improved our understanding of the pathophysiology of the critically ill neurological/neurosurgical patient, they have a limited role in providing diagnostic or prognostic information. The literature pertaining to the use of these tests is reviewed together with a description of the alterations in CSF in critical illness. The pharmacokinetics and pharmacodynamics of drugs in the CSF, when administered by the intravenous and the intrathecal route, are also reviewed. Conclusions: The diagnostic utility of CSF investigation in critical illness is currently limited to the diagnosis of an infectious process. Studies that have demonstrated some usefulness of CSF analysis in predicting outcome in critical illness have not been able to show their superiority to conventional clinical examination. -
Telovelar Approach to the Fourth Ventricle: Microsurgical Anatomy
J Neurosurg 92:812–823, 2000 Telovelar approach to the fourth ventricle: microsurgical anatomy ANTONIO C. M. MUSSI, M.D., AND ALBERT L. RHOTON, JR., M.D. Department of Neurological Surgery, University of Florida, Gainesville, Florida Object. In the past, access to the fourth ventricle was obtained by splitting the vermis or removing part of the cere- bellum. The purpose of this study was to examine the access to the fourth ventricle achieved by opening the tela cho- roidea and inferior medullary velum, the two thin sheets of tissue that form the lower half of the roof of the fourth ven- tricle, without incising or removing part of the cerebellum. Methods. Fifty formalin-fixed specimens, in which the arteries were perfused with red silicone and the veins with blue silicone, provided the material for this study. The dissections were performed in a stepwise manner to simulate the exposure that can be obtained by retracting the cerebellar tonsils and opening the tela choroidea and inferior medullary velum. Conclusions. Gently displacing the tonsils laterally exposes both the tela choroidea and the inferior medullary velum. Opening the tela provides access to the floor and body of the ventricle from the aqueduct to the obex. The additional opening of the velum provides access to the superior half of the roof of the ventricle, the fastigium, and the superolater- al recess. Elevating the tonsillar surface away from the posterolateral medulla exposes the tela, which covers the later- al recess, and opening this tela exposes the structure forming -
Arachnoid Cyst of the Velum Interpositum
981 t . Arachnoid Cyst of the Velum Interpositum S. M. Spiegel,1 B. Nixon,2 K. TerBrugge,1 M. C. Chiu,1 and H. Schutz2 Arachnoid cysts are thin-walled fluid-filled cavities that are The lesion was assumed to be an arachnoid cyst and surgery was uncommon causes of intracranial mass lesions [1 , 2]. These planned for decompression. By way of a right parietal craniotomy, an lesions have been found in various locations, both supraten interhemispheric transcallosal approach was used to expose the cyst. torial and infratentorial [1 , 3-7]. This report describes a case After the cyst was punctured, the roof was removed and tissue was submitted for pathologic study. The fluid within the cyst proved to be in which the arachnoid cyst arose from the tela choroidea and identical to CSF. The cyst was then marsupialized to the third occupied the cistern of the velum interpositum. The cyst ventricle. caused symptoms similar to those seen with a third ventricular The sample received for pathologic study consisted of a moder mass [8, 9] . To our knowledge, this is the first report of an ately cellular, collagenous tissue with a small amount of brain paren arachnoid cyst in this location. chyma. The lining of the tissue consisted of flattened cells. The appearance was typical of the wall of an arachnoid cyst. After surgery, the patient had no further episodes of loss of Case Report consciousness or headache. A 43-year-old woman was admitted to the hospital because of two episodes of sudden loss of consciousness within a period of a few months. -
Meninges Ventricles And
Meninges ,ventricles & CSF Dr.Sanaa Al-Shaarawy Dr. Essam Eldin Salama OBJECTIVES • By the end of the lecture the student should be able to: • Describe the cerebral meninges & list the main dural folds. • Describe the spinal meninges & locate the level of the termination of each of them. • Describe the importance of the subarachnoid space. • List the Ventricular system of the CNS and locate the site of each of them. • Describe the formation, circulation, drainage, and functions of the CSF. • Know some clinical point about the CSF MENINGES • The brain and spinal cord are invested by three concentric membranes ; • The outermost layer is the dura matter. • The middle layer is the arachnoid matter. • The innermost layer is the pia matter. DURA MATER ▪The cranial dura is a two layered tough, fibrous thick membrane that surrounds the brain. ▪It is formed of two layers; periosteal and meningeal. ▪The periosteal layer is attached to the skull. ▪The meningeal layer is folded forming the dural folds : falx cerebri, and tentorium cerebelli. ▪Sensory innervation of the dura is mostly from : meningeal branches of the trigeminal and vagus nerves & C1 to C3(upper cervical Ns.). DURA MATER Folds Two large reflection of dura extend into the cranial cavity : 1.The falx cerebri, In the midline, ▪It is a vertical sickle-shaped sheet of dura, extends from the cranial roof into the great longitudinal fissure between the two cerebral hemispheres. ▪It has an attached border adherent to the skull. ▪And a free border lies above the corpus callosum. DURA MATER Folds 2. A horizontal shelf of dura, The tentorium cerebelli, ▪ It lies between the posterior part of the cerebral hemispheres and the cerebellum. -
Auditory and Vestibular Systems Objective • to Learn the Functional
Auditory and Vestibular Systems Objective • To learn the functional organization of the auditory and vestibular systems • To understand how one can use changes in auditory function following injury to localize the site of a lesion • To begin to learn the vestibular pathways, as a prelude to studying motor pathways controlling balance in a later lab. Ch 7 Key Figs: 7-1; 7-2; 7-4; 7-5 Clinical Case #2 Hearing loss and dizziness; CC4-1 Self evaluation • Be able to identify all structures listed in key terms and describe briefly their principal functions • Use neuroanatomy on the web to test your understanding ************************************************************************************** List of media F-5 Vestibular efferent connections The first order neurons of the vestibular system are bipolar cells whose cell bodies are located in the vestibular ganglion in the internal ear (NTA Fig. 7-3). The distal processes of these cells contact the receptor hair cells located within the ampulae of the semicircular canals and the utricle and saccule. The central processes of the bipolar cells constitute the vestibular portion of the vestibulocochlear (VIIIth cranial) nerve. Most of these primary vestibular afferents enter the ipsilateral brain stem inferior to the inferior cerebellar peduncle to terminate in the vestibular nuclear complex, which is located in the medulla and caudal pons. The vestibular nuclear complex (NTA Figs, 7-2, 7-3), which lies in the floor of the fourth ventricle, contains four nuclei: 1) the superior vestibular nucleus; 2) the inferior vestibular nucleus; 3) the lateral vestibular nucleus; and 4) the medial vestibular nucleus. Vestibular nuclei give rise to secondary fibers that project to the cerebellum, certain motor cranial nerve nuclei, the reticular formation, all spinal levels, and the thalamus. -
NERVOUS SYSTEM هذا الملف لالستزادة واثراء المعلومات Neuropsychiatry Block
NERVOUS SYSTEM هذا الملف لﻻستزادة واثراء المعلومات Neuropsychiatry block. قال تعالى: ) َو َل َق د َخ َل قنَا ا ِْلن َسا َن ِمن ُس ََل َل ة ِ من ِطي ن }12{ ثُ م َجعَ لنَاه ُ نُ ط َفة فِي َق َرا ر م ِكي ن }13{ ثُ م َخ َل قنَا ال ُّن ط َفة َ َع َل َقة َف َخ َل قنَا ا لعَ َل َقة َ ُم ضغَة َف َخ َل قنَا ا ل ُم ضغَة َ ِع َظا ما َف َك َس ونَا ا ل ِع َظا َم َل ح ما ثُ م أَن َشأنَاه ُ َخ ل قا آ َخ َر َفتَبَا َر َك ّللا ُ أَ ح َس ُن ا ل َخا ِل ِقي َن }14{( Resources BRS Embryology Book. Pathoma Book ( IN DEVELOPMENTAL ANOMALIES PART ). [email protected] 1 OVERVIEW A- Central nervous system (CNS) is formed in week 3 of development, during which time the neural plate develops. The neural plate, consisting of neuroectoderm, becomes the neural tube, which gives rise to the brain and spinal cord. B- Peripheral nervous system (PNS) is derived from three sources: 1. Neural crest cells 2. Neural tube, which gives rise to all preganglionic autonomic nerves (sympathetic and parasympathetic) and all nerves (-motoneurons and -motoneurons) that innervate skeletal muscles 3. Mesoderm, which gives rise to the dura mater and to connective tissue investments of peripheral nerve fibers (endoneurium, perineurium, and epineurium) DEVELOPMENT OF THE NEURAL TUBE Neurulation refers to the formation and closure of the neural tube. BMP-4 (bone morphogenetic protein), noggin (an inductor protein), chordin (an inductor protein), FGF-8 (fibroblast growth factor), and N-CAM (neural cell adhesion molecule) appear to play a role in neurulation. -
Neuroendoscopic Choroid Plexus Coagulation for Pediatric Hydrocephalus
32 Review Neuroendoscopic Choroid Plexus Coagulation for Pediatric Hydrocephalus: Review of Historical Aspects and Rebirth Coagulação Neuroendoscópica do Plexo Coróide: Revisão de Aspectos Históricos e Renascimento Roberto Alexandre Dezena1 Carlos Umberto Pereira2 Leopoldo Prézia de Araújo1 Monique Passos Ribeiro3 Helisângela Alves de Oliveira3 ABSTRACT This study aims to review historical aspects and rebirth of the neuroendoscopic choroid plexus coagulation (NCPC) for pediatric hydrocephalus. The literature covering this topic in PubMed was reviewed. The first NCPC procedure goes back to early 1930s. After the development of other treatment methods and the understanding of CSF dynamics, the application of NCPC dramatically decreased by 1970s. In 2000s, there was a rebirth of NCPC in combination with endoscopic third ventriculostomy (ETV). NCPC remains one of the options for the treatment of pediatric hydrocephalus in selected cases. NCPC might provide a temporary reduction in CSF production to allow a further development of CSF absorption in infant. Adding NCPC to ETV for infants with communicating hydrocephalus may increase the shunt independent rate thus avoiding the consequence of late complication related to the shunt device. This is important for patients who are difficult to be followed up, due to geographical and/or socioeconomic difficulties. Besides, adding NCPC to ETV for obstructive hydrocephalus in infant may also increase the successful rate. Furthermore, NCPC may be an option for cases with high chance of shunt complication such as multiloculated hydrocephalus, extreme hydrocephalus and hydranencephaly. In comparison with the traditional treatment of CSF shunting, the role of NCPC needs to be further evaluated in particular concerning the neurocognitive development. Key words: Pediatric hydrocephalus; Neuroendoscopic choroid plexus coagulation; Endoscopic third ventriculostomy. -
Neuromelanin Marks the Spot: Identifying a Locus Coeruleus Biomarker of Cognitive Reserve in Healthy Aging
Neurobiology of Aging xxx (2015) 1e10 Contents lists available at ScienceDirect Neurobiology of Aging journal homepage: www.elsevier.com/locate/neuaging Neuromelanin marks the spot: identifying a locus coeruleus biomarker of cognitive reserve in healthy aging David V. Clewett a,*, Tae-Ho Lee b, Steven Greening b,c,d, Allison Ponzio c, Eshed Margalit e, Mara Mather a,b,c a Neuroscience Graduate Program, University of Southern California, Los Angeles, CA, USA b Department of Psychology, University of Southern California, Los Angeles, CA, USA c Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA d Department of Psychology, Louisiana State University, Baton Rouge, LA, USA e Dornsife College of Letters and Sciences, University of Southern California, Los Angeles, CA, USA article info abstract Article history: Leading a mentally stimulating life may build up a reserve of neural and mental resources that preserve Received 28 May 2015 cognitive abilities in late life. Recent autopsy evidence links neuronal density in the locus coeruleus (LC), Received in revised form 18 September 2015 the brain’s main source of norepinephrine, to slower cognitive decline before death, inspiring the idea Accepted 23 September 2015 that the noradrenergic system is a key component of reserve (Robertson, I. H. 2013. A noradrenergic theory of cognitive reserve: implications for Alzheimer’s disease. Neurobiol. Aging. 34, 298e308). Here, we tested this hypothesis using neuromelanin-sensitive magnetic resonance imaging to visualize and Keywords: measure LC signal intensity in healthy younger and older adults. Established proxies of reserve, including Locus coeruleus Aging education, occupational attainment, and verbal intelligence, were linearly correlated with LC signal in- fi Norepinephrine tensity in both age groups. -
Review of Spinal Cord Basics of Neuroanatomy Brain Meninges
Review of Spinal Cord with Basics of Neuroanatomy Brain Meninges Prof. D.H. Pauža Parts of Nervous System Review of Spinal Cord with Basics of Neuroanatomy Brain Meninges Prof. D.H. Pauža Neurons and Neuroglia Neuron Human brain contains per 1011-12 (trillions) neurons Body (soma) Perikaryon Nissl substance or Tigroid Dendrites Axon Myelin Terminals Synapses Neuronal types Unipolar, pseudounipolar, bipolar, multipolar Afferent (sensory, centripetal) Efferent (motor, centrifugal, effector) Associate (interneurons) Synapse Presynaptic membrane Postsynaptic membrane, receptors Synaptic cleft Synaptic vesicles, neuromediator Mitochondria In human brain – neurons 1011 (100 trillions) Synapses – 1015 (quadrillions) Neuromediators •Acetylcholine •Noradrenaline •Serotonin •GABA •Endorphin •Encephalin •P substance •Neuronal nitric oxide Adrenergic nerve ending. There are many 50-nm-diameter vesicles (arrow) with dark, electron-dense cores containing norepinephrine. x40,000. Cell Types of Neuroglia Astrocytes - Oligodendrocytes – Ependimocytes - Microglia Astrocytes – a part of hemoencephalic barrier Oligodendrocytes Ependimocytes and microglial cells Microglia represent the endogenous brain defense and immune system, which is responsible for CNS protection against various types of pathogenic factors. After invading the CNS, microglial precursors disseminate relatively homogeneously throughout the neural tissue and acquire a specific phenotype, which clearly distinguish them from their precursors, the blood-derived monocytes. The ´resting´ microglia