The superior cistern (cistern of great cerebral vein, quadrigeminal cistern, Bichat's canal) is a dilation as a
subarachnoid cistern of the
subarachnoid space
In anatomy, the meninges (, ''singular:'' meninx ( or ), ) are the three membranes that envelop the brain and spinal cord. In mammals, the meninges are the dura mater, the arachnoid mater, and the pia mater. Cerebrospinal fluid is locate ...
around the
brain
The brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head ( cephalization), usually near organs for special ...
. It lies between the
splenium
The corpus callosum (Latin for "tough body"), also callosal commissure, is a wide, thick nerve tract, consisting of a flat bundle of commissural fibers, beneath the cerebral cortex in the brain. The corpus callosum is only found in placental ...
of the
corpus callosum
The corpus callosum (Latin for "tough body"), also callosal commissure, is a wide, thick nerve tract, consisting of a flat bundle of commissural fibers, beneath the cerebral cortex in the brain. The corpus callosum is only found in placental ...
and the superior surface of the
cerebellum
The cerebellum (Latin for "little brain") is a major feature of the hindbrain of all vertebrates. Although usually smaller than the cerebrum, in some animals such as the mormyrid fishes it may be as large as or even larger. In humans, the cere ...
. It extends between the layers of the
tela choroidea
The tela choroidea (or tela chorioidea) is a region of meningeal pia mater that adheres to the underlying ependyma, and gives rise to the choroid plexus in each of the brain’s four ventricles. ''Tela'' is Latin for ''woven'' and is used to desc ...
of the
third ventricle
The third ventricle is one of the four connected ventricles of the ventricular system within the mammalian brain. It is a slit-like cavity formed in the diencephalon between the two thalami, in the midline between the right and left lateral ...
. It contains the
great cerebral vein
The great cerebral vein is one of the large blood vessels in the skull draining the cerebrum of the brain. It is also known as the "vein of Galen", named for its discoverer, the Greek physician Galen. However, it is not the only vein with this epon ...
,
posterior cerebral artery
The posterior cerebral artery (PCA) is one of a pair of cerebral arteries that supply oxygenated blood to the occipital lobe, part of the back of the human brain. The two arteries originate from the distal end of the basilar artery, where it bifur ...
, quadrigeminal artery,
glossopharyngeal nerve
The glossopharyngeal nerve (), also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior (closer to the nose) to the vagus nerve. Be ...
(CN IX), and the
pineal gland
The pineal gland, conarium, or epiphysis cerebri, is a small endocrine gland in the brain of most vertebrates. The pineal gland produces melatonin, a serotonin-derived hormone which modulates sleep patterns in both circadian and seasonal ...
.
Structure
The superior cistern is a dilatation as a
subarachnoid cistern of the
subarachnoid space
In anatomy, the meninges (, ''singular:'' meninx ( or ), ) are the three membranes that envelop the brain and spinal cord. In mammals, the meninges are the dura mater, the arachnoid mater, and the pia mater. Cerebrospinal fluid is locate ...
around the
brain
The brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It consists of nervous tissue and is typically located in the head ( cephalization), usually near organs for special ...
. It lies between the
splenium
The corpus callosum (Latin for "tough body"), also callosal commissure, is a wide, thick nerve tract, consisting of a flat bundle of commissural fibers, beneath the cerebral cortex in the brain. The corpus callosum is only found in placental ...
of the
corpus callosum
The corpus callosum (Latin for "tough body"), also callosal commissure, is a wide, thick nerve tract, consisting of a flat bundle of commissural fibers, beneath the cerebral cortex in the brain. The corpus callosum is only found in placental ...
(superiorly),
the
cerebellar vermis
The cerebellar vermis (from Latin ''vermis,'' "worm") is located in the medial, cortico-nuclear zone of the cerebellum, which is in the posterior fossa of the cranium. The primary fissure in the vermis curves ventrolaterally to the superior surf ...
(inferiorly and posteriorly),
and the tentorial margin. It lies medial to part of the medial
occipital cortex
The occipital lobe is one of the four major lobes of the cerebral cortex in the brain of mammals. The name derives from its position at the back of the head, from the Latin ''ob'', "behind", and ''caput'', "head".
The occipital lobe is the v ...
.
It extends between the layers of the
tela choroidea
The tela choroidea (or tela chorioidea) is a region of meningeal pia mater that adheres to the underlying ependyma, and gives rise to the choroid plexus in each of the brain’s four ventricles. ''Tela'' is Latin for ''woven'' and is used to desc ...
of the
third ventricle
The third ventricle is one of the four connected ventricles of the ventricular system within the mammalian brain. It is a slit-like cavity formed in the diencephalon between the two thalami, in the midline between the right and left lateral ...
.
Contents
The superior cistern contains a number of important structures, including:
* the
great cerebral vein
The great cerebral vein is one of the large blood vessels in the skull draining the cerebrum of the brain. It is also known as the "vein of Galen", named for its discoverer, the Greek physician Galen. However, it is not the only vein with this epon ...
.
This lies superiorly, and helps to form its superior wall.
* parts of the
posterior cerebral artery
The posterior cerebral artery (PCA) is one of a pair of cerebral arteries that supply oxygenated blood to the occipital lobe, part of the back of the human brain. The two arteries originate from the distal end of the basilar artery, where it bifur ...
.
* parts of the quadrigeminal artery.
* the exit of the
glossopharyngeal nerve
The glossopharyngeal nerve (), also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior (closer to the nose) to the vagus nerve. Be ...
(CN IX).
* the
pineal gland
The pineal gland, conarium, or epiphysis cerebri, is a small endocrine gland in the brain of most vertebrates. The pineal gland produces melatonin, a serotonin-derived hormone which modulates sleep patterns in both circadian and seasonal ...
.
Clinical significance
Arteriovenous malformations
Arteriovenous malformation is an abnormal connection between arteries and veins, bypassing the capillary system. This vascular anomaly is widely known because of its occurrence in the central nervous system (usually cerebral AVM), but can appe ...
of the
great cerebral vein
The great cerebral vein is one of the large blood vessels in the skull draining the cerebrum of the brain. It is also known as the "vein of Galen", named for its discoverer, the Greek physician Galen. However, it is not the only vein with this epon ...
can create an enlarged pouch of vein in the superior cistern.
This is derived from the prosencephalic vein present during
prenatal development
Prenatal development () includes the development of the embryo and of the fetus during a viviparous animal's gestation. Prenatal development starts with fertilization, in the germinal stage of embryonic development, and continues in fetal devel ...
.
This can be diagnosed soon after birth.
Medical ultrasound
Medical ultrasound includes diagnostic techniques (mainly imaging techniques) using ultrasound, as well as therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscl ...
may be used, where it displaces the
third ventricle
The third ventricle is one of the four connected ventricles of the ventricular system within the mammalian brain. It is a slit-like cavity formed in the diencephalon between the two thalami, in the midline between the right and left lateral ...
.
Angiography
Angiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. Modern angiography is perfo ...
may also be used.
The superior cistern may be opened during
neurosurgery
Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and ...
.
This is used in order to access deeper brain structures, such as the
superior colliculus
In neuroanatomy, the superior colliculus () is a structure lying on the roof of the mammalian midbrain. In non-mammalian vertebrates, the homologous structure is known as the optic tectum, or optic lobe. The adjective form '' tectal'' is commo ...
.
History
The superior cistern may also be known as the cistern of great cerebral vein, the quadrigeminal cistern, and
Bichat
Marie François Xavier Bichat (; ; 14 November 1771 – 22 July 1802) was a French anatomist and pathologist, known as the father of modern histology. Although he worked without a microscope, Bichat distinguished 21 types of elementary tissues ...
's canal.
References
{{Authority control
Meninges