Cavum septum pellucidum | |
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Details | |
Identifiers | |
Latin | Cavum septi pellucidi |
TA98 | A14.1.09.263 |
TA2 | 5648 |
FMA | 61874 |
Anatomical terms of neuroanatomy |
The cave of septum pellucidum (CSP), cavum septi pellucidi, or cavity of septum pellucidum is a slit-like space in the septum pellucidum that is present in fetuses but usually fuses during infancy. The septum pellucidum is a thin, laminated translucent vertical membrane in the midline of the brain separating the anterior horns of the right and left lateral ventricles. It lies posterior to the corpus callosum. Persistence of the cave of septum pellucidum after infancy has been loosely associated with neural maldevelopment and several mental disorders that correlate with decreased brain tissue. [1] [2] [3] [4] [5]
The cave of septum pellucidum is bounded anteriorly by the genu of the corpus callosum, superiorly by the body of the corpus callosum, posteriorly by the anterior limb and pillars of the fornix, inferiorly by the anterior commissure and the rostrum of the corpus callosum, and laterally by the leaflets of the septum pellucidum. [6]
In prenatal development of the fetus, the laminae of the septum pellucidum separate to form a small cavity – the cave of septum pellucidum. This is an important normal structure to identify in the sonographic assessment of the fetal brain. In post-natal life, the laminae of the septum pellucidum usually fuse, which obliterates the cavum. The cavity contains cerebrospinal fluid (CSF) that filters from the ventricles through the septal laminae. [7]
There are individual differences in the degree of CSP; whereas some have complete closure of the cavum, others present with a small degree (4–6 mm wide, in the coronal plane) of incomplete closure. [4] The most common type of CSP is noncommunicating; that is, it does not connect to the brain's ventricular system. Because of this lack of communication, the previous use of the term "fifth ventricle" is no longer used, and the fifth ventricle is the name often used for the terminal ventricle.
CSP is present in 100% of fetuses, but over 85% of them fuse by 3–6 months after birth. [8] [9]
The cause of CSP is basically unknown, although it is thought that prenatal alcohol exposure plays a significant role. [4]
CSP is a marker for fetal neural maldevelopment. The septum pellucidum is a thin, triangular, vertical membrane separating the anterior horns of the left and right lateral ventricles of the brain. It runs as a sheet from the corpus callosum down to the fornix. During fetal development at approximately the twelfth week of gestation, a space forms between two laminae, which is the CSP. At approximately the twentieth week of gestation, the laminae start to close. This closure ends shortly after birth (3–6 months postnatally). Fusion of the CSP is attributed to rapid development of the alvei of the hippocampus, amygdala, septal nuclei, fornix, corpus callosum and other midline structures. Lack of such limbic development interrupts this posterior-to-anterior fusion, resulting in preservation of the CSP into adulthood. [4]
CSP has been loosely associated with schizophrenia, [1] post-traumatic stress disorder, [2] traumatic brain injury, [3] as well as with antisocial personality disorder. [4] CSP is one of the distinguishing features of individuals displaying symptoms of dementia pugilistica (chronic traumatic encephalopathy). [5]
A cavum septum pellucidum (CSP) cyst is defined as a cystic structure with a width of at least 10 mm in the septum's region, whose walls exhibit lateral bowling. Cysts within the cave of septum pellucidum are rare, with an incidence of 0.04%. CSP cysts can be classified as communicating and noncommunicating, with communicating referring to its ability to communicate with the ventricles. Noncommunicating cysts can become communicating if they spontaneously rupture, if head trauma occurs, through surgery, or during a diagnostic procedure. Communicating cysts can become non-communicating through fibrosis at the site of communication. [10]
Hydrocephalus is a condition in which an accumulation of cerebrospinal fluid (CSF) occurs within the brain. This typically causes increased pressure inside the skull. Older people may have headaches, double vision, poor balance, urinary incontinence, personality changes, or mental impairment. In babies, it may be seen as a rapid increase in head size. Other symptoms may include vomiting, sleepiness, seizures, and downward pointing of the eyes.
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Colpocephaly is a cephalic disorder involving the disproportionate enlargement of the occipital horns of the lateral ventricles and is usually diagnosed early after birth due to seizures. It is a nonspecific finding and is associated with multiple neurological syndromes, including agenesis of the corpus callosum, Chiari malformation, lissencephaly, and microcephaly. Although the exact cause of colpocephaly is not known yet, it is commonly believed to occur as a result of neuronal migration disorders during early brain development, intrauterine disturbances, perinatal injuries, and other central nervous system disorders. Individuals with colpocephaly have various degrees of motor disabilities, visual defects, spasticity, and moderate to severe intellectual disability. No specific treatment for colpocephaly exists, but patients may undergo certain treatments to improve their motor function or intellectual disability.
The corpus callosum, 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 mammals. It spans part of the longitudinal fissure, connecting the left and right cerebral hemispheres, enabling communication between them. It is the largest white matter structure in the human brain, about 10 in (250 mm) in length and consisting of 200–300 million axonal projections.
In neuroanatomy, the ventricular system is a set of four interconnected cavities known as cerebral ventricles in the brain. Within each ventricle is a region of choroid plexus which produces the circulating cerebrospinal fluid (CSF). The ventricular system is continuous with the central canal of the spinal cord from the fourth ventricle, allowing for the flow of CSF to circulate.
The vertebrate cerebrum (brain) is formed by two cerebral hemispheres that are separated by a groove, the longitudinal fissure. The brain can thus be described as being divided into left and right cerebral hemispheres. Each of these hemispheres has an outer layer of grey matter, the cerebral cortex, that is supported by an inner layer of white matter. In eutherian (placental) mammals, the hemispheres are linked by the corpus callosum, a very large bundle of nerve fibers. Smaller commissures, including the anterior commissure, the posterior commissure and the fornix, also join the hemispheres and these are also present in other vertebrates. These commissures transfer information between the two hemispheres to coordinate localized functions.
The fornix is a C-shaped bundle of nerve fibers in the brain that acts as the major output tract of the hippocampus. The fornix also carries some afferent fibers to the hippocampus from structures in the diencephalon and basal forebrain. The fornix is part of the limbic system. While its exact function and importance in the physiology of the brain are still not entirely clear, it has been demonstrated in humans that surgical transection—the cutting of the fornix along its body—can cause memory loss. There is some debate over what type of memory is affected by this damage, but it has been found to most closely correlate with recall memory rather than recognition memory. This means that damage to the fornix can cause difficulty in recalling long-term information such as details of past events, but it has little effect on the ability to recognize objects or familiar situations.
Cerebellar hypoplasia is characterized by reduced cerebellar volume, even though cerebellar shape is (near) normal. It consists of a heterogeneous group of disorders of cerebellar maldevelopment presenting as early-onset non–progressive congenital ataxia, hypotonia and motor learning disability.
Optic nerve hypoplasia (ONH) is a medical condition arising from the underdevelopment (hypoplasia) of the optic nerve(s). This condition is the most common congenital optic nerve anomaly. The optic disc appears abnormally small, because not all the optic nerve axons have developed properly. It is often associated with endocrinopathies, developmental delay, and brain malformations. The optic nerve, which is responsible for transmitting visual signals from the retina to the brain, has approximately 1.2 million nerve fibers in the average person. In those diagnosed with ONH, however, there are noticeably fewer nerves.
The septum pellucidum is a thin, triangular, vertical double membrane separating the anterior horns of the left and right lateral ventricles of the brain. It runs as a sheet from the corpus callosum down to the fornix.
The lateral ventricles are the two largest ventricles of the brain and contain cerebrospinal fluid. Each cerebral hemisphere contains a lateral ventricle, known as the left or right lateral ventricle, respectively.
In the brain, the interventricular foramina are channels that connect the paired lateral ventricles with the third ventricle at the midline of the brain. As channels, they allow cerebrospinal fluid (CSF) produced in the lateral ventricles to reach the third ventricle and then the rest of the brain's ventricular system. The walls of the interventricular foramina also contain choroid plexus, a specialized CSF-producing structure, that is continuous with that of the lateral and third ventricles above and below it.
Agenesis of the corpus callosum (ACC) is a rare birth defect in which there is a complete or partial absence of the corpus callosum. It occurs when the development of the corpus callosum, the band of white matter connecting the two hemispheres in the brain, in the embryo is disrupted. The result of this is that the fibers that would otherwise form the corpus callosum are instead longitudinally oriented along the ipsilateral ventricular wall and form structures called Probst bundles.
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 bifurcates into the left and right posterior cerebral arteries. These anastomose with the middle cerebral arteries and internal carotid arteries via the posterior communicating arteries.
The tuber cinereum is the portion of hypothalamus forming the floor of the third ventricle situated between the optic chiasm, and the mammillary bodies. The tuberal region is one of the three regions of the hypothalamus, the other two being the chiasmatic region and the mamillary region.
The tela choroidea 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 describe a web-like membrane or layer. The tela choroidea is a very thin part of the loose connective tissue of pia mater overlying and closely adhering to the ependyma. It has a rich blood supply. The ependyma and vascular pia mater – the tela choroidea, form regions of minute projections known as a choroid plexus that projects into each ventricle. The choroid plexus produces most of the cerebrospinal fluid of the central nervous system that circulates through the ventricles of the brain, the central canal of the spinal cord, and the subarachnoid space. The tela choroidea in the ventricles forms from different parts of the roof plate in the development of the embryo.
Ventriculomegaly is a brain condition that mainly occurs in the fetus when the lateral ventricles become dilated. The most common definition uses a width of the atrium of the lateral ventricle of greater than 10 mm. This occurs in around 1% of pregnancies. When this measurement is between 10 and 15 mm, the ventriculomegaly may be described as mild to moderate. When the measurement is greater than 15mm, the ventriculomegaly may be classified as more severe.
Septum Verum is a region in the lower medial part of the telencephalon that separates the two cerebral hemispheres. The human septum consists of two parts: the septum pellucidum, a thin membrane consisting of white matter and glial cells that separate the lateral ventricles, and the lower, precommisural septum verum, which consists of nuclei and grey matter. The term is sometimes used synonymously with Area Septalis, to refer to the precommisural part of the lower base of the telencephalon. The Septum verum contains the septal nuclei, which are usually considered part of the limbic system.
Anteromedial central arteries are arteries that arise from the anterior cerebral artery and anterior communicating artery, and pass into the substance of the cerebral hemisphere through the the anterior perforated substance to supply the optic chiasm, hypothalamus, lamina terminalis, septum pellucidum, columns of fornix, rostrum of corpus callosum, putamen, head of caudate nucleus, and cingulate cortex.