Cerebellopontine angle

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Cerebellopontine angle
Gray705.png
Dissection showing the projection fibers of the cerebellum
Human brain midsagittal cut color.png
Angle shown between cerebellum (bright green) and pons (beige) as it meets from the cerebrum
Details
Identifiers
Latin Angulus pontocerebellaris
MeSH D002530
NeuroNames 544
TA98 A14.1.05.004
TA2 5922
FMA 84358
Anatomical terms of neuroanatomy

The cerebellopontine angle (CPA) (Latin : angulus cerebellopontinus) is located between the cerebellum and the pons. [1] The cerebellopontine angle is the site of the cerebellopontine angle cistern. [2]

Contents

The cerebellopontine angle is also the site of a set of neurological disorders known as the cerebellopontine angle syndrome.

Structure

The cerebellopontine angle is formed by the cerebellopontine fissure. This fissure is made when the cerebellum folds over to the pons, creating a sharply defined angle between them. [1] The angle formed in turn creates a subarachnoid cistern, the cerebellopontine angle cistern. The pia mater follows the outline of the fissure and the arachnoid mater continues across the divide so that the subarachnoid space is dilated at this area, forming the cerebellopontine angle cistern.[ citation needed ]

The anterior inferior cerebellar artery (AICA) is the principal vessel of the cerebellopontine angle. It also contains two cranial nerves – the vestibulocochlear nerve and the facial nerve; the cerebellar flocculus and the lateral recess of the fourth ventricle.[ citation needed ]

Clinical significance

Tumours can arise in the cerebellopontine angle. Four out of five of these tumours are vestibular schwannomas (commonly known as acoustic neuromas). [3]

Others found include:

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<span class="mw-page-title-main">Pia mater</span> Delicate innermost layer of the meninges, the membranes surrounding the brain and spinal cord

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<span class="mw-page-title-main">Vestibular schwannoma</span> Benign tumor of the vestibulocochlear cranial nerve

A vestibular schwannoma (VS), also called acoustic neuroma, is a benign tumor that develops on the vestibulocochlear nerve that passes from the inner ear to the brain. The tumor originates when Schwann cells that form the insulating myelin sheath on the nerve malfunction. Normally, Schwann cells function beneficially to protect the nerves which transmit balance and sound information to the brain. However, sometimes a mutation in the tumor suppressor gene, NF2, located on chromosome 22, results in abnormal production of the cell protein named Merlin, and Schwann cells multiply to form a tumor. The tumor originates mostly on the vestibular division of the nerve rather than the cochlear division, but hearing as well as balance will be affected as the tumor enlarges.

<span class="mw-page-title-main">Subarachnoid cisterns</span> Spaces around the brain filled with cerebrospinal fluid

The subarachnoid cisterns are spaces formed by openings in the subarachnoid space, an anatomic space in the meninges of the brain. The space is situated between the two meninges, the arachnoid mater and the pia mater. These cisterns are filled with cerebrospinal fluid (CSF).

<span class="mw-page-title-main">Middle cranial fossa</span>

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<span class="mw-page-title-main">Prepontine cistern</span> Subarachnoid cistern in front of the pons

The prepontine cistern, or pontine cistern is one of the subarachnoid cisterns situated ventral to the pons. It contains the basilar artery. Each lateral aperture opens into the pontine cistern just posterior to the cranial nerve VIII.

The cerebellopontine angle syndrome is a distinct neurological syndrome of deficits that can arise due to the closeness of the cerebellopontine angle to specific cranial nerves. Indications include unilateral hearing loss (85%), speech impediments, disequilibrium, tremors or other loss of motor control. The cerebellopontine angle cistern is a subarachnoid cistern formed by the cerebellopontine angle that lies between the cerebellum and the pons. It is filled with cerebrospinal fluid and is a common site for the growth of acoustic neuromas or schwannomas.

<span class="mw-page-title-main">Spinal cord</span> Part of the vertebral column in animals

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<span class="mw-page-title-main">Anatomy of the cerebellum</span> Structures in the cerebellum, a part of the brain

The Anatomy of the Cerebellum can be viewed at three levels. At the level of gross anatomy, the cerebellum consists of a tightly folded and crumpled layer of cortex, with white matter underneath, several deep nuclei embedded in the white matter, and a fluid-filled ventricle in the middle. At the intermediate level, the cerebellum and its auxiliary structures can be broken down into several hundred or thousand independently functioning modules or compartments known as microzones. At the microscopic level, each module consists of the same small set of neuronal elements, laid out with a highly stereotyped geometry.

The cerebellopontine cistern is a paired subarachnoid cistern at the cerebellopontine angle, an angle created between the cerebellum and the pons on either side. Each cerebellopontine cistern is continuous anteromedially with the prepontine cistern.

References

  1. 1 2 Samii, Madjid; Gerganov, Venelin (2013). "Microsurgical Anatomy of the Cerebellopontine Angle by the Retrosigmoid Approach". Surgery of Cerebellopontine Lesions. Springer, Berlin, Heidelberg. pp. 9–72. doi:10.1007/978-3-642-35422-9_2. ISBN   978-3-642-35421-2.
  2. Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). New York. p. 413. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  3. Springborg, JB; Poulsgaard, L; Thomsen, J (July 2008). "Nonvestibular schwannoma tumors in the cerebellopontine angle: a structured approach and management guidelines". Skull Base. 18 (4): 217–27. doi:10.1055/s-2007-1016959. PMC   2467479 . PMID   19119337.