Fourth ventricle

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Fourth ventricle
4th ventricle - animation.gif
Animation showing the fourth ventricle (in red) in relation to the ventricular system.
Gray735.png
Drawing of a cast of the ventricular cavities, viewed from above. (Fourth ventricle visible at bottom center.)
Details
Identifiers
Latin ventriculus quartus
MeSH D020546
NeuroNames 621
NeuroLex ID birnlex_1256
TA98 A14.1.05.701
TA2 5966
FMA 78469
Anatomical terms of neuroanatomy

The fourth ventricle is one of the four connected fluid-filled cavities within the human brain. These cavities, known collectively as the ventricular system, consist of the left and right lateral ventricles, the third ventricle, and the fourth ventricle. The fourth ventricle extends from the cerebral aqueduct (aqueduct of Sylvius) to the obex, and is filled with cerebrospinal fluid (CSF).

Contents

The fourth ventricle has a characteristic diamond shape in cross-sections of the human brain. It is located within the pons or in the upper part of the medulla oblongata. CSF entering the fourth ventricle through the cerebral aqueduct can exit to the subarachnoid space of the spinal cord through two lateral apertures and a single, midline median aperture.

Boundaries

Fourth ventricle location shown in red (E), pons (B); the floor of the ventricle is to the right, the roof to the left Fourth Ventricle in the Human Cerebellum.svg
Fourth ventricle location shown in red (E), pons (B); the floor of the ventricle is to the right, the roof to the left

The fourth ventricle has a roof at its upper (posterior) surface and a floor at its lower (anterior) surface, and side walls formed by the cerebellar peduncles (nerve bundles joining the structure on the posterior side of the ventricle to the structures on the anterior side). The caudal tip of the fourth ventricle - where it becomes the central canal - is known as the obex; the obex is also a marker for the level of the foramen magnum of the skull and therefore is a marker for the imaginary dividing line between the medulla and spinal cord.

The superior portion of the roof (i.e. of the posterior edge) is formed, in the midline, by a thin lamina called the superior medullary velum, and laterally by the cerebellar peduncles. The inferior portion of the roof is formed superiorly by the inferior medullary veli and the vermis of the Cerebellum (covered with choroid plexus), and inferiorly by the tela. The inferior portion of the roof is where CSF can escape the ventricle through three openings: Near each of the three corners of the inferior roof there is an opening into the cisterna magna, the caudal opening being the foramen Magendie , while the lateral openings are the foramina of Luschka . Therefore, the fourth ventricle is the connector between the ventricular system (where CSF is produced) and the subarachnoid space (where CSF is absorbed). The roof rises (i.e. posteriorly) to a peak, known as the fastigium (Latin for "summit"); [1] the fastigial nucleus lies immediately above the roof of the fourth ventricle, in the cerebellum. [2]

The floor (i.e. the anterior edge) of the fourth ventricle constitutes the rhomboid fossa, and comprises a number of general features. A sulcus - the median sulcus - extends the length of the ventricle (from the cerebral aqueduct of the midbrain to the central canal of the spinal cord), dividing the floor into right and left halves. Each half is further divided by a further sulcus - the sulcus limitans - along a line parallel to the median sulcus; within the floor, motor neurons are located medially of the sulcus limitans, while sensory neurons are located laterally. The elevation between the median sulcus and sulcus limitans (i.e. the region for motor neurons), is known as the medial eminence , while the lateral region (i.e. that for the sensory neurons) is known as the vestibular area. The sulcus limitans bifurcates at either end - the superior fovea cerebrally, and the inferior fovea caudally.

The pons is located behind the middle and superior portion of the floor. In the superior region of the pons is the locus coeruleus, which due to its concentration of noradrenaline has a sky blue appearance, visible (in a colour closer to teal) through the floor of the ventricle, superiorly to the superior fovea. The internal part of the facial nerve bulges into the ventricle, forming the facial colliculus, in the process of looping around the abducens nucleus within the inferior region of the Pons.

The medulla oblongata is located behind the inferior portion of the floor (and continues caudally of the ventricle). Medullary striae emerge via the median sulcus and run transversely across the floor to become part of the inferior cerebellar peduncle. The hypoglossal nucleus bulges into the floor, creating the hypoglossal trigone, located slightly superiorly to the inferior fovea, within the median eminence. The dorsal nucleus of vagus nerve, within the medulla oblongata, comprises cells that are spindle shaped, also creating a bulge—the vagal trigone—in the region of the floor which overlies them; this is the region inferior of the inferior fovea.

Development

The ventricular system including the fourth ventricle, develops from the central canal of the neural tube. Specifically, the fourth ventricle originates from the portion of the tube that is present in the developing rhombencephalon. [3] During the first trimester of pregnancy the central canal expands into the lateral, third and fourth ventricles, connected by thinner channels. [4] Choroid plexuses appear in the ventricles which produce cerebrospinal fluid. If the flow of fluid is blocked ventricles may become enlarged and cause hydrocephalus.

Clinical significance

The floor of the fourth ventricle is a common location of an intracranial ependymoma in children.

Additional images

Related Research Articles

<span class="mw-page-title-main">Medulla oblongata</span> Structure of the brain stem

The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing. The medulla contains the cardiovascular center, the respiratory center, vomiting and vasomotor centers, responsible for the autonomic functions of breathing, heart rate and blood pressure as well as the sleep–wake cycle. "Medulla" is from Latin, ‘pith or marrow’. And "oblongata" is from Latin, ‘lengthened or longish or elongated'.

Articles related to anatomy include:

<span class="mw-page-title-main">Brainstem</span> Posterior part of the brain, adjoining and structurally continuous

The brainstem is the posterior stalk-like part of the brain that connects the cerebrum with the spinal cord. In the human brain the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is continuous with the thalamus of the diencephalon through the tentorial notch, and sometimes the diencephalon is included in the brainstem.

<span class="mw-page-title-main">Ventricular system</span> Structures containing cerebrospinal fluid

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.

<span class="mw-page-title-main">Third ventricle</span> Ventricle of the brain located between the two thalami

The third ventricle is one of the four connected cerebral 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 ventricles, and is filled with cerebrospinal fluid (CSF).

<span class="mw-page-title-main">Midbrain</span> Forward-most portion of the brainstem

The midbrain or mesencephalon is the uppermost portion of the brainstem connecting the diencephalon and cerebrum with the pons. It consists of the cerebral peduncles, tegmentum, and tectum.

<span class="mw-page-title-main">Cerebral aqueduct</span> Conduit for CSF to the brain

The cerebral aqueduct is a small, narrow tube connecting the third and fourth ventricles of the brain. The cerebral aqueduct is a midline structure that passes through the midbrain. It extends rostrocaudally through the entirety of the more posterior part of the midbrain. It is surrounded by the periaqueductal gray, a layer of gray matter.

<span class="mw-page-title-main">Median aperture</span>

The median aperture is an opening at the caudal portion of the roof of the fourth ventricle. It allows the flow of cerebrospinal fluid (CSF) from the fourth ventricle into the cisterna magna. The other openings of the fourth ventricle are the lateral apertures - one on either side. The median aperture varies in size but accounts for most of the outflow of CSF from the fourth ventricle.

<span class="mw-page-title-main">Lateral ventricles</span> Two largest ventricles in each cerebral hemisphere

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.

<span class="mw-page-title-main">Olivary body</span>

The olivary bodies or simply olives are a pair of prominent oval structures on either side of the medullary pyramids in the medulla, the lower portion of the brainstem. They contain the olivary nuclei.

<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">Cisterna magna</span> Space in the brain

The cisterna magna is the largest of the subarachnoid cisterns. It occupies the space created by the angle between the caudal/inferior surface of the cerebellum, and the dorsal/posterior surface of the medulla oblongata. The fourth ventricle communicates with the cistern via the unpaired midline median aperture. It is continuous inferiorly with the subarachnoid space of the spinal canal.

<span class="mw-page-title-main">Posterior inferior cerebellar artery</span> Major artery supplying blood to the cerebellum

The posterior inferior cerebellar artery (PICA) is the largest branch of the vertebral artery. It is one of the three main arteries that supply blood to the cerebellum, a part of the brain. Blockage of the posterior inferior cerebellar artery can result in a type of stroke called lateral medullary syndrome.

<span class="mw-page-title-main">Cerebellar peduncles</span> Structure connecting the cerebellum to the brainstem

The cerebellar peduncles are three paired bundles of fibres that connect the cerebellum to the brain stem.

<span class="mw-page-title-main">Rhomboid fossa</span> Depression in the human brain

The rhomboid fossa is a rhombus-shaped depression that is the anterior part of the fourth ventricle. Its anterior wall, formed by the back of the pons and the medulla oblongata, constitutes the floor of the fourth ventricle.

<span class="mw-page-title-main">Superior medullary velum</span> Thin layer between the superior cerebellar peduncles

The superior medullary velum is a thin, transparent lamina of white matter which - together with the inferior medullary velum - forms the roof of the fourth ventricle. It extends between the two superior cerebellar peduncles. The lingula of cerebellum covers - and adheres to - its dorsal surface.

<span class="mw-page-title-main">Cerebellar tonsil</span> Part of the brain

The cerebellar tonsil is a rounded lobule on the undersurface of each cerebellar hemisphere, continuous medially with the uvula of the cerebellar vermis and superiorly by the flocculonodular lobe. Synonyms include: tonsilla cerebelli, amygdala cerebelli, the latter of which is not to be confused with the cerebral tonsils or amygdala nuclei located deep within the medial temporal lobes of the cerebral cortex.

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

The spinal cord is a long, thin, tubular structure made up of nervous tissue that extends from the medulla oblongata in the lower brainstem to the lumbar region of the vertebral column (backbone) of vertebrate animals. The center of the spinal cord is hollow and contains a structure called the central canal, which contains cerebrospinal fluid. The spinal cord is also covered by meninges and enclosed by the neural arches. Together, the brain and spinal cord make up the central nervous system.

Serotonergic cell groups refer to collections of neurons in the central nervous system that have been demonstrated by histochemical fluorescence to contain the neurotransmitter serotonin (5-hydroxytryptamine). Since they are for the most part localized to classical brainstem nuclei, particularly the raphe nuclei, they are more often referred to by the names of those nuclei than by the B1-9 nomenclature. These cells appear to be common across most mammals and have two main regions in which they develop; one forms in the mesencephlon and the rostral pons and the other in the medulla oblongata and the caudal pons.

References

  1. Dr. M. A. (Toby) Arnold. "Anatomy Glossary". Archived from the original on 2017-03-01. Retrieved 2015-07-28.
  2. Spierer, Ronen (2023). "The debated neuroanatomy of the fourth ventricle". Journal of Anatomy. 243 (4): 555–563. doi:10.1111/joa.13885. ISSN   1469-7580. PMC   10485575 . PMID   37170923.
  3. Le, Tao; Bhushan, Vikas; Vasan, Neil (2010). First Aid for the USMLE Step 1: 2010 20th Anniversary Edition. USA: The McGraw-Hill Companies, Inc. pp.  126. ISBN   978-0-07-163340-6.
  4. Carlson, Bruce M. (1999). Human Embryology & Developmental Biology. Mosby. pp. 237–238. ISBN   0-8151-1458-3.