Plexal point

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Within anatomy for the circulatory system, the plexal point or ventral choroidal point is the proposed naming for the point at which the anterior choroidal artery enters into the lateral ventricle of the brain at the tela choroidea. [1] [2] The choroid fissure, in this sense, is the narrow cleft along the medial wall of the lateral ventricle, where the choroid plexus is attached at the margins. [3] [4] Not to be confused with the choroidal fissure of the eye.

On lateral angiograms, the plexal point is seen to be 18–26 mm from the origin of the anterior choroidal artery. It is an important angiographic landmark, characterized by a steep downward progression of a few millimeters, then a sharp posterior turn to mark the point of entry. [1]

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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.

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References

  1. 1 2 Wiesmanna, Martin; Yousrya, Indra; Seelosa, Klaus C. & Yousrya, Tarek A. (2001). "Identification and Anatomic Description of the Anterior Choroidal Artery by Use of 3D-TOF Source and 3D-CISS MR Imaging". AJNR. 22 (2): 305–310. PMC   7973945 . PMID   11156774.
  2. Baskaya, Mustafa K.; Coscarella, Ernesto; Gomez, Ferdinand; Morcos, Jacques J. (2004). "Surgical and angiographic anatomy of the posterior communicating and anterior choroidal arteries". Neuroanatomy. 3: 38–42.
  3. Sherman JL, Camponovo E, Citrin CM (Nov 1990). "MR imaging of CSF-like choroidal fissure and parenchymal cysts of the brain". AJR Am J Roentgenol. 155 (5): 1069–75. doi: 10.2214/ajr.155.5.2120937 . PMID   2120937.
  4. "choroidal fissure". mondofacto - medical dictionary. 5 Mar 2000. Retrieved May 19, 2012.