Mamillopontine distance

Changed by Karol Kovačič, 1 May 2021

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The mamillopontine distance, also spelled mammillopontine, is defined as the distance between the inferior aspect of the mammillary bodies to the superior aspect of the pons

Measurement

The mamillopontine distance is measured on midsagittal T1WI MRI from the anterior root of the mammillary body to the top of the pons parallel to the anterior mesencephalon or the shortest distance between the centre of the mammillary bodies and the upper surface of the pons. 

Interpretation

In normal individuals, it should be >5.5;9 mm 13.

It is decreased in conditions that either depress the floor of the third ventricle or change the position of the brain within the intracranial cavity. Such conditions include: 

  • intracranial hypotension: it is one of the helpful quantitative signs helpful in improving the accuracy of MRI diagnosis, cutoff value is under 5,5 mm1.
  • hydrocephalus: as one of the morphological changes at mid-sagittal MRI
  • -<p>The<strong> mamillopontine distance</strong>, also spelled <strong>mammillopontine</strong>, is defined as the distance between the inferior aspect of the <a href="/articles/mammillary-bodies">mammillary bodies</a> to the superior aspect of the <a href="/articles/pons">pons</a>. </p><h4>Measurement</h4><p>The mamillopontine distance is measured on midsagittal T1WI MRI from the anterior root of the mammillary body to the top of the pons parallel to the anterior mesencephalon or the shortest distance between the centre of the mammillary bodies and the upper surface of the pons. </p><h4>Interpretation</h4><p>In normal individuals, it should be &gt;5.5 mm <sup>1</sup>.</p><p>It is decreased in conditions that either depress the floor of the <a href="/articles/third-ventricle">third ventricle</a> or change the position of the brain within the intracranial cavity. Such conditions include: </p><ul>
  • +<p>The<strong> mamillopontine distance</strong>, also spelled <strong>mammillopontine</strong>, is defined as the distance between the inferior aspect of the <a href="/articles/mammillary-bodies">mammillary bodies</a> to the superior aspect of the <a href="/articles/pons">pons</a>. </p><h4>Measurement</h4><p>The mamillopontine distance is measured on midsagittal T1WI MRI from the anterior root of the mammillary body to the top of the pons parallel to the anterior mesencephalon or the shortest distance between the centre of the mammillary bodies and the upper surface of the pons. </p><h4>Interpretation</h4><p>In normal individuals, it should be &gt;9 mm <sup>3</sup>.</p><p>It is decreased in conditions that either depress the floor of the <a href="/articles/third-ventricle">third ventricle</a> or change the position of the brain within the intracranial cavity. Such conditions include: </p><ul>
  • -<a href="/articles/intracranial-hypotension-1">intracranial hypotension</a>: it is one of the helpful quantitative signs helpful in improving the accuracy of MRI diagnosis</li>
  • +<a href="/articles/intracranial-hypotension-1">intracranial hypotension</a>: it is one of the helpful quantitative signs helpful in improving the accuracy of MRI diagnosis, cutoff value is under 5,5 mm<sup>1</sup>.</li>
  • -<a href="/articles/hydrocephalus">hydrocephalus</a>: as one of the morphological changes at mid-sagittal MRI</li>
  • +<a href="/articles/hydrocephalus">hydrocephalus</a>: as one of the morphological changes at mid-sagittal MRI. </li>

References changed:

  • 3. Kariev GM, Asadullaev UM, Duschanov TA, Rasulov SO, Mamadaliev DMV, Khodjimetov DN. The importance of measuring mamillopontine distance as a diagnostic criterion of hydrocephalus degrees. (2019) Asian Journal of Neurosurgery. 14 (1): 166. <a href="https://doi.org/10.4103/ajns.AJNS_79_18">doi:10.4103/ajns.AJNS_79_18</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/30937029">Pubmed</a> <span class="ref_v4"></span>

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