Prepontine cistern
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View Raymond Chieng's current disclosures- Basilar cistern
- Prepontine cistern
The prepontine cistern, or simply pontine cistern, is an unpaired CSF-filled subarachnoid cistern located ventral to the pons and dorsal to the clivus.
It is bounded by arachnoid membranes which separate it from surrounding cisterns.
superiorly the mesencephalic leaf of the membrane of Liliequist, above which is the interpeduncular cistern
inferiorly the medial pontomedullary membrane, below which is the premedullary cistern
laterally the anterior pontine membranes, lateral to each are the cerebellopontine cisterns through which most CSF enters the prepontine cistern
A number of vessels and a cranial nerve course through this cistern and the content is somewhat variably described depending on how the borders of the cistern are defined. Using the arachnoid membranes as landmarks result in the least structures, limited to merely the basilar artery, some of its branches (pontine perforators and the origin of the AICA) and the transverse pontine veins 6.
Preganglionic fibres of the trigeminal nerve pass through the prepontine cistern before entering Meckel's cave through porus trigeminus 7.
The abducens nerve (CN VI), often cited as traversing the prepontine cistern is more accurately considered coursing in the anterior pontine membrane and thus, not strictly speaking within the cistern but rather in its wall 6.
Quiz questions
References
- 1. Stranding S. Gray's anatomy. Churchill Livingstone. (2005) ISBN:0443071683. Read it at Google Books - Find it at Amazon
- 2. Ross LMMP. Atlas of anatomy. George Thieme Verlag. (2007) ISBN:3131421215. Read it at Google Books - Find it at Amazon
- 3. Butler P, Mitchell A, Healy JC. Applied Radiological Anatomy. Cambridge University Press. (2012) ISBN:0521766664. Read it at Google Books - Find it at Amazon
- 4. Altafulla J, Bordes S, Jenkins S, Litvack Z, Iwanaga J, Loukas M, Tubbs RS. The Basal Subarachnoid Cisterns: Surgical and Anatomical Considerations. (2019) World neurosurgery. doi:10.1016/j.wneu.2019.05.087 - Pubmed
- 5. Stephanie Ryan, Michelle McNicholas, Stephen J. Eustace. Anatomy for Diagnostic Imaging. (2020) ISBN: 9780702029714
- 6. Matsuno, Haruo, Rhoton, Albert L., Peace, David. Microsurgical Anatomy of the Posterior Fossa Cisterns. (1988) Neurosurgery. 23 (1): 58. doi:10.1227/00006123-198807000-00012 - Pubmed
- 7. Kamel H & Toland J. Trigeminal Nerve Anatomy. AJR Am J Roentgenol. 2001;176(1):247-51. doi:10.2214/ajr.176.1.1760247 - Pubmed
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- Subarachnoid cisterns
- Premedullary cistern
- Porus trigeminus
- Clivus
- Dorello canal
- Superior cerebellar artery
- Basilar artery
- Medial pontomedullary membrane
- Anterior pontine membrane
- Bern score
- Trigeminal ganglion
- Möbius syndrome
- Pons
- Abducens nerve
- Cerebellopontine angle cistern
- Liliequist membrane
- Trigeminal schwannoma
- Trigeminal neuralgia protocol (MRI)
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- Interpeduncular cistern
- Tension pneumocephalus
- Ecchordosis physaliphora
- Intracranial neurenteric cyst
- Ruptured basilar artery aneurysm
- Meningioma - cavernous sinus
- Brainstem glioma
- Cavernoma - mesial temporal lobe
- Brainstem glioma
- Giant aneurysm of the internal carotid artery
- Epidermoid cyst compressing the trigeminal nerve
- Epidermoid cyst - posterior cranial fossa
- Epidermoid cyst with abducent nerve palsy
- Diffuse pontine glioma
- Epidermoid cyst - intracranial
- Intracranial epidermoid cyst
- Suprasellar arachnoid cyst
- Posterior circulation infarct due to basilar artery thrombosis
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