Fourth Ventricle Flashcards
Definition and site
Cavity of hindbrain lying between pons and upper part medulla (in front) and cerebellum (behind)
Shape and angles
Diamond shaped
4 angles
1. Upper angle
2. Lower angle
3. Lateral angle
Upper angle
Continuous with sylvius aqueduct
Lower angle
Continuous with central canal closed medulla
Lateral angle
2 lateral angles
Each at meeting of SCP and ICP of its own side
Boundaries
- Roof
- Floor
- 2 lateral borders
Lateral borders
- Above
- In middle
- Below
Lateral borders: above
SCP
Lateral borders: in middle
Lateral angle forming lateral recess
Lateral borders: below
- Gracile tubercle
- Cuneate tubercle
- ICP
Floor
Divided by median longitudinal sulcus into 2 similar halves
It is also divided by transverse nerve bundles (medullary stria) into:
1. Upper pontine part
2. Lower medullary part
Upper pontine part
Dorsal (tegmental) surface pons
Dorsal surface pons
Forms upper 1/2 of 4th ventricle floor separated from back of open medulla by medullary stria and bounded lateral by SCP
Dorsal surface pons features
- Medial eminence and facial colliculus
- Sulcus limitans
- Upper vestibular area
Medial eminence and facial colliculus
(At medial eminence lower end produced by abducent nucleus and encircling facial nerve fibers
Sulcus limitans
Lateral to medial eminence and its lower part lies lateral to facial colliculus and called superior fovea
Upper vestibular area
Overlies superior and lateral vestibular nuclei
Dorsal surface of medulla upper 1/2 (open medulla)
Forms lower 1/2 of 4th ventricle floor separated from pons back by medullary stria and bounded lateral by ICP
Open medulla transversed by
- Vertical median sulcus
- Lateral to it inverted v shaped depression (inferior fovea)
- On each side, inferior fovea divides medullary part in 3 triangular areas
Medullary part of open medulla is divided into 3 parts from medial to lateral
- Hypoglossal trigone
- Vagal trigone
- Lower vestibular area
Hypoglossal trigone
Overlies hypoglossal nerve nucleus
Vagal trigone
Overlies vagus nerve dorsal nucleus
Lower vestibular area
Overlies inferior and medial vestibular nuclei
Area postrema
- Vomiting center
- Protruberence at 4th ventricle inferoposterior limit
Superior roof
Superior medullary velum (thin sheet of white matter connecting 2 SCP)
Inferior roof: upper area
Cerebellum nodule and inferior medullary velum (connecting 2 ICP)
Inferior roof: lower area
Tela choroidea of 4th ventricle (where choroid plexus invaginates 4th ventricle and where pia mater comes in contact with ependyma).
Recesses
- Median recess
- 2 lateral recesses
Median recess
4th ventricle roof is drawn backwards towards cerebellum forming median recess with upper wall formed by superior medullary velum and lower wall formed by cerebellum
2 lateral recesses
- At 4th ventricle lateral angles 2. Each runs forward around medulla to open anterior into subarachnoid space by lateral aperture (foramen luschka)
Communication
- Upper angle
- Lower angle
- With subarachnoid space
Communication: upper angle
Communicates with 3rd ventricle through sylvius aqueduct
Communication: lower angle
Communicates with central canal of medulla
Communication: subarachnoid space
By median (foramen of magendie which opens in cisterna magna) and 2 lateral apertures (foramina of luschka which open into ponto-medullary cistern)
Choroid plexus
- Invaginates lowermost area of 4th ventricle roof above median aperture of magendie
- T shaped with median stem and 2 arms extending to lateral recesses
- Blood supply is posterior inferior cerebellar arteries