Possible cerebrospinal fluid pathways in the middle fossa floor and pterional diploe: a magnetic resonance imaging study
Purpose There has not been a study documenting the distribution of cerebrospinal fluid (CSF) pathways in the anterolateral base of the middle fossa (ALB) and diploe of the pterional region (Pt). The present study aimed to delineate these pathways using magnetic resonance imaging. Methods Thin-sliced...
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creator | Tsutsumi, Satoshi Ono, Hideo Yasumoto, Yukimasa Ishii, Hisato |
description | Purpose
There has not been a study documenting the distribution of cerebrospinal fluid (CSF) pathways in the anterolateral base of the middle fossa (ALB) and diploe of the pterional region (Pt). The present study aimed to delineate these pathways using magnetic resonance imaging.
Methods
Thin-sliced, axial, and coronal T2-weighted sequences were performed for a total of 358 outpatients, including 20 pediatric patients.
Results
Adult population
: CSF-filled channels were identified on axial images in the ALB in 57% and in the diploe of the Pt in 65% of 338 patients. These pathways showed variable morphology and number bilaterally. CSF-filled channels were identified on coronal images in the ALB in 14% and in the diploe of the Pt in 100% of 59 patients. These were delineated as linear structures of variable number and thickness. Eleven percent of the pathways identified in the ALB was connected with extracranial channels.
Pediatric population
: CSF-filled channels were identified on axial images in the ALB in 75% and in the diploe of the Pt in 80% of 20 patients.
Conclusions
The ALB and diploe of the Pt may function as CSF pathways in children and adults. The pathways in the ALB can be a CSF-drainage route connecting to the extracranial sites. |
doi_str_mv | 10.1007/s00276-019-02290-z |
format | Article |
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There has not been a study documenting the distribution of cerebrospinal fluid (CSF) pathways in the anterolateral base of the middle fossa (ALB) and diploe of the pterional region (Pt). The present study aimed to delineate these pathways using magnetic resonance imaging.
Methods
Thin-sliced, axial, and coronal T2-weighted sequences were performed for a total of 358 outpatients, including 20 pediatric patients.
Results
Adult population
: CSF-filled channels were identified on axial images in the ALB in 57% and in the diploe of the Pt in 65% of 338 patients. These pathways showed variable morphology and number bilaterally. CSF-filled channels were identified on coronal images in the ALB in 14% and in the diploe of the Pt in 100% of 59 patients. These were delineated as linear structures of variable number and thickness. Eleven percent of the pathways identified in the ALB was connected with extracranial channels.
Pediatric population
: CSF-filled channels were identified on axial images in the ALB in 75% and in the diploe of the Pt in 80% of 20 patients.
Conclusions
The ALB and diploe of the Pt may function as CSF pathways in children and adults. The pathways in the ALB can be a CSF-drainage route connecting to the extracranial sites.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-019-02290-z</identifier><identifier>PMID: 31312895</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Anatomy ; Cerebrospinal fluid ; Cerebrospinal Fluid - diagnostic imaging ; Child ; Cranial Fossa, Middle - anatomy & histology ; Cranial Fossa, Middle - diagnostic imaging ; Female ; Humans ; Imaging ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Original Article ; Orthopedics ; Pediatrics ; Radiology ; Surgery ; Young Adult</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2019-09, Vol.41 (9), p.1045-1051</ispartof><rights>Springer-Verlag France SAS, part of Springer Nature 2019</rights><rights>Surgical and Radiologic Anatomy is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-33942c083ea71f46345e0b63427c10557e1fe10dca56e49f8ec879ea8aefb6f13</citedby><cites>FETCH-LOGICAL-c375t-33942c083ea71f46345e0b63427c10557e1fe10dca56e49f8ec879ea8aefb6f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-019-02290-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-019-02290-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31312895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsutsumi, Satoshi</creatorcontrib><creatorcontrib>Ono, Hideo</creatorcontrib><creatorcontrib>Yasumoto, Yukimasa</creatorcontrib><creatorcontrib>Ishii, Hisato</creatorcontrib><title>Possible cerebrospinal fluid pathways in the middle fossa floor and pterional diploe: a magnetic resonance imaging study</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Purpose
There has not been a study documenting the distribution of cerebrospinal fluid (CSF) pathways in the anterolateral base of the middle fossa (ALB) and diploe of the pterional region (Pt). The present study aimed to delineate these pathways using magnetic resonance imaging.
Methods
Thin-sliced, axial, and coronal T2-weighted sequences were performed for a total of 358 outpatients, including 20 pediatric patients.
Results
Adult population
: CSF-filled channels were identified on axial images in the ALB in 57% and in the diploe of the Pt in 65% of 338 patients. These pathways showed variable morphology and number bilaterally. CSF-filled channels were identified on coronal images in the ALB in 14% and in the diploe of the Pt in 100% of 59 patients. These were delineated as linear structures of variable number and thickness. Eleven percent of the pathways identified in the ALB was connected with extracranial channels.
Pediatric population
: CSF-filled channels were identified on axial images in the ALB in 75% and in the diploe of the Pt in 80% of 20 patients.
Conclusions
The ALB and diploe of the Pt may function as CSF pathways in children and adults. The pathways in the ALB can be a CSF-drainage route connecting to the extracranial sites.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomy</subject><subject>Cerebrospinal fluid</subject><subject>Cerebrospinal Fluid - diagnostic imaging</subject><subject>Child</subject><subject>Cranial Fossa, Middle - anatomy & histology</subject><subject>Cranial Fossa, Middle - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Pediatrics</subject><subject>Radiology</subject><subject>Surgery</subject><subject>Young Adult</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUFv1DAQhS1ERbeFP8ABWeLCJTC249jmhiooSJXoAc6W44y3rrJxsBOV7a-v2y0gcehppJnvvdHMI-Q1g_cMQH0oAFx1DTDTAOcGmttnZMO4Mo2WTD0nGzACGgZCH5OTUq4BQDKmX5BjwQTj2sgN-X2ZSon9iNRjxj6nMsfJjTSMaxzo7JarG7cvNE50uUK6i8NQ0VA1riIpZeqmii2YY7qXDXEeE36kju7cdsIlepqx1NHkkcbai9OWlmUd9i_JUXBjwVeP9ZT8_PL5x9nX5uL7-bezTxeNF0oujRCm5R60QKdYaDvRSoS-Fq48AykVsoAMBu9kh60JGr1WBp12GPouMHFK3h1855x-rVgWu4vF4zi6CdNaLOfSCCl0Jyr69j_0Oq25nvVA6Va3omsrxQ-Ur88qGYOdc70s7y0De5-LPeRiay72IRd7W0VvHq3XfofDX8mfICogDkCpo2mL-d_uJ2zvADBPmlQ</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Tsutsumi, Satoshi</creator><creator>Ono, Hideo</creator><creator>Yasumoto, Yukimasa</creator><creator>Ishii, Hisato</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190901</creationdate><title>Possible cerebrospinal fluid pathways in the middle fossa floor and pterional diploe: a magnetic resonance imaging study</title><author>Tsutsumi, Satoshi ; Ono, Hideo ; Yasumoto, Yukimasa ; Ishii, Hisato</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-33942c083ea71f46345e0b63427c10557e1fe10dca56e49f8ec879ea8aefb6f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomy</topic><topic>Cerebrospinal fluid</topic><topic>Cerebrospinal Fluid - diagnostic imaging</topic><topic>Child</topic><topic>Cranial Fossa, Middle - anatomy & histology</topic><topic>Cranial Fossa, Middle - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Pediatrics</topic><topic>Radiology</topic><topic>Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsutsumi, Satoshi</creatorcontrib><creatorcontrib>Ono, Hideo</creatorcontrib><creatorcontrib>Yasumoto, Yukimasa</creatorcontrib><creatorcontrib>Ishii, Hisato</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsutsumi, Satoshi</au><au>Ono, Hideo</au><au>Yasumoto, Yukimasa</au><au>Ishii, Hisato</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Possible cerebrospinal fluid pathways in the middle fossa floor and pterional diploe: a magnetic resonance imaging study</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>41</volume><issue>9</issue><spage>1045</spage><epage>1051</epage><pages>1045-1051</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Purpose
There has not been a study documenting the distribution of cerebrospinal fluid (CSF) pathways in the anterolateral base of the middle fossa (ALB) and diploe of the pterional region (Pt). The present study aimed to delineate these pathways using magnetic resonance imaging.
Methods
Thin-sliced, axial, and coronal T2-weighted sequences were performed for a total of 358 outpatients, including 20 pediatric patients.
Results
Adult population
: CSF-filled channels were identified on axial images in the ALB in 57% and in the diploe of the Pt in 65% of 338 patients. These pathways showed variable morphology and number bilaterally. CSF-filled channels were identified on coronal images in the ALB in 14% and in the diploe of the Pt in 100% of 59 patients. These were delineated as linear structures of variable number and thickness. Eleven percent of the pathways identified in the ALB was connected with extracranial channels.
Pediatric population
: CSF-filled channels were identified on axial images in the ALB in 75% and in the diploe of the Pt in 80% of 20 patients.
Conclusions
The ALB and diploe of the Pt may function as CSF pathways in children and adults. The pathways in the ALB can be a CSF-drainage route connecting to the extracranial sites.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>31312895</pmid><doi>10.1007/s00276-019-02290-z</doi><tpages>7</tpages></addata></record> |
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subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Anatomy Cerebrospinal fluid Cerebrospinal Fluid - diagnostic imaging Child Cranial Fossa, Middle - anatomy & histology Cranial Fossa, Middle - diagnostic imaging Female Humans Imaging Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged NMR Nuclear magnetic resonance Original Article Orthopedics Pediatrics Radiology Surgery Young Adult |
title | Possible cerebrospinal fluid pathways in the middle fossa floor and pterional diploe: a magnetic resonance imaging study |
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