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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Veröffentlicht in:Surgical and radiologic anatomy (English ed.) 2019-09, Vol.41 (9), p.1045-1051
Hauptverfasser: Tsutsumi, Satoshi, Ono, Hideo, Yasumoto, Yukimasa, Ishii, Hisato
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container_issue 9
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container_title Surgical and radiologic anatomy (English ed.)
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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
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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. 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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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ispartof Surgical and radiologic anatomy (English ed.), 2019-09, Vol.41 (9), p.1045-1051
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source MEDLINE; SpringerLink Journals - AutoHoldings
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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