Document Detail


Sonographic characteristics of the cavum velum interpositum.
MedLine Citation:
PMID:  9802483     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Differential considerations for pineal region CSF collections include both true cysts and normal cystlike anatomic variations. Our purpose was to determine the sonographic characteristics of pineal region fluid spaces that reflect the presence of a normal persistent cavum velum interpositum (CVI). METHODS: Eighteen neonates and infants who had sonographic findings of "cysts" in the pineal region were examined prospectively with conventional sonography and color Doppler sonography to evaluate the shape of the fluid collection and its anatomic relationship with the color-coded internal cerebral veins. Subsequent MR images were obtained in eight of these infants to determine the exact nature of the cystlike collections. RESULTS: The cystlike spaces in the pineal region were of an inverted helmet shape in 14 subjects and roundish in four. All were situated inferior or slightly anteroinferior to the splenium of the corpus callosum and 2.5 to 4 mm away from the quadrigeminal plate. The internal cerebral veins were either inferior (n = 12) or inferolateral (n = 6) to the cystlike spaces at sonography. Subsequent MR studies confirmed eight of these cystlike spaces to be the posterior portion of the CVI. CONCLUSION: The CVI may appear as a cyst in the pineal region on neonatal sonograms. Usually, it has a characteristic inverted helmet shape and is situated beneath the fornices and above the internal cerebral veins.
Authors:
C Y Chen; F H Chen; C C Lee; K W Lee; H S Hsiao
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  19     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-15     Completed Date:  1999-01-15     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1631-5     Citation Subset:  IM    
Affiliation:
Department of Radiology, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Brain Diseases / diagnosis
Cerebral Veins / pathology,  ultrasonography
Cerebral Ventricles / pathology,  ultrasonography*
Cerebrospinal Fluid / metabolism
Cysts / diagnosis
Humans
Infant, Newborn
Magnetic Resonance Imaging
Pineal Gland / metabolism,  pathology,  ultrasonography*
Prospective Studies
Septum Pellucidum / pathology,  ultrasonography
Ultrasonography
Ultrasonography, Doppler, Color
Comments/Corrections
Comment In:
AJNR Am J Neuroradiol. 2000 Mar;21(3):612-4   [PMID:  10730668 ]
AJNR Am J Neuroradiol. 1999 Aug;20(7):1383-4   [PMID:  10473003 ]

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