Supratentorial Interhemispheric and Pineal Region Cysts

  • Concezio Di Rocco
  • Massimo Caldarelli
Part of the Principles of Pediatric Neurosurgery book series (PRINCPEDIATR)


The group of cisterns anatomically related to the tentorial notch represents a critical space for the cerebro spinal fluid (CSF) circulation; these cisterns are also a preferential site for a variety of cystic lesions, of which the arachnoid cysts constitute only a minor fraction.1,2 In fact, the two main cisterns of the group— the cisterna corporis callosi and the cisterna corporum quadrigeminorum—together with the satellite subarachnoid cisterns around the brain stem (cisterna ambiens), above the roof of the third ventricle (cisterna veli interpositi), and around the superior vermis of the cerebellum (cisterna cerebelli superior), form a large and complex space that is often involved in the developmental anomalies of the midline structures of the brain. On neuroimaging investigation the resulting malformations may assume various configurations; the differential diagnosis, especially in newborns and infants, may be particularly difficult, even though a careful evaluation of the corpus callosum, as well as of the shape and position of the lateral and third ventricles, may usually facilitate the correct recognition of the lesion (Figure 11.1).


Corpus Callosum Arachnoid Cyst Interhemispheric Fissure Lateral Cerebral Ventricle Pineal Cyst 
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© Springer Science+Business Media New York 1993

Authors and Affiliations

  • Concezio Di Rocco
  • Massimo Caldarelli

There are no affiliations available

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