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The subdiaphragmatic cistern: historic and radioanatomic findings
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Journal Article
The subdiaphragmatic cistern: historic and radioanatomic findings
2012
Overview
Background
In the past, sporadic demonstrations of the existence of a subarachnoid subdiaphragmatic cistern have been published. The aim of this study was to evaluate the anatomical characteristics of the subdiaphragmatic cistern of the pituitary gland.
Methods
After a complete review of the literature published on the topic, we report anatomical observations of the subdiaphragmatic cistern and its relationship to the pituitary gland and to the chiasmatic cistern. Ten cadaveric heads were studied using different techniques and surgical methods (plastination, plastic casts of the subarachnoid spaces, microscopic and transsphenoidal endoscopic approaches). Moreover, 3-T magnetic resonance images of ten healthy volunteers were analyzed to investigate the presence and anatomical variability of the subdiaphragmatic cistern.
Results
By means of our qualitative radioanatomic study, we found that the roof of the subdiaphragmatic cistern is formed by the diaphragma sellae, the floor by the superior face of the pituitary gland, the lateral walls by the
arachnoidea
extending laterally through the medial walls of the cavernous sinus, and the medial walls by the infundibular stem. The subdiaphragmatic cistern communicates by means of the
ostium
of the diaphragm with the chiasmatic cistern.
Conclusion
We confirmed the existence of the subdiaphragmatic cistern. The overused term “suprasellar cistern” refers more to a complex of cisterns, formed by the subdiaphragmatic cistern, below the diaphragma sella, and by the chiasmatic cistern, above it, in direct communication with the
lamina terminalis
and carotid cisterns.
Publisher
Springer Vienna,Springer Nature B.V
Subject
Arachnoid - anatomy & histology
/ Arachnoid - diagnostic imaging
/ Cadaver
/ Cadavers
/ Dura Mater - anatomy & histology
/ Dura Mater - diagnostic imaging
/ Heads
/ Humans
/ Medicine
/ Pituitary Gland - anatomy & histology
/ Pituitary Gland - diagnostic imaging
/ Sinus
/ Subarachnoid Space - anatomy & histology
/ Subarachnoid Space - diagnostic imaging
