CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2022; 11(03): 248-252
DOI: 10.1055/s-0041-1726602
Original Article

Magnetic Resonance Morphometry of Normal Cerebral Aqueduct in South Indian Population

Veeramani Raveendranath
1   Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
,
Prafulla Kumar Dash
2   Department of Radio-Diagnosis, Kalinga Institute of Medical Sciences, Bhubaneswar, India
,
Thangaraj Kavitha
1   Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
,
Krishnan Nagarajan
3   Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
› Author Affiliations

Abstract

Introduction Cerebral aqueduct (of Sylvius) connects the third and fourth ventricles of the brain, and the shape of the aqueduct varies. The aim of the study is to assess the morphometry of the cerebral aqueduct in normal south Indian adult population and to look for pattern by shape, if any.

Materials and Methods One hundred and fifty normal brain MR images (75 males and 75 females) using 3D heavily T2-weighted sequence were analyzed for various normal parameters of cerebral aqueduct. Mean and standard deviation were calculated. Based on the shape of the aqueduct, an attempt was made to classify them. Unpaired t-test was used to assess any significant difference between age groups and gender. The intraclass coefficient correlation was used to analyze the interobserver variability.

Results The mean value of the length of the cranial and caudal part of aqueduct in males were 0.69 cm and 0.86 cm and in females 0.65 cm and 0.80 cm, respectively. The length was more in males, and it was statistically significant (p = 0.006 and 0.02). There are four types of cerebral aqueduct based on shape.

Conclusion MRI is considered as the investigation of choice for preoperative planning of brain operative procedures. The MR morphometric evaluation of cerebral aqueduct provides precise knowledge about the anatomy and may be of help in the diagnosis and treatment by endoscopic neurosurgery.



Publication History

Article published online:
24 November 2021

© 2021. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Standring S. Gray’s Anatomy: The anatomical basis of clinical practice. 21st ed. New York, Elsevier 2016
  • 2 da LR Silva, Cavalheiro S, Zymberg ST. Endoscopic aqueductoplasty in the treatment of aqueductal stenosis. Childs Nerv Syst 2007; 23 (11) 1263-1268
  • 3 Matys T, Horsburgh A, Kirollos RW, Massoud TF. The aqueduct of sylvius: Applied 3-T magnetic resonance imaging anatomy and morphometry with neuroendoscopic relevance. Oper Neurosurg (Hagerstown) 2013; 73: ons132-140
  • 4 Duffner F, Schiffbauer H, Glemser D, Skalej M, Freudenstein D. Anatomy of the cerebral ventricular system for endoscopic neurosurgery: a magnetic resonance study. Acta Neurochir (Wien) 2003; 145 (05) 359-368
  • 5 Longatti P, Fiorindi A, Perin A, Martinuzzi A. Endoscopic anatomy of the cerebral aqueduct. Neurosurgery 2007; 61 (03) , Suppl) 1-5
  • 6 Aziz A, Hu Q, Nowinski WL. Morphometric analysis of cerebral ventricular system from MR images. Medical Imaging: Physiology, Function, and Structure from Medical Images 2004; 5369: 574-583
  • 7 Woollam DH, Millen JW. Anatomical considerations in the pathology of stenosis of the cerebral aqueduct. Brain 1953; 76 (01) 104-112
  • 8 Schroeder HW, Oertel J, Gaab MR. Endoscopic aqueductoplasty in the treatment of aqueductal stenosis. Childs Nerv Syst 2004; 20 (11-12) 821-827
  • 9 Akyer SP, Cagirici S, Ozdemir MB. Relationship of age with the size of the interventricular foramina and aqueductus sylvii: a morphometric evaluation. Neurol Res 2014; 36 (10) 878-881