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J Neurol Surg B Skull Base 2018; 79(02): 200-204
DOI: 10.1055/s-0037-1606331
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Anatomic Variability of the Morphometric Parameters of the Fourth Ventricle of the Brain

Iuliia Zhuravlova
1   Department of Anatomy, Trinity School of Medicine, Kingstown, St. Vincent and the Grenadines
,
Maryna Kornieieva
2   Department of Anatomy and Histology, University of Jordan, Amman, Jordan
,
Erik Rodrigues
3   Trinity School of Medicine, Kingstown, St. Vincent and the Grenadines
› Author Affiliations
Further Information

Publication History

23 January 2017

25 July 2017

Publication Date:
11 September 2017 (online)

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Abstract

Objectives The defining of the normal parameters of spacious relations and symmetry of the ventricular system of the brain depending on the gender and age is currently one of the topical research problems of clinical anatomy. The present research aims to identify the correlation between the morphometric parameters of the fourth ventricle of the brain and the shape of the skull in middle aged people.

Design This is a prospective cohort study.

Setting This study was set at the Trinity School of Medicine.

Participants A total of 118 normal computed tomography scans of the head of people aged from 21 to 86 years (mean age—48.6 years ± 17.57) were selected for the study.

Main Outcome Measures The anteroposterior, transverse diameters, and height of the fourth ventricle were measured and compared in dolichocranial, mesocranial, and brachycranial individuals.

Results The study has shown the presence of a statistically significant difference between morphometric parameters of the fourth ventricle of the brain in dolichocranial, mesocranial, and brachycranial individuals.

Conclusion The morphometric parameters of the fourth ventricle of the brain, such as height, anteroposterior, and transverse diameters, depend on the individual anatomic variability of the skull shape and gender.

Keywords

fourth ventricle - anatomic variability - morphometry - computed tomography
 

  • References

  • 1 Haghir H, Sargolzaee MR, Shokouhi JJ. , et al. Stereological volumetry of cerebral hemispheres and lateral ventricles using MRI in schizophrenia subtypes. Iran J Radiol 2004; ;(Dec): 35-41
    PubMedGoogle Scholar
  • 2 Brij RS, Ujwal G, Amit A. , et al. Ventricles of brain: a morphometric study by computerized tomography. Int J Med Res Health Sci 2014; 3 (02) 381-387
    PubMedGoogle Scholar
  • 3 Gameraddin M, Alsayed A, Ali A. , et al. Morphometric analysis of the brain ventricles in normal subjects using computerized tomography. Open J Radiol 2015; 5: 13-19
    PubMedGoogle Scholar
  • 4 Su CH, Young YH. Disorders affecting the fourth ventricle: etiology and clinical correlates. Otol Neurotol 2011; 32 (08) 1329-1335
    CrossrefPubMedGoogle Scholar
  • 5 Gök A, Alptekin M, Erkutlu I. Surgical approach to the fourth ventricle cavity through the cerebellomedullary fissure. Neurosurg Rev 2004; 27 (01) 50-54
    CrossrefPubMedGoogle Scholar
  • 6 Qiu BO, Wang Y, Wang W. , et al. Microsurgical management of pediatric ependymomas of the fourth ventricle via the trans-cerebellomedullary fissure approach: a review of 26 cases. Oncol Lett 2016; 11 (06) 4099-4106
    CrossrefPubMedGoogle Scholar
  • 7 Van Horn JD, McManus IC. Ventricular enlargement in schizophrenia. A meta-analysis of studies of the ventricle:brain ratio (VBR). Br J Psychiatry 1992; 160: 687-697
    CrossrefPubMedGoogle Scholar
  • 8 Gaser C, Nenadic I, Buchsbaum BR, Hazlett EA, Buchsbaum MS. Ventricular enlargement in schizophrenia related to volume reduction of the thalamus, striatum, and superior temporal cortex. Am J Psychiatry 2004; 161 (01) 154-156
    CrossrefPubMedGoogle Scholar
  • 9 Meshram PM, Shanta SH. Morphometric study of fourth ventricle by computerized tomography. Int J Anat Res 2015; 3 (03) 1273-1277
    PubMedGoogle Scholar
  • 10 Zhuravlova IP. Individual anatomic variability of superior sagittal sinus of dura mater of human brain. Ukrain J Clin Lab Med 2013; 8 (03) 64-68
    PubMedGoogle Scholar
  • 11 Farkas LG, Katic MJ, Forrest CR. , et al. International anthropometric study of facial morphology in various ethnic groups/races. J Craniofac Surg 2005; 16 (04) 615-646
    CrossrefPubMedGoogle Scholar
  • 12 Franco FC, de Araujo TM, Vogel CJ, Quintão CC. Brachycephalic, dolichocephalic and mesocephalic: Is it appropriate to describe the face using skull patterns?. Dental Press J Orthod 2013; 18 (03) 159-163
    CrossrefPubMedGoogle Scholar
  • 13 Stewart TD. Anthropometric nomenclature II. The cephalic index. Am J Anthropol 1935; 22: 97-140
    PubMedGoogle Scholar
  • 14 Ishi Y, Asaoka K, Kobayashi H. , et al. Idiopathic fourth ventricle outlet obstruction successfully treated by endoscopic third ventriculostomy: a case report. Springerplus 2015; 4: 565-572
    CrossrefPubMedGoogle Scholar
  • 15 Saini L, Chakrabarty B, Kumar A, Gulati S. Cystic lesion of the fourth ventricle: role of CISS. Neurology 2015; 85 (13) 1181-1182
    CrossrefPubMedGoogle Scholar
  • 16 Bosemani T, Orman G, Boltshauser E, Tekes A, Huisman TA, Poretti A. Congenital abnormalities of the posterior fossa. Radiographics 2015; 35 (01) 200-220
    CrossrefPubMedGoogle Scholar
  • 17 Garber ST, Riva-Cambrin J, Bishop FS, Brockmeyer DL. Comparing fourth ventricle shunt survival after placement via stereotactic transtentorial and suboccipital approaches. J Neurosurg Pediatr 2013; 11 (06) 623-629
    CrossrefPubMedGoogle Scholar
  • 18 Montgomery CT, Winfield JA. Fourth ventricular entrapment caused by rostrocaudal herniation following shunt malfunction. Pediatr Neurosurg 1993; 19 (04) 209-214
    CrossrefPubMedGoogle Scholar
  • 19 Shevkunenko VN, Geselevich AN. Type Anatomy of Human. Leningrad; 1935: 154-183
    Google Scholar
  • 20 Usman JD, Yunusa GH, Saidu SA. , et al. Cephalometric assessment of the fourth ventricles using computerized tomography: a five year study in Usmanu Danfodiyo Teaching Hospital (UDTH), Sokoto, North-West Nigeria. Nigerian J of Basic Applied Sci 2012; 20 (03) 208-212
    PubMedGoogle Scholar
  • 21 D'Souza C, Dias Medora C, Natekar PE. The morphometric study of the ventricular system of brain by computerized tomography. J Anat Soc India 2007; 56 (01) 19-24
    PubMedGoogle Scholar