[Microanatomical study of the choroidal fissure in ventricular and cisternal approaches].
The choroidal fissure is a narrow cleft in the medial part of the lateral ventricle, in a C-shaped arc, between the fornix and the thalamus, where the choroidal plexus join. Due to absence nervous tissue between ependyma and pia-mater along this invagination, it is an important route in brain ventricles and cisterns. Five brains were studied by injecting colored silicone arteries and veins and five brains without colored silicone, in a total number of 20 brain hemispheres. It was analyzed and revised the neural, arterial and venous relationships and surgical approaches in all parts of the choroidal fissure. In conclusion, the previous knowledge detailed this microanatomy is primordial for neurosurgeons that will approach brain ventricular and cisternal lesions because the neurosurgeons gain a tridimensional notion that will be indispensable during surgery.
Isolan
Gustavo R
GR
Laboratório de Microcirurgia, Hospital Beneficência Portuguesa de São Paulo, SP, Brasil.
Oliveira
Evandro de
Ed
Recalde
Rodolfo
R
D002536:Cerebral Arteries / Q000033:anatomy & histology; D002550:Cerebral Veins / Q000033:anatomy & histology; D002552:Cerebral Ventricles / Q000033:anatomy & histology* / Q000098:blood supply; D002831:Choroid Plexus / Q000033:anatomy & histology / Q000098:blood supply; D002946:Cisterna Magna / Q000033:anatomy & histology* / Q000098:blood supply; D006801:Humans; D008866:Microsurgery