title: MR imaging of Liliequist's membrane.
abstract: Liliequist's membrane is an arachnoid structure well-known to neurosurgeons. However, the importance of this membrane had been lost until the development of endoscopic third ventriculostomy (ETV). ETV is superior in its minimal invasiveness, but in some subgroups of hydrocephalus, the effectiveness of ETV may be reduced. Liliequist's membrane may block the cerebrospinal fluid (CSF) flow from the defect of the third ventricle floor, which may cause failure of ETV. Liliequist's membrane can be visualized on magnetic resonance (MR) imaging in normal healthy individuals, however, its visibility is different among individuals. CSF artifacts exist to varying degrees, but do not impede visualization of Liliequist's membrane in most subjects. Since Liliequist's membrane is a cisternal structure, the three-dimensional (3D) constructive interference in steady state (CISS) sequence is useful. The outcome of ETV could be predicted with MR imaging findings of Liliequist's membrane in a patient with obstructive hydrocephalus. High-field (> or =3 Tesla) MR imaging of Liliequist's membrane also offers superior resolution and is expected to provide additional information about Liliequist's membrane.
authors.affiliation: Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan.
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Fushimi
authors.forename: Yukio
authors.initials: Y
authors.lastname: Miki
authors.forename: Jun A
authors.initials: JA
authors.lastname: Takahashi
authors.forename: Ken-Ichiro
authors.initials: K
authors.lastname: Kikuta
authors.forename: Nobuo
authors.initials: N
authors.lastname: Hashimoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Hanakawa
authors.forename: Hidenao
authors.initials: H
authors.lastname: Fukuyama
authors.forename: Kaori
authors.initials: K
authors.lastname: Togashi
mesh_terms: D001099:Arachnoid / Q000033:anatomy & histology*; D002102:Cadaver; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008866:Microsurgery; D009897:Optic Chiasm / Q000033:anatomy & histology; D020542:Third Ventricle / Q000033:anatomy & histology*