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PubMed1985

Cannulation of the cisterna magna in sheep: a method for chronic studies of cerebrospinal fluid.

A method of cannulating the cisterna magna of sheep is described. Successful cannulations were achieved in 15 of 17 attempts (88%). Mean cannula patency was 13.9 days (range 7-20). Using these cannulas, it was possible to obtain samples of cerebrospinal fluid (CSF) in large volumes (4-8 ml) and remove 20-30 ml of CSF over a 5 h period. This technique allows access to the CSF of an animal large enough for the removal of samples of CSF of sufficient size to detect materials present at very low concentrations.

Animals↗
PubMed1976

[Total proteins of the cerebrospinal fluid obtained by punction of the cisterna magna: normal values. Variations related to sex].

The total protein content of CSF collected from the cisterna magna (cisternal fluid) of 98 patients (58 males and 40 females) with no neurological diseases was determined by the colorimetric method devised by Lowry and co-workers. This method has been previously chosen based mainly on it's sensitivity, accuracy and low fluid consumption. The CSF samples were normal with regard to pressure, color, citology and it's content in glucose, chloride and urea. Complement fixation tests for syphilis and cisticercosis, as well as the globulin tests (Pandy, Nonne--Appelt and Takata-Ara) were negative. The average value and the normal range of cisternal fluid total protein was calculated for the mixed population (males and females). The mean protein value was 26.78 mg/100 ml, the lower and upper limits were respectively 13.20 and 40.36 mg/100 ml. These data are higher than those stated in some publications, and factors that could interfere in the different results mentioned in the literature are briefly discussed. Since the statistical analysis of the results showed that the mean total protein concentration in males (28.76 mg/100 ml) was higher than in females (23.91 mg/100 ml), normal limits for each sex were established: 16.96 to 47.13 mg/100 ml for males and 14.76 to 42.76 mg/100 ml for females.

Adolescent↗
PubMed1993

CSF shunting from the cisterna magna: a report of 16 cases.

Sixteen patients were treated with shunting of cerebrospinal fluid (CSF) from the cisterna magna for raised intracranial pressure (15 cases) or CSF leak (one case). There were 11 patients with benign intracranial hypertension, three with craniostenosis, one with chronic meningitis and one with a CSF leak. Cisternal shunting was effective in all cases and obviated the problems of low pressure and sciatica found with lumbar-peritoneal shunts. There were 11 revisions over a total of 31.5 shunt years (i.e. one per 2.9 shunt years). The role of cisternal shunting in neurosurgical practice is discussed.

Adolescent↗
PubMed1989

Analysis of equine cisterna magna cerebrospinal fluid for the presence of some monoamine neurotransmitters and transmitter metabolites.

Small volumes (0.05 ml) of cisterna magna cerebrospinal fluid (CSF) from 23 neurologically normal horses were analysed for the monoamine neurotransmitters dopamine, norepinephrine, epinephrine, serotonin and their metabolites using high pressure liquid chromatography and electrochemical detection. Two metabolites, homovanillic acid (HVA) and 5-hydroxyindoleacetic acid (5-HIAA) were present in all CSF samples. The deaminated and methylated metabolite of dopamine, HVA, was present at a mean concentration of 42.33 +/- 3.14 ng/ml of CSF. The deaminated metabolite of serotonin, 5-HIAA, was present at a mean concentration of 45.52 +/- 3.65 ng/ml of CSF. A positive correlation was found between the CSF concentrations of HVA and 5-HIAA (r = 0.72, p = 0.0003). The mean ratio of HVA to 5-HIAA concentrations was 1.07 +/- 0.05. The ratios of HVA to 5-HIAA concentrations were found to be more indicative of the serotonergic metabolite 5-HIAA (r = -0.62, p = 0.0016) than the dopaminergic metabolite HVA (r = 0.11, p = 0.60). There was a stronger relationship between the concentrations of 5-HIAA and the ratios of HVA to 5-HIAA in male CSF (r = -0.85, p = 0.0006) than in female CSF (r = -0.54, p = 0.01). Concentrations of CSF neurotransmitter metabolites were evaluated in horses grouped by age (0-4, 5-9 and 10-13 years). The youngest group of horses had a significantly (p = 0.003) greater CSF concentration of HVA than of 5-HIAA. The 10-13-year-old horses had a significantly (p = 0.02) lower mean CSF HVA concentration than the 0-4-year-old horses. No age-related differences in CSF 5-HIAA concentrations were detected.

3,4-Dihydroxyphenylacetic Acid↗
PubMed1988

Measurement during convulsions of guanidino compound levels in cerebrospinal fluid collected with a catheter inserted into the cisterna magna of rabbits.

An easy method for collecting cerebrospinal fluid (CSF) was developed using a catheter inserted into the cisterna magna of rabbits. Levels of guanidino compounds in CSF collected by this method were measured. Levels of guanidinoacetic acid and creatinine increased at the onset of a pentylenetetrazol (PTZ)-induced convulsion. These levels normalized 2 h after the convulsion. The arginine level started to decrease 2 h after the convulsion, continued to decrease gradually and normalized 4 days after the convulsion. These results suggest that guanidinoacetic acid and creatinine are related to the initiation of PTZ-induced convulsions, and that 4 days are required for the metabolism of guanidino compounds to return to normal after a convulsion in rabbits.

Animals↗
PubMed1979

A chronic cannula for obtaining CSF from the cisterna magna of awake dogs.

We have designed a cannula system that can be chronically implanted to end above the dura of the cisterna magna of the dog. During experiments in the awake dog, a screw cap with stylet is removed from the cannula and a spinal needle inserted for the withdrawal of samples of cisternal cerebrospinal fluid (CSF) or for making continuous measurements of pressure. The system can be used for repeated experiments extending over several weeks.

Animals↗
PubMed1972

Raised intracranial pressure and cerebral blood flow. I. Cisterna magna infusion in primates.

Changes in cerebral blood flow during incremental increases of intracranial pressure produced by infusion of fluid into the cisterna magna were studied in anaesthetized baboons. Cerebral blood flow remained constant at intracranial pressure levels up to approximately 50 mm Hg. At intracranial pressure levels between 50-96 mm Hg a marked increase in cerebral blood flow occurred, associated with the development of systemic hypertension and changes in cerebrovascular resistance. Further increases of intracranial pressure led to a progressive fall in cerebral blood flow. Prior section of the cervical cord prevented both the increase in cerebral blood flow and the systemic hypertension. Alteration of cerebral perfusion pressure by bleeding during the hyperaemia in a further group of animals suggested that autoregulation was at least partially preserved during this phase. After maximum hyperaemia had occurred, however, autoregulation appeared to be lost. The clinical implications of these findings are discussed.

Animals↗
PubMedDate not supplied

Phenol injection into cisterna magna for relief of advanced intractable cancer pain in the faciocephalic area.

Between 1973 and 1980 a solution of phenol in glycerin into the cisterna magna was injected in 38 patients suffering from advanced intractable pain due to neoplasm of faciocephalic area. Owing to the poor neurological and general condition of our patients, surgical procedures were discarded. Patient's age ranged from 36 to 76 years and pain diffusion involved many cranial and cervical nerves. Follow-up studies after phenol injections were carried out in 22 patients: mean survival time proved to be 137 days. In 76% of cases, before neurolytic treatment, narcotics had been administered. In this series pain relief seemed to be poor in 50%, good in 34% while it was unclassifiable in the remaining 16% of the cases due to an incomplete follow-up. These last patients were likely to show favorable results. Complications arising immediately after phenol injections are described. Long lasting disabling neurological deficits were recorded in 18% of cases. Less severe complications were shown in 71% of the patients. The most frequent ones were impairment of sensory functions of the trigeminal area and reversible paresis of the 7th cranial nerve. Despite the poor general conditions, no fatal outcome was seen in our patients. No significant relationship between pain relief and sensory deficit was found. The pathophysiological mechanisms of pain suppression, induced by phenol injection in the faciocephalic area are discussed. The value of this simple technique is briefly assessed in comparison to other analgesic procedures.

Adult↗
PubMed2003

Sonographic measurement of the fetal cerebellum, cisterna magna, and cavum septum pellucidum in normal fetuses in the second and third trimesters of pregnancy.

PURPOSE: Absence of the cavum septum pellucidum (CSP), the cisterna magna (CM), or both, and enlargement of either or both structures are associated with various central nervous system malformations. In an effort to determine normal sizes and relationships between these cranial structures, we measured the CSP and CM in normal fetuses in the second and third trimesters of pregnancy using transabdominal sonography. METHODS: Women with uncomplicated pregnancies and normal singleton fetuses between 16 and 38 weeks' menstrual age were included in this prospective study. The width and anteroposterior (AP) diameters of the CSP were measured on the transverse transventricular plane, and the AP diameter of the CM was measured on the transcerebellar plane from the posterior aspect of the cerebellar vermis to the inner edge of the cranium. The transverse and AP diameters of the cerebellum were also measured. In addition, we measured the biparietal diameters (BPDs). RESULTS: In total, 130 women participated; 64 were examined in their second trimester and 66 in their third trimester. The mean age of the women was 27.4 +/- 4.8 years (range, 18-38 years), and the mean menstrual age of the fetuses was 26.9 +/- 6.7 weeks (range, 16-38 weeks). The mean BPD was 66.8 +/- 18.7 mm (range, 30-96 mm). The mean width and AP diameter of the CSP and the mean AP diameter of the CM differed significantly between the second and third trimesters (p < 0.001). All measured parameters correlated significantly with menstrual age and BPD. CONCLUSIONS: In normal fetuses, the CSP and CM should be visible on transabdominal sonography between 16 and 38 weeks' menstrual age. Because abnormalities in these cranial structures may be indicative of central nervous system malformations, the availability of mean sonographic measurements from normal fetuses should be helpful in determining the need for additional testing in fetuses with abnormal measurements.

Adult↗
PubMed2006

Basilar impression associated with impacted cisterna magna, spastic paraparesis and distress of balance: case report.

We report on a 48 years-old man with basilar impression without syringohydromyelia, in which the cisterna magna was impacted by the cerebellar tonsils. Six months after posterior fossa decompression there was the disappearance of nuchal rigidity, vertigo, spastic paraparesis and improvement of balance. Nevertheless hyperreflexia and diminished pallesthesia of the lower limbs persisted.

Arnold-Chiari Malformation↗
PubMed1998

Enlargement of cisterna magna as an indicator of chromosomal abnormalities in a low-risk Asian population.

AIMS: The aims of this study was to invent the prevalence of cisterna magna (CM) enlargement in a low-risk population and relate this to chromosomal abnormalities and initial delivery outcome. STUDY DESIGN: 11,145 patients having routine ultrasound scan at 21st week of pregnancy were screened for abnormalities. Cases with CM enlargement were traced and outcome retrieved either from case notes or from the patients. RESULTS: In our low-risk population six fetuses were found to have CM enlargement. Only one had a chromosomal abnormality, 47XY + 18, and this fetus also presented with other malformations. Four were healthy at birth and one, also with other malformations, is showing signs of mental retardation. All cases were male. CONCLUSION: Isolated CM enlargement does not seems to be an indicator for chromosomal abnormalities, especially if the fetus is a male. Still, it should alert the examiner of the possibility of other malformations, which may be of importance.

Adult↗
PubMed1994

Sonography of the fetal posterior fossa: false appearance of mega-cisterna magna and Dandy-Walker variant.

PURPOSE: To establish that incorrect scanning of the fetal posterior fossa may falsely create the appearance of a mega-cisterna magna (MCM) or Dandy-Walker variant (DWV). MATERIALS AND METHODS: After routine sonography, 100 consecutive fetuses (gestational age range, 25-40 weeks) without abnormality underwent additional posterior fossa scanning in an attempt to create the appearance of an MCM (anteroposterior diameter larger than 10 mm) or DWV. Sonograms were obtained in a plane inferior to or angled more coronally than the routine axial plane. RESULTS: The posterior fossa was depicted in 93 fetuses. Pseudo-MCM occurred in 35 (38%) of 93 fetuses: 12 (30%) of 40 fetuses aged 25.0-29.9 weeks, 11 (50%) of 22 fetuses aged 30.0-34.9 weeks, and 12 (39%) of 31 fetuses aged 35.0-40.0 weeks. Pseudo-DWV occurred in 40 (43%) of 93 fetuses: 20 (50%) of 40 fetuses aged 25.0-29.9 weeks, 12 (55%) of 22 fetuses aged 30.0-34.9 weeks, and eight (26%) of 31 fetuses aged 35.0-40.0 weeks. CONCLUSION: Sonography of the posterior fossa in an angled semi-coronal plane should be avoided because it may create an appearance that mimics an abnormality.

Artifacts↗
PubMed1978

Enlarged cisternae magnae and posterior fossa cysts simulating Dandy-Walker syndrome on computed tomography.

Computed tomography was performed on 5 children with posterior fossa cystic abnormalities. On an axial tomogram, an enlarged cisterna magna could not be distinguished from a Dandy-Walker variant, nor could an encysted fourth ventricle be distinguished from a subarachnoid cyst. Supplementary air encephalography or sagittal reconstruction of tomograms is necessary to define posterior fossa cysts accurately.

Adolescent↗
PubMed1970

Perfusion from cerebral ventricle to cisterna magna in the unanaesthetized cat. Effect of calcium on body temperature.

1. A method is described for the perfusion of the liquor space from a lateral cerebral ventricle to the cisterna magna in the unanaesthetized cat. Perfusions were carried out for 30-40 min using various physiological salt solutions whilst rectal temperature was recorded.2. When the salt solution used contained calcium in the physiological concentration, rectal temperature remained unchanged, but when it contained no calcium an intense hyperthermia developed during the perfusion. The finding that calcium must be present in the perfusion fluid for preventing temperature from rising may lead to a new understanding of the working of the ;set-point' in the control of body temperature and of the mechanism of action of pyrogens.3. Independent of the nature of the perfusion fluid a long-lasting late rise in temperature developed after a perfusion. This happened regularly when the infusion needle was inserted only into the hub of the ventricular cannula, but rarely when the needle was extended beyond the tip of the cannula shaft and the cannula had been flushed out during the preceding days. It is therefore thought that an unknown pyrogenic factor present in the lumen of the cannula and washed into the ventricle with the perfusion fluid is responsible for this effect.4. The effluent collected from the cisterna contracted the fundus strip of the rat stomach. As the contractions were little affected by BOL, they are attributed mainly to an action of prostaglandin E(1) and not to an action of 5-HT. There was no difference in the biological activity of the effluent whether the perfusion fluid contained calcium or not.

Animals↗
PubMed2004

Wilms' tumor in a case with Möbius' syndrome associated with arthrogryposis and mega cisterna magna.

Möbius' syndrome is a rare congenital anomaly characterized by paralysis of the 7th and other cranial nerves and musculoskeletal abnormalities. We report a patient with Möbius' syndrome associated with arthrogryposis and mega cisterna magna in addition to the classic components of this syndrome. The case is interesting because she developed Wilms' tumor at 21 months of age. To our knowledge, this is the first case of this association reported in the literature.

Abnormalities, Multiple↗