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Ventriculus Terminalis
Kevin R. Moore, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Terminal ventricle, 5th ventricle
              • Definitions

                • CSF signal/density within central spinal cord with central canal expansion at conus/proximal filum level

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Lotfinia I et al: The cystic dilation of ventriculus terminalis with neurological symptoms: three case reports and a literature review. J Spinal Cord Med. 1-7, 2018
                                              2. Zeinali M et al: Cystic dilation of a ventriculus terminalis. Case report and review of the literature. Br J Neurosurg. 1-5, 2017
                                              3. Zhang L et al: Cystic dilation of the ventriculus terminalis: report of 6 surgical cases treated with cyst-subarachnoid shunting using a t-catheter. World Neurosurg. 104:522-7, 2017
                                              4. Woodley-Cook J et al: The slowly enlarging ventriculus terminalis. Pol J Radiol. 81:529-31, 2016
                                              5. Bellocchi S et al: Multilobed cystic dilation of the ventriculus terminalis (CDVT). BMJ Case Rep. 2013, 2013
                                              6. Ganau M et al: Cystic dilation of the ventriculus terminalis. J Neurosurg Spine. 17(1):86-92, 2012
                                              7. Dhillon RS et al: Cystic lesion of the ventriculus terminalis in an adult. J Clin Neurosci. 17(12):1601-3, 2010
                                              8. Ciappetta P et al: Cystic dilation of the ventriculus terminalis in adults. J Neurosurg Spine. 8(1):92-9, 2008
                                              9. de Moura Batista L et al: Cystic lesion of the ventriculus terminalis: proposal for a new clinical classification. J Neurosurg Spine. 8(2):163-8, 2008
                                              10. Brisman JL et al: Cystic dilation of the conus ventriculus terminalis presenting as an acute cauda equina syndrome relieved by decompression and cyst drainage: case report. Neurosurgery. 58(3):E585; discussion E585, 2006
                                              11. Sansur CA et al: Ventriculus terminalis causing back pain and urinary retention. Acta Neurochir (Wien). 148(8):919-20, 2006
                                              12. Dullerud R et al: MR imaging of ventriculus terminalis of the conus medullaris. A report of two operated patients and a review of the literature. Acta Radiol. 44(4):444-6, 2003
                                              13. Celli P et al: Cyst of the medullary conus: malformative persistence of terminal ventricle or compressive dilatation? Neurosurg Rev. 25(1-2):103-6, 2002
                                              14. Kriss VM et al: Sonographic appearance of the ventriculus terminalis cyst in the neonatal spinal cord. J Ultrasound Med. 19(3):207-9, 2000
                                              15. Tortori-Donati P et al: Spinal dysraphism: a review of neuroradiological features with embryological correlations and proposal for a new classification. Neuroradiology. 42(7):471-91, 2000
                                              16. Unsinn KM et al: US of the spinal cord in newborns: spectrum of normal findings, variants, congenital anomalies, and acquired diseases. Radiographics. 20(4):923-38, 2000
                                              17. Matsubayashi R et al: Cystic dilatation of ventriculus terminalis in adults: MRI. Neuroradiology. 40(1):45-7, 1998
                                              18. Truong BC et al: Dilation of the ventriculus terminalis: sonographic findings. J Ultrasound Med. 17(11):713-5, 1998
                                              19. Agrillo U et al: Symptomatic cystic dilatation of V ventricle: case report and review of the literature. Eur Spine J. 6(4):281-3, 1997
                                              20. Tindall et al: The Practice of Neurosurgery. Baltimore: Lippincott, Williams and Wilkins. 2797; 1996
                                              21. Unsinn KM et al: Sonography of the ventriculus terminalis in newborns. AJNR Am J Neuroradiol. 17(5):1003-4, 1996
                                              22. Unsinn KM et al: Ventriculus terminalis of the spinal cord in the neonate: a normal variant on sonography. AJR Am J Roentgenol. 167(5):1341, 1996
                                              23. Coleman LT et al: Ventriculus terminalis of the conus medullaris: MR findings in children. AJNR Am J Neuroradiol. 16(7):1421-6, 1995
                                              24. Kriss VM et al: The ventriculus terminalis of the spinal cord in the neonate: a normal variant on sonography. AJR Am J Roentgenol. 165(6):1491-3, 1995
                                              25. Rypens F et al: Atypical and equivocal sonographic features of the spinal cord in neonates. Pediatr Radiol. 25(6):429-32, 1995
                                              26. Iskandar BJ et al: Terminal syringohydromyelia and occult spinal dysraphism. J Neurosurg. 81(4):513-9, 1994
                                              27. Choi BH et al: The ventriculus terminalis and filum terminale of the human spinal cord. Hum Pathol. 23(8):916-20, 1992
                                              28. Sigal R et al: Ventriculus terminalis of the conus medullaris: MR imaging in four patients with congenital dilatation. AJNR Am J Neuroradiol. 12(4):733-7, 1991
                                              29. Stewart DH Jr et al: Surgical drainage of cyst of the conus medullaris. Report of three cases. J Neurosurg. 33(1):106-10, 1970
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Synonyms

                                                            • Terminal ventricle, 5th ventricle
                                                          • Definitions

                                                            • CSF signal/density within central spinal cord with central canal expansion at conus/proximal filum level

                                                          IMAGING

                                                          • General Features

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Lotfinia I et al: The cystic dilation of ventriculus terminalis with neurological symptoms: three case reports and a literature review. J Spinal Cord Med. 1-7, 2018
                                                                                          2. Zeinali M et al: Cystic dilation of a ventriculus terminalis. Case report and review of the literature. Br J Neurosurg. 1-5, 2017
                                                                                          3. Zhang L et al: Cystic dilation of the ventriculus terminalis: report of 6 surgical cases treated with cyst-subarachnoid shunting using a t-catheter. World Neurosurg. 104:522-7, 2017
                                                                                          4. Woodley-Cook J et al: The slowly enlarging ventriculus terminalis. Pol J Radiol. 81:529-31, 2016
                                                                                          5. Bellocchi S et al: Multilobed cystic dilation of the ventriculus terminalis (CDVT). BMJ Case Rep. 2013, 2013
                                                                                          6. Ganau M et al: Cystic dilation of the ventriculus terminalis. J Neurosurg Spine. 17(1):86-92, 2012
                                                                                          7. Dhillon RS et al: Cystic lesion of the ventriculus terminalis in an adult. J Clin Neurosci. 17(12):1601-3, 2010
                                                                                          8. Ciappetta P et al: Cystic dilation of the ventriculus terminalis in adults. J Neurosurg Spine. 8(1):92-9, 2008
                                                                                          9. de Moura Batista L et al: Cystic lesion of the ventriculus terminalis: proposal for a new clinical classification. J Neurosurg Spine. 8(2):163-8, 2008
                                                                                          10. Brisman JL et al: Cystic dilation of the conus ventriculus terminalis presenting as an acute cauda equina syndrome relieved by decompression and cyst drainage: case report. Neurosurgery. 58(3):E585; discussion E585, 2006
                                                                                          11. Sansur CA et al: Ventriculus terminalis causing back pain and urinary retention. Acta Neurochir (Wien). 148(8):919-20, 2006
                                                                                          12. Dullerud R et al: MR imaging of ventriculus terminalis of the conus medullaris. A report of two operated patients and a review of the literature. Acta Radiol. 44(4):444-6, 2003
                                                                                          13. Celli P et al: Cyst of the medullary conus: malformative persistence of terminal ventricle or compressive dilatation? Neurosurg Rev. 25(1-2):103-6, 2002
                                                                                          14. Kriss VM et al: Sonographic appearance of the ventriculus terminalis cyst in the neonatal spinal cord. J Ultrasound Med. 19(3):207-9, 2000
                                                                                          15. Tortori-Donati P et al: Spinal dysraphism: a review of neuroradiological features with embryological correlations and proposal for a new classification. Neuroradiology. 42(7):471-91, 2000
                                                                                          16. Unsinn KM et al: US of the spinal cord in newborns: spectrum of normal findings, variants, congenital anomalies, and acquired diseases. Radiographics. 20(4):923-38, 2000
                                                                                          17. Matsubayashi R et al: Cystic dilatation of ventriculus terminalis in adults: MRI. Neuroradiology. 40(1):45-7, 1998
                                                                                          18. Truong BC et al: Dilation of the ventriculus terminalis: sonographic findings. J Ultrasound Med. 17(11):713-5, 1998
                                                                                          19. Agrillo U et al: Symptomatic cystic dilatation of V ventricle: case report and review of the literature. Eur Spine J. 6(4):281-3, 1997
                                                                                          20. Tindall et al: The Practice of Neurosurgery. Baltimore: Lippincott, Williams and Wilkins. 2797; 1996
                                                                                          21. Unsinn KM et al: Sonography of the ventriculus terminalis in newborns. AJNR Am J Neuroradiol. 17(5):1003-4, 1996
                                                                                          22. Unsinn KM et al: Ventriculus terminalis of the spinal cord in the neonate: a normal variant on sonography. AJR Am J Roentgenol. 167(5):1341, 1996
                                                                                          23. Coleman LT et al: Ventriculus terminalis of the conus medullaris: MR findings in children. AJNR Am J Neuroradiol. 16(7):1421-6, 1995
                                                                                          24. Kriss VM et al: The ventriculus terminalis of the spinal cord in the neonate: a normal variant on sonography. AJR Am J Roentgenol. 165(6):1491-3, 1995
                                                                                          25. Rypens F et al: Atypical and equivocal sonographic features of the spinal cord in neonates. Pediatr Radiol. 25(6):429-32, 1995
                                                                                          26. Iskandar BJ et al: Terminal syringohydromyelia and occult spinal dysraphism. J Neurosurg. 81(4):513-9, 1994
                                                                                          27. Choi BH et al: The ventriculus terminalis and filum terminale of the human spinal cord. Hum Pathol. 23(8):916-20, 1992
                                                                                          28. Sigal R et al: Ventriculus terminalis of the conus medullaris: MR imaging in four patients with congenital dilatation. AJNR Am J Neuroradiol. 12(4):733-7, 1991
                                                                                          29. Stewart DH Jr et al: Surgical drainage of cyst of the conus medullaris. Report of three cases. J Neurosurg. 33(1):106-10, 1970