Ambient wing cistern: History, anatomy, imaging and approaches: An overview

Background: The ambient cistern is a noncommunicating paramedian dorsal paired cistern according to the Liliequist classification. While the ambient wing cistern is described for the first time in 1875, Key and Retzius and firstly named in 1950 by Dr. Bengt Liliequist (1923–2008). Due to its complex...

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Main Authors: Mohamed R. Emara, Alkawthar M. Abdulsada, Abdulaziz S. Alayyaf, Hussein A. Baban, Hala A. Al-Hchaimi, Mustafa Ismail, Samer S. Hoz
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:World Neurosurgery: X
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590139724001261
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author Mohamed R. Emara
Alkawthar M. Abdulsada
Abdulaziz S. Alayyaf
Hussein A. Baban
Hala A. Al-Hchaimi
Mustafa Ismail
Samer S. Hoz
author_facet Mohamed R. Emara
Alkawthar M. Abdulsada
Abdulaziz S. Alayyaf
Hussein A. Baban
Hala A. Al-Hchaimi
Mustafa Ismail
Samer S. Hoz
author_sort Mohamed R. Emara
collection DOAJ
description Background: The ambient cistern is a noncommunicating paramedian dorsal paired cistern according to the Liliequist classification. While the ambient wing cistern is described for the first time in 1875, Key and Retzius and firstly named in 1950 by Dr. Bengt Liliequist (1923–2008). Due to its complex tridimensional anatomy, it has been a subject of confusion in neuroanatomy. Historically, it has been given multiple anatomical definitions. Our paper focuses on the history, development, radiology, and lesions of the AC along with the AWC and explains the latter as an independently constant anatomical structure. Method: Pubmed and Google Scholar were both consulted for the advanced literature research using the following search string on Pubmed: (((''ambient'') AND (''wing'')) OR (((retrothalamic) OR (retropulvinar)) (intercommunicant))) AND (''cister∗'')) NOT(''temprature''). In addition to the following string on Google scholar: Ambient AND wing cisterna OR cistern. Results: 836 results were obtained, after exclusion of unrelated engineering articles and veterinary papers, only 60 papers remained. Ambient wing, retrothalamic, retropulvinar & intercommunicant cisterns were mentioned within the related 60 articles but none of them explained it as a whole research entity independently. Conclusion: The ambient cistern has supratentorial and infratentorial parts and is continuous with basal cisterns posteriorly giving rise to the ambient wing cistern. They are believed to be separate constantly existing anatomical structures despite their intimate communication and axial perpendicularity. The wing of AC has significance importance in the diagnosis and treatment of the masses lying adjacent to the tentorial hiatus. It can be exposed either by sub temporal or occipital interhemispheric approach as it locates inferoposteriorly to the AC.
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spelling doaj-art-246e1bbc886f4293bbc5abb0ff02f7c82025-02-10T04:34:48ZengElsevierWorld Neurosurgery: X2590-13972025-01-0125100395Ambient wing cistern: History, anatomy, imaging and approaches: An overviewMohamed R. Emara0Alkawthar M. Abdulsada1Abdulaziz S. Alayyaf2Hussein A. Baban3Hala A. Al-Hchaimi4Mustafa Ismail5Samer S. Hoz6College of Medicine, University of Sharjah, Sharjah, United Arab EmiratesAzerbaijan Medical University, Baku, AzerbaijanCollege of Medicine, Prince Sattam Bin Abdulaziz University, Riyadh, Saudi ArabiaCollege of Medicine, University of Baghdad, Baghdad, IraqDepartment of Building and Construction Engineering, University of Technology, Baghdad, IraqCollege of Medicine, University of Baghdad, Baghdad, IraqDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213, USA; Corresponding author. Department of Neurological Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite B-400, Pittsburgh, PA, 15213, USA.Background: The ambient cistern is a noncommunicating paramedian dorsal paired cistern according to the Liliequist classification. While the ambient wing cistern is described for the first time in 1875, Key and Retzius and firstly named in 1950 by Dr. Bengt Liliequist (1923–2008). Due to its complex tridimensional anatomy, it has been a subject of confusion in neuroanatomy. Historically, it has been given multiple anatomical definitions. Our paper focuses on the history, development, radiology, and lesions of the AC along with the AWC and explains the latter as an independently constant anatomical structure. Method: Pubmed and Google Scholar were both consulted for the advanced literature research using the following search string on Pubmed: (((''ambient'') AND (''wing'')) OR (((retrothalamic) OR (retropulvinar)) (intercommunicant))) AND (''cister∗'')) NOT(''temprature''). In addition to the following string on Google scholar: Ambient AND wing cisterna OR cistern. Results: 836 results were obtained, after exclusion of unrelated engineering articles and veterinary papers, only 60 papers remained. Ambient wing, retrothalamic, retropulvinar & intercommunicant cisterns were mentioned within the related 60 articles but none of them explained it as a whole research entity independently. Conclusion: The ambient cistern has supratentorial and infratentorial parts and is continuous with basal cisterns posteriorly giving rise to the ambient wing cistern. They are believed to be separate constantly existing anatomical structures despite their intimate communication and axial perpendicularity. The wing of AC has significance importance in the diagnosis and treatment of the masses lying adjacent to the tentorial hiatus. It can be exposed either by sub temporal or occipital interhemispheric approach as it locates inferoposteriorly to the AC.http://www.sciencedirect.com/science/article/pii/S2590139724001261Ambient wingCisterna intercommunicansNeuroanatomyRetro pulvinarRetro thalamicSubarachnoid cisterns
spellingShingle Mohamed R. Emara
Alkawthar M. Abdulsada
Abdulaziz S. Alayyaf
Hussein A. Baban
Hala A. Al-Hchaimi
Mustafa Ismail
Samer S. Hoz
Ambient wing cistern: History, anatomy, imaging and approaches: An overview
World Neurosurgery: X
Ambient wing
Cisterna intercommunicans
Neuroanatomy
Retro pulvinar
Retro thalamic
Subarachnoid cisterns
title Ambient wing cistern: History, anatomy, imaging and approaches: An overview
title_full Ambient wing cistern: History, anatomy, imaging and approaches: An overview
title_fullStr Ambient wing cistern: History, anatomy, imaging and approaches: An overview
title_full_unstemmed Ambient wing cistern: History, anatomy, imaging and approaches: An overview
title_short Ambient wing cistern: History, anatomy, imaging and approaches: An overview
title_sort ambient wing cistern history anatomy imaging and approaches an overview
topic Ambient wing
Cisterna intercommunicans
Neuroanatomy
Retro pulvinar
Retro thalamic
Subarachnoid cisterns
url http://www.sciencedirect.com/science/article/pii/S2590139724001261
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AT husseinababan ambientwingcisternhistoryanatomyimagingandapproachesanoverview
AT halaaalhchaimi ambientwingcisternhistoryanatomyimagingandapproachesanoverview
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