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The cerebellar tonsil (Latin: tonsilla cerebelli) is a paired rounded lobule on the undersurface of each cerebellar hemisphere, continuous medially with the uvula of the cerebellar vermis and superiorly by the flocculonodular lobe. Synonyms include: tonsilla cerebelli, amygdala cerebelli, the latter of which is not to be confused with the ...
A study using upright MRI found cerebellar tonsillar ectopia in 23% of adults with headache from motor-vehicle-accident head trauma. Upright MRI was more than twice as sensitive as standard MRI, likely because gravity affects cerebellar position. [22] Cases of congenital Chiari malformation may be explained by evolutionary and genetic factors.
Afferents of the lobe are the vestibulocerebellar fibers arising from either the vestibular nuclei or the vestibular nerve/ganglion directly.. Vestibular organs → vestibular nerve/vestibular ganglion first-order fibers (→ vestibular nuclei (synapse) → second-order fibers) → juxtarestiform body of inferior cerebellar peduncle → (ipsilateral) flocculonodular lobe of cerebellum (synapse ...
Arnold–Chiari malformation is a condition where the cerebellar tonsils have descended, and should be considered in differential diagnosis of sCSFLS. Several complications can occur as a result of sCSFLS including decreased cranial pressure, brain herniation, infection, blood pressure problems, transient paralysis, and coma.
Chiari malformation (CMI) is when the cerebellar tonsils push through the foramen magnum of the skull. CSF flow varies based on level of tonsil descent and type of Chiari malformation, so the MRI can also be helpful in deciding the type of surgery to be performed and monitoring progress. [ 8 ]
The currently accepted radiographic definition for a Chiari malformation is that cerebellar tonsils lie at least 5mm below the level of the foramen magnum. Some clinicians have reported that some patients appear to experience symptoms consistent with a Chiari malformation without radiographic evidence of tonsillar herniation.
The uvula (uvular lobe) forms a considerable portion of the inferior vermis; it is separated on either side from the tonsil by a sulcus, the vallecula of the cerebellum, at the bottom of which it is connected to the tonsil by a ridge of gray matter, indented on its surface by shallow furrows, and hence called the furrowed band.
The cerebellum consists of three parts, a median and two lateral, which are continuous with each other, and are substantially the same in structure. The median portion is constricted, and is called the vermis, from its annulated appearance which it owes to the transverse ridges and furrows upon it; the lateral expanded portions are named the hemispheres.