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Masses and malformations of the third ventricle: normal anatomic relationships and differential diagnoses.
[hydrocephalus with stenosis of the aqueduct of sylvius]
The
third
ventricle
lies
in
the
center
of
the
brain
.
It
is
surrounded
by
critical
nuclear
structures
(
the
hypothalamus
and
thalami
)
and
important
glandular
structures
(
the
pituitary
and
pineal
glands
)
.
Although
a
wide
array
of
pathologic
processes
may
involve
the
third
ventricle
,
most
are
extrinsic
masses
.
By
understanding
the
anatomic
boundaries
of
the
third
ventricle
and
its
relationship
to
adjacent
structures
,
it
is
possible
to
create
short
lists
of
differential
diagnoses
.
Third
ventricle
masses
can
be
classified
as
arising
in
or
immediately
adjacent
to
one
of
five
locations
:
anterior
,
posterior
,
inferior
,
foramen
of
Monro
,
and
intraventricular
.
Anterior
masses
involve
the
optic
and
infundibular
recesses
,
posterior
masses
affect
or
arise
in
the
posterior
commissure
and
pineal
gland
,
and
inferior
masses
involve
or
affect
the
ventricle
floor
.
Masses
may
also
arise
at
or
adjacent
to
the
foramen
of
Monro
or
entirely
within
the
third
ventricle
.
Of
the
intraventricular
masses
,
chordoid
glioma
-a
rare
low
-grade
primary
neoplasm
-
is
unique
to
the
third
ventricle
.
Congenital
malformations
of
the
third
ventricle
are
uncommon
and
are
most
often
noted
during
childhood
.
Most
commonly
,
these
anomalies
represent
malformations
of
the
neurohypophysis
,
which
may
manifest
as
hormonal
abnormalities
,
or
stenosis
of
the
aqueduct
of
Sylvius
,
which
manifests
as
dilatation
of
the
third
and
lateral
ventricles
(
hydrocephalus
)
.
Diseases
Validation
Diseases presenting
"neoplasm"
symptom
adrenal incidentaloma
alexander disease
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial hypocalciuric hypercalcemia
focal myositis
hodgkin lymphoma, classical
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated