The double massa intermedia
Serhat Baydin1, Abuzer Gungor1, Oguz Baran1
1Department of Neurosurgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
Surgical Neurology International
|April 30, 2016
Summary
A rare double massa intermedia (interthalamic adhesion) was found, presenting as a second bridge connecting the thalami. This anatomical variation is crucial for surgeons to recognize during third ventricle procedures.
Area of Science:
- Neuroanatomy
- Surgical Anatomy
Background:
- The massa intermedia (MI), or interthalamic adhesion, is typically a single midline bridge of gray matter connecting the thalami.
- Variations in brain anatomy can impact surgical approaches and outcomes.
Purpose of the Study:
- To document and describe the rare occurrence of a double massa intermedia.
- To highlight the anatomical significance of this variation in the context of third ventricle surgery.
Main Methods:
- Examination of twelve human third ventricles using fiber dissection microscopy (×6–×40 magnification).
- Endoscopic visualization was employed to confirm anatomical findings.
- Systematic dissection from superior to inferior to identify key structures like the anterior and posterior commissures.
Main Results:
- The massa intermedia was identified in all examined hemispheres.
- A rare instance of a double massa intermedia was observed in one hemisphere, located posteroinferior to the typical MI.
- Endoscopic examination confirmed the presence of the second MI, adding a crucial layer of verification.
Conclusions:
- The massa intermedia serves as a vital landmark in endoscopic and microscopic surgeries of the third ventricle.
- Awareness of the potential for a double massa intermedia is essential for surgical planning and to prevent intraoperative confusion.
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