The Ventricles of the Brain – Lateral, Third, and Fourth

Overview:

All the functions of the body occur in a sequence and a systemic manner so that every task of the body is performed as perfectly as possible. This requires delicate processing and appropriate handling of the sensory data that the organs and tissues receive and this implies a highly functioning brain.

Because the human brain is so essential and fragile, it is completely encapsulated in a bony safety case to safeguard it from harm. The brain is further protected by three meningeal layers: dura mater, arachnoid mater, and pia mater. Despite that entire layer upon layer, there is still an area around the brain that makes it prone to damage.

As a result, a clear fluid fills this space, suspending the brain within the cranium. The fluid called CSF is generated in the brain’s ventricular system. Cerebrospinal fluid (CSF) is housed in four voids in the brain: two lateral ventricles, a third ventricle, and a fourth ventricle.

In this article, the ventricles of the brain are described. Their location, their structural formation, their role inside the brain area, and their function in protecting the brain are explained. Furthermore, the complications that are involved with the lateral, third, and fourth ventricles of the brain are also discussed in this article briefly.

Summary:

  • The ventricles are all necessary parts of the “ventricular system.”
  • The ventricles are connected, as well as to the central canal of the spinal cord and the subarachnoid space (space between two of the boundaries that distinguish the brain from the skull)
  • Cerebrospinal fluid is produced by the ventricle coating (CSF). The cerebrospinal fluid (CSF) is then absorbed in the subarachnoid region after passing through the ventricular system
  • The lateral ventricles are two compartments that form a C shape and are located in the cerebral hemispheres
  • The third ventricle is a very slender cavity that keeps running along the diencephalon’s middle line and interacts with the fourth ventricle through the cerebral aqueduct
  • The fourth ventricle produces very little Cerebrospinal fluid (CSF); nevertheless, it, together across with that from the preceding ventricles, departs the fourth ventricle to either join the central canal of the spinal cord or to join the cisterns via the foramina of Luschka and foramen of Magendie
  • Complications such as meningitis and hydrocephalus are linked to the ventricles of the brain

Location:

The ventricles of the brain are an interacting channel of cavities within the brain parenchyma that are packed with cerebrospinal fluid (CSF). The ventricular system is made up of two lateral ventricles, a cerebral aqueduct, a third ventricle, and a fourth ventricle.

The choroid plexuses in the ventricles generate Cerebrospinal fluid (CSF), which needs to fill the ventricles and subarachnoid space after a constant cycle of manufacturing and reabsorption.

Structure:

Choroid plexus: A choroid plexus can be found in each ventricle (Figure 1). The tela choroidea, or vascular part of the pia mater, bends into the chamber of the ventricle and is again encased by the ependymal. Choroid epithelium, which is merely the cuboidal or low columnar epithelium, is present. The framework has a large surface area due to the widespread folding of the membranous tissue. The capillaries encapsulating the choroid plexus are fenestrated with a precise porosity. The choroid plexuses in every ventricle are in charge of the production of CSF. The fluid is made up of water and other plasma materials, as well as amino acids and glucose, which nurture the brain’s cluster of cells. CSF makes its way through the ventricles and ultimately encircles the whole brain in the subarachnoid space, as well as providing nutrients for the brain to achieve its metabolic activity (between the arachnoid mater and the pia mater). As a result, it acts as a shock-absorbent in cases of moderate to serious brain injury. The choroid plexus of the lateral ventricles generates the most Cerebrospinal fluid (CSF), accompanied by the choroid plexus of the right ventricle.

When viewing the inside of the brain, the four vacuous ventricular cavities of the tissue come in to notice, which is majorly made up of convoluted grey matter. Their unique presence was most likely one of the reasons that the ventricles were given exceptional responsibilities in early conceptual frameworks of brain activity.

The grey matter in the brain is responsible for data processing. Signals produced in the sense organs and tissues or other regions of the grey matter are processed by frameworks inside the grey matter. This tissue sends sensory (motor) stimulation to neurons that are present in the central nervous system, where synapses cause a reaction.

They were assumed to store the “animal spirit,” a strange material that permitted the intangible soul to impose influence on the physical body in prehistoric times. As the mystical thought process about the brain went into decline, endorsement for this flimsy hypothesis plummeted. Also according to more reasonable viewpoints on brain activity that have largely replaced early superstition, however, the ventricles were attributed with essential ambiguous—functions such as creativity and memory creation. And it was not until the second half of the 18th century (1764 to be precise)  that it was uncovered that the ventricles were packed with Cerebrospinal fluid (CSF) (rather than animal spirits) and that the linkages between them provided a pathway for Cerebrospinal fluid (CSF) to circulate throughout the brain. Cerebrospinal fluid (CSF) manufacturing and movement would ultimately be recognized as the primary function of the ventricles.

The ventricles are four cavities that are connected or linked together in the brain that generate and consist of cerebrospinal fluid (CSF). The lateral ventricles are two compartments that form a C shape and are located in the cerebral hemispheres (one in each hemisphere). They are linked to the third ventricle through an entrance known as the interventricular foramen.

The interventricular foramen is an entry point between the lateral and third ventricles that enables cerebrospinal fluid (CSF) to flow between them.

The third ventricle is a very slender cavity that keeps running along the diencephalon’s middle line and interacts with the fourth ventricle through the cerebral aqueduct. The fourth ventricle is tucked between the cerebellum on one side and the brainstem on the other side. It stretches to and connects to the spinal cord’s central canal.

The ventricles of the brain are coated with a specialized membrane composed of ependymal cells that are referred to as the choroid plexus. Ependymal cells are just glial cells that are specifically designed to produce Cerebrospinal fluid (CSF), and they are responsible for releasing the liquid into the ventricles at a steady rate. Ependymal cells manufacture about a 1/2 litre of Cerebrospinal fluid (CSF) daily.

Cerebrospinal fluid (CSF) travels all around the main nervous system organs and structures that are the brain and the spinal cord. This happens in a narrow area between the meninges known as the subarachnoid space after passing through the ventricular system.

The brain and spinal cord are undoubtedly very important structures of the nervous system, so they must be protected. They are surrounded by a clear fluid called cerebrospinal fluid (CSF). It protects the brain and spinal cord from damage and any other kind of harm and also exists to serve as the brain’s nutrient distribution and waste collection mechanism. Cerebrospinal fluid (CSF) is produced mainly in regions of the brain known as ventricles and is soaked up by the bloodstream.

Function:

The ventricles are all vital components of the “ventricular system.” The ventricles are linked to one another, as well as to the spinal cord’s central canal and the subarachnoid space (space between two of the boundaries that distinguish the brain from the skull) (Figure 2).

The coating of the ventricles produces cerebrospinal fluid (CSF). Cerebrospinal fluid (CSF) then flows through the ventricular system before being absorbed back in the subarachnoid region. 

Cerebrospinal fluid (CSF): Cerebrospinal fluid (CSF) is considered to play a variety of critical roles in the brain. It helps make the brain buoyant, decreasing the stress and pain that gravity and motion might otherwise cause.

When a cerebrospinal fluid (CSF) is generated in the lateral ventricle, it occupies the cavity before exiting through the interventricular foramen of Monro to gain entry inside the third ventricle. Moreover to Cerebrospinal fluid (CSF) from the lateral ventricle, cerebrospinal fluid (CSF) manufactured in the third ventricle escapes the area via the Sylvius cerebral aqueduct and enters the fourth ventricle.

The fourth ventricle produces very little Cerebrospinal fluid (CSF); nevertheless, it, together across with that from the preceding ventricles, departs the fourth ventricle to either join the central canal of the spinal cord or to join the cisterns via the foramina of Luschka and foramen of Magendie. Cerebrospinal Fluid (CSF) encircles the brain before exiting through arachnoid granulations to join the superior sagittal sinus and ultimately join the systemic circulation.

The truth is, if the brain is not suspended in some kind of liquid phase, it will become altered and twisted under its body mass and the sensitive tissue cells can start ripping and be damaged. The surface of Cerebrospinal fluid (CSF) that surrounds the brain also serves as a barrier against possible hazards associated with mechanical stress or some other kind of force applied, such as if a person falls and hits and injures their head badly or if they are attacked and blunt force is applied to the head.  Furthermore, as the Cerebrospinal fluid (CSF) flows over the brain, it transports toxic substances and other waste materials and substances into the bloodstream, which are subsequently released by processes such as the filtration system in the kidney. Irrespective of fluctuations in pressure inside the ventricles, the rate of Cerebrospinal fluid (CSF) manufacturing in the ventricles remains stable (i.e. interventricular pressure). It can be an issue if the journey of Cerebrospinal fluid (CSF) is obstructed at any point or location in the ventricular system. Cerebrospinal Fluid (CSF) will continue to be available and produced but there will be no way for it to depart from the platform.

The stress inside the ventricles will rise as a result, and the increasing pressure could effectively push the ventricles to enlarge. The enlarging ventricles can then collide with other brain regions, resulting in several health problems (based on where the blockage occurred and which structures or tissues are most influenced by this expansion). When this happens in kids whose skulls have not fully ossified (usually under the age of 2), it can provoke the head to magnify.

The ventricular system is essential to the proper operation of the central nervous system. It serves as protection by letting it “float” in a fluid soak and acts as a shock absorber in the event of a head injury. The CSF itself aids in the provision of nutrient content to the brain as well as the maintenance of brain chemistry in the cerebral cortex.

Complications involving the ventricles of the brain:

Water in the brain: 

Hydrocephalus is a situation characterized by excessive Cerebrospinal fluid (CSF) production and ventricular size expansion or enlargement, which is usually referred to as ‘water on the brain’ (Figure 3). An obstruction that creates hydrocephalus can be caused by a variety of factors, including a tumour, infection, or birth defects.

Hydrocephalus is frequently treated by surgically inserting a shunt that flushes surplus Cerebrospinal fluid (CSF) from the ventricles into the abdominal cavity. This method has the potential to be beneficial; however, if the cause of the obstruction is not resolved, extra surgical procedures might be added to find a solution to the problem. These include surgeries such as the replacement of an outgrown shunt or the treatment of a shunt that has been infected.

Non-communicating hydrocephalus: 

It is critical that Cerebrospinal fluid manufacturing be balanced with Cerebrospinal fluid (CSF) elimination from the cranial vault. Congenital irregularities in the progress of the interventricular pathways, specifically the aqueduct of Sylvius, can result in Cerebrospinal fluid (CSF) flow interruption. This situation, known as non-communicating hydrocephalus, results in a build-up of Cerebrospinal fluid (CSF) in the ventricles.

Tumours or distressing lesions that impede the interventricular passageway can also cause non-communicating hydrocephalus. Cerebrospinal fluid (CSF) build-up is also known as communicating hydrocephalus when there is a blockage in the cisterns or dural sinuses.

If this process occurs in an individual before fusion to the fontanelles, the affected individual may have symptoms associated with encephalomegaly (enlarged head). If the fontanelles have bonded, herniation of the surrounding tissues is very likely. Other pathological manifestations would be completely reliant on the nuclei and nerve endings that are compressed by the surplus Cerebrospinal fluid (CSF). 

Meningitis: 

Meningitis is an inflammatory condition that affects the membranes and fluid that cover the brain and spinal cord. There are two kinds of meningitis: viral meningitis, which can be influenced by a multitude of viruses, and bacterial meningitis, which is induced by pathogenic bacteria. The bacterial version is far more dangerous and, if remaining unattended, can be potentially lethal.

Infections (such as meningitis) and haemorrhaging can alter the properties of the Cerebrospinal fluid (CSF). 

Meningitis symptoms include pain in the head, fever, and hard or painful neck, and it can lead to problems such as seizure activity or unconsciousness. Early diagnosis and treatment are critical to beginning an effective treatment route as quickly as possible.

Conclusion:

The brain ventricles are an interacting channel of cavities within the brain parenchyma that are filled with cerebrospinal fluid (CSF). Two lateral ventricles, a cerebral aqueduct, a third ventricle, and a fourth ventricle comprise the ventricular system. Cerebrospinal fluid (CSF) is produced by the choroid plexuses in the ventricles and must fill the ventricles and subarachnoid space after a constant cycle of manufacturing and reabsorption. Cerebrospinal fluid is produced by the ventricle coating (CSF). The cerebrospinal fluid (CSF) is then absorbed in the subarachnoid region after passing through the ventricular system. If the brain is not suspended in a liquid phase, it will become altered and twisted under its body mass, causing sensitive tissue cells to rip and be damaged. The ventricular system is required for the central nervous system to function properly. It protects the head by allowing it to “float” in a fluid soak and acts as a shock absorber in the event of a head injury.  Many complications involve the ventricles of the brain, such as hydrocephalus and meningitis.

Reference list

  • Neuroscientifically Challenged (2015) ‘Know Your Brain: Ventricles’, 1 February. Available at: https://www.neuroscientificallychallenged.com/blog/know-your-brain-ventricles (Accessed: 18 July 2021).
  • Lehtinen, M.K. et al. (2013) ‘The choroid plexus and cerebrospinal fluid: emerging roles in development, disease, and therapy’, The Journal of Neuroscience : the Official Journal of the Society for Neuroscience, 33(45), pp. 17553–17559. doi: 10.1523/JNEUROSCI.3258-13.2013
  • Mahoney, D. (2018) ‘CT Head Interpretation | Radiology | Geeky Medics’, Geeky Medics, 1 February. Available at: https://geekymedics.com/ct-head-interpretation/ (Accessed: 18 July 2021).
  • News-Medical.net (2016) Hydrocephalus in Children, 1 April. Available at: https://www.news-medical.net/health/Hydrocephalus-in-Children.aspx (Accessed: 18 July 2021).
  • https://www.kenhub.com/en/library/anatomy/ventricular-system-of-the-brain (2021), 18 July (Accessed: 18 July 2021).
  • https://emedicine.medscape.com/article/1923254-overview (NaN), 18 July (Accessed: 18 July 2021).
  • Verywell Health (2021) Meningitis, 18 July. Available at: https://www.verywellhealth.com/meningitis-5092811 (Accessed: 18 July 2021).