Opens in a new tab
Home › Body Atlas › Brain & Spinal Cord › Cerebral Aqueduct
Brain Structure Head & Skull

Cerebral Aqueduct

aqueductus mesencephali

The cerebral aqueduct, or aqueduct of Sylvius, is a narrow channel about 15 mm long running through the midbrain from the third ventricle to the fourth ventricle. It is the narrowest part of the ventricular system, which makes it the most common site of blockage causing hydrocephalus.

Anatomical Data

Structure & Connections

LocationMidbrain, between the tectum behind and the tegmentum in front, surrounded by the periaqueductal grey
Parts
  • Ependymal lining
  • Upper opening into the third ventricle
  • Lower opening into the fourth ventricle
Connections
Blood SupplyMidbrain perforating branches of the posterior cerebral and superior cerebellar arteries (surrounding tissue)
Biomechanics

Function & Actions

Carries cerebrospinal fluid from the third ventricle to the fourth ventricle.

Clinical Relevance

Clinical Notes

Aqueductal stenosis, congenital or acquired from tumours, haemorrhage or infection, enlarges the lateral and third ventricles while the fourth ventricle stays normal. Endoscopic third ventriculostomy bypasses the blocked aqueduct. Phase-contrast MRI measures CSF flow through the aqueduct.

Pathology

Common Injuries & Conditions

Aqueductal Stenosis

Narrowing or blockage of the aqueduct causing hydrocephalus of the lateral and third ventricles, presenting as a large head in infants or headache in adults.

Tectal Plate Tumour Obstruction

Compression of the aqueduct by a tectal glioma or pineal tumour, causing obstructive hydrocephalus.

This website uses cookies to enhance your browsing experience and ensure the site functions properly. By continuing to use this site, you acknowledge and accept our use of cookies.

Accept All Accept Required Only