Ventriculus terminalis

The central canal, also known as ependymal canal, is the cerebrospinal fluid-filled space that runs longitudinally through the length of the entire spinal cord. The central canal is continuous with the ventricular system of the brain. The fourth ventricle narrows at a region called the obex to become the central canal of the spinal cord. The central canal helps to transport nutrients to the spinal cord as well as protect it by cushioning the impact of a force when the spine is affected. The central canal, also known as ependymal canal, is the cerebrospinal fluid-filled space that runs longitudinally through the length of the entire spinal cord. The central canal is continuous with the ventricular system of the brain. The fourth ventricle narrows at a region called the obex to become the central canal of the spinal cord. The central canal helps to transport nutrients to the spinal cord as well as protect it by cushioning the impact of a force when the spine is affected. The central canal represents the adult remainder of the central cavity of the neural tube. It generally occludes (closes off) with age. Syringomyelia is a disease caused by the occlusion of the central canal. Occlusions of the central canal typically occur at the lower cervical and upper thoracic levels. This typically damages white matter fibers that cross in anterior white commissure, leading to the loss of temperature, pain, and motor function at the affected levels on contralateral sides. The terminal ventricle (ventriculus terminalis, fifth ventricle or ampulla caudalis) is the widest part of the central canal of the spinal cord that is located at or near the conus medullaris. It was described by Stilling in 1859 and Krause in 1875. Krause introduced the term fifth ventricle after observation of normal ependymal cells. The central canal expands as a fusiform terminal ventricle, and approximately 8–10 mm in length in the conus medullaris (or conus terminalis). Although the terminal ventricle is visible in the fetus and children, it is usually absent in adults. Sometimes, the terminal ventricle is observed by MRI or ultrasound in children less than 5 years old. An MRI scan can be particularly helpful in its detection.