CC BY-NC-ND 4.0 · Asian J Neurosurg 2012; 7(01): 12-16
DOI: 10.4103/1793-5482.95689

Endoscopic anatomy of the velum interpositum: A sequential descriptive anatomical study

Ahmed Zohdi
Department of Neurosurgery, Head of MIN Unit, Kasr El-Aini School of Medicine, Cairo University
Sherif Elkheshin
1   Department of Neurosurgery, Tanta School of Medicine, Tanta University
› Author Affiliations

Background: The velum interpositum and structures lying within and over it undergo morbid anatomical changes with hydrocephalus that have not been mentioned in the literature. Objectives: The aim of this article is to describe the diverse endoscopic anatomical findings for this surgically important region. Materials and Methods: One thousand five hundred and twenty cranial endoscopic procedures performed from September 1993 till March 2011 have been retrospectively reviewed. Anatomical changes in the velum interpositum and covering layers have been reported in 40 cases. Results: The changes of the velum interpositum have four patterns. These are 1-Distraction mounting to disruption of layers, 2-Reverse in the normal curvature, 3-Reverse of the triangular shape with change in size, and 4-Cystic dilatation causing hydrocephalus. Conclusion: The velum interpositum and roof of the third ventricle are sites of changes associated with hydrocephalus that show specific patterns described in a sequential anatomical study.

Publication History

Article published online:
27 September 2022

© 2012. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India