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The most common presenting symptoms of lesions involving the CPA include hearing loss, tinnitus, dizziness, vertigo, headaches, and gait dysfunction. Hearing loss is mostly unilateral sensorineural and is due to the involvement of the cochlear nerve.
The cerebellopontine angle cistern is a cerebrospinal fluid-filled space bound by the pons, cerebellum, and petrous temporal bone. Masses in this region are readily identified on cross-sectional images.
The clinical significance of CPA stems from the variety of lesions that involve this region and present with a myriad of non-specific symptoms, the most common of which are sensorineural hearing loss, tinnitus, and dizziness.
The CPA is occupied by the CPA cistern, which includes the trigeminal, abducent, facial, and vestibulocochlear nerves, the superior cerebellar and anterior inferior cerebellar arteries, the flocculus of the cerebellum, and the choroid plexus that protrudes through the foramen of Luschka (Rhoton, 2000).
Introduction. The cerebellopontine angle (CPA) is a wedge-shaped cisternal space within the posterior fossa bounded by the petrous temporal bone laterally, the cerebellum and brainstem medially, and the lower cranial nerves (CN IX, X, and XI) inferiorly.

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The cerebellopontine angle (CPA) cistern, also known as the pontocerebellar cistern, is a triangular CSF-filled subarachnoid cistern that lies between the anterior surface of the cerebellum and the lateral surface of the pons.

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