scholarly journals Topographic Anatomical Study of the Cranial Base around the Foramen Magnum in the Male Middle Kyushuites

1986 ◽  
Vol 40 (4) ◽  
pp. 787-806
Author(s):  
Tamiji Nakashima
Neurosurgery ◽  
2016 ◽  
Vol 79 (5) ◽  
pp. 722-735 ◽  
Author(s):  
Guillaume Coll ◽  
Jean-Jacques Lemaire ◽  
Federico Di Rocco ◽  
Isabelle Barthélémy ◽  
Jean-Marc Garcier ◽  
...  

Abstract BACKGROUND: To date, no study has compared the evolution of the foramen magnum area (FMA) and the posterior cranial fossa volume (PCFV) with the degree of cranial base synchondrosis ossification. OBJECTIVE: To illustrate these features in healthy children. METHODS: The FMA, the PCFV, and the ossification of 12 synchondroses according to the Madeline and Elster scale were retrospectively analyzed in 235 healthy children using millimeter slices on a computed tomography scan. RESULTS: The mean FMA of 6.49 cm2 in girls was significantly inferior to the FMA of 7.67 cm2 in boys (P <.001). In both sexes, the growth evolved in a 2-phase process, with a phase of rapid growth from birth to 3.75 years old (yo) followed by a phase of stabilization. In girls, the first phase was shorter (ending at 2.6 yo) than in boys (ending at 4.33 yo) and proceeded at a higher rate. PCFV was smaller in girls (P <.001) and displayed a biphasic pattern in the whole population, with a phase of rapid growth from birth to 3.58 yo followed by a phase of slow growth until 16 yo. In girls, the first phase was more active and shorter (ending at 2.67 yo) than in boys (ending at 4.5 yo). The posterior interoccipital synchondroses close first, followed by the anterior interoccipital and occipitomastoidal synchondroses, the lambdoid sutures simultaneously, then the petro-occipital and spheno-occipital synchondroses simultaneously. CONCLUSION: The data provide a chronology of synchondrosis closure. We showed that FMA and PCFV are constitutionally smaller in girls at birth (P ⩽.02) and suggest that a sex-related difference in the FMA is related to earlier closure of anterior interoccipital synchondroses in girls (P =.01).


2018 ◽  
Vol 6 (2.3) ◽  
pp. 5284-5287
Author(s):  
Jignesh L Patel ◽  
◽  
Vipin Kumar ◽  
Ashish M Pandya ◽  
Suresh P Rathod ◽  
...  

2012 ◽  
Vol 02 (01) ◽  
pp. 20-22
Author(s):  
Radhakrishna S. K. ◽  
Shivarama C. H. ◽  
Ramakrishna A. ◽  
Bhagya B.

AbstractIn this study the foramen magnum was analyzed for sex differences using standard osteometric techniques.We analyzed 100 (55 males and 45 females) skulls from the department of Anatomy, Yenepoya Medical College which were in good condition with a record of sex. The cranial base was visually assessed for foramen magnum shape. Morphometry (anteroposterior diameter (APD)& Transverse diameter (TD)) was determined and their differences by gender (p <0.05) were ascertained.Oval shape was the most common followed by round, tetragonal and pentagonal in both sex. The results demonstrated that sexual dimorphism is present in the foramen magnum. APD and TD were higher in male skulls than females (34.04 vs 31.72 and 28.63 vs 26.59).In incomplete skeletons, metric analysis of the foramen magnum may provide a statistically useful indication as to sex of the unknown skull.


2003 ◽  
Vol 14 (6) ◽  
pp. 1-5 ◽  
Author(s):  
Agustinus Suhardja ◽  
Anne M. R. Agur ◽  
Michael D. Cusimano

Object Meningiomas of the lower clivus and foramen magnum are among the most challenging of all neurosurgical lesions. Debate continues regarding the most appropriate approach to this eloquent anatomical region. This anatomical study was undertaken to measure and compare the area of surgical exposures of the lower clivus achieved using the retrosigmoid and the extreme-lateral transcondylar (ELT) approaches. Methods Thirteen embalmed cadaveric heads were dissected bilaterally via the retrosigmoid approach on one side and the ELT approach on the other. The circumference of the area of exposure was delineated using beaded pins placed into the dura. After removal of the brain, the longest longitudinal and transverse axes of the pinned areas were measured and surface area calculated. The area of surgical exposure was also expressed as a percentage of the total area of the lower clivus. Normalized and adjusted surface areas were calculated using the bimastoid diameter. The areas of exposure were compared using the two-tailed paired Student t-test. The mean area of exposure required using the retrosigmoid approach was 19.8 ±14.7 mm2 (range 6–49 mm2) and that using the ELT approach was 27.8 ±22.8 mm2 (range 10–90 mm2). The mean percentage of the lower clivus exposed by the retrosigmoid approach was 14.9 ±3.6% (range 10–22%) and that exposed by the ELT approach was 20.5 ± 4.9% (range 10–25%). The ELT approach provided significantly greater area of operative exposure and allowed a significantly higher percentage of lower clivus and foramen magnum exposure than did the retrosigmoid approach (p <0.05). Normalized and adjusted surface areas, taking into consideration the bimastoid diameter, were also statistically significant in favor of the ELT approach. Conclusions The ELT approach provided a significantly greater area of exposure than did the retrosigmoid approach.


2020 ◽  
Vol 11 (3) ◽  
pp. 3528-3532
Author(s):  
Sharmila Aristotle ◽  
Balaji Ramraj ◽  
Shantanu Patil ◽  
Sundarapandian Subramanian

Detailed morphometric analysis is required for various surgical approaches in the craniovertebraljunction. High mortality and morbidity are anticipated for the surgical procedures when undertaken without in-depth anatomical knowledge. With so much clinical importance in this area, our study will present a thorough understanding in terms of skull and CT values. The main aim of this study is to give the morphometric details of occipital condyles and foramen magnum in cadaveric skulls and CT scans. Seventy dried human skulls and 70 CT images on the three-dimensional volume-rendered reconstruction of the skull base was used for this study. The length and width of the occipital condyle of right and the left side was 22.21 ±5.20 mm; 22.05±4.83 mm; 12.57 ± 2.50 and 12.68 ± 2.92mm respectively in cadaver skull. The length and width of occipital condyles in CT scans for right and left side was 21.61 ± 3.09 mm; 21.58 ± 3.50 mm; 13.04 ± 1.58 mm and 13.13 ± 2.54 mm respectively. The Anteroposterior and transverse diameters of the foramen magnum in cadaveric skulls and CT images was 33.17 ± 7.23; 29.22 ± 6.17; 34.15 ± 2.88 and 28.14 ± 2.43 mm respectively. Each surgical approach and the radiological diagnostic procedures have their limitations. Moreover, analysis of cranial base dimensions of occipital condyles and foramen magnum can be considered as a reliable method for sex determination. Hence this study will a useful guide for surgeons, radiologists, anthropologists and forensic experts.


2017 ◽  
Vol 76 (3) ◽  
pp. 446-457 ◽  
Author(s):  
Ch. Lyrtzis ◽  
M. Piagkou ◽  
A. Gkioka ◽  
N. Anastasopoulos ◽  
S. Apostolidis ◽  
...  

2010 ◽  
Vol 365 (1556) ◽  
pp. 3365-3376 ◽  
Author(s):  
William H. Kimbel ◽  
Yoel Rak

Cranial base morphology differs among hominoids in ways that are usually attributed to some combination of an enlarged brain, retracted face and upright locomotion in humans. The human foramen magnum is anteriorly inclined and, with the occipital condyles, is forwardly located on a broad, short and flexed basicranium; the petrous elements are coronally rotated; the glenoid region is topographically complex; the nuchal lines are low; and the nuchal plane is horizontal. Australopithecus afarensis (3.7–3.0 Ma) is the earliest known species of the australopith grade in which the adult cranial base can be assessed comprehensively. This region of the adult skull was known from fragments in the 1970s, but renewed fieldwork beginning in the 1990s at the Hadar site, Ethiopia (3.4–3.0 Ma), recovered two nearly complete crania and major portions of a third, each associated with a mandible. These new specimens confirm that in small-brained, bipedal Australopithecus the foramen magnum and occipital condyles were anteriorly sited, as in humans, but without the foramen's forward inclination. In the large male A.L. 444-2 this is associated with a short basal axis, a bilateral expansion of the base, and an inferiorly rotated, flexed occipital squama—all derived characters shared by later australopiths and humans. However, in A.L. 822-1 (a female) a more primitive morphology is present: although the foramen and condyles reside anteriorly on a short base, the nuchal lines are very high, the nuchal plane is very steep, and the base is as relatively narrow centrally. A.L. 822-1 illuminates fragmentary specimens in the 1970s Hadar collection that hint at aspects of this primitive suite, suggesting that it is a common pattern in the A. afarensis hypodigm. We explore the implications of these specimens for sexual dimorphism and evolutionary scenarios of functional integration in the hominin cranial base.


Author(s):  
Jonathan Ortiz-Rafael ◽  
Srikant S. Chakravarthi ◽  
Rogelio Revuelta-Gutiérrez ◽  
Amin Kassam ◽  
Alejandro Monroy-Sosa

2017 ◽  
Vol 33 (5) ◽  
pp. 819-823
Author(s):  
Marina Raguz ◽  
Pero Hrabac ◽  
Dora Sedmak ◽  
Miroslav Gjurasin ◽  
Natasa Kovacic

2016 ◽  
Vol 3 (2) ◽  
pp. 89-98
Author(s):  
Namita A Sharma ◽  
Rajendra S Garud

Introducción: Las foraminas craneales son los únicos puntos de entrada a un cráneo que, de otra manera, permanecería cerrado. La evaluación de estas foraminas es una parte muy importante para el diagnóstico médico y debería ayudar al clínico en su  enfoque quirúrgico a esta delicada región. El presente estudio se centra en las foraminas de la base posterior del cráneo incluyendo los pares de fosas yugulares, el agujero estilomastoideo, el canal hipogloso; el impar agujero magno y otras foraminas auxiliares tales como el agujero mastoideo y el canal condíleo posterior. Material y Método: El estudio se llevo a cabo en 50 cráneos adultos, secos y macerados, pertenecientes todos ellos al subcontinente indio. Para ello se utilizó un calibre vernier con una precisión de 0.01 mm. Resultados: Se obtuvo una amplia variación en las dimensiones de la fosa yugular. La diferencia máxima bilateral en el mismo cráneo fue de 6.72 mm. La bóveda y la septación incompleta existían en un 20% de los cráneos. El tamaño del agujero estilomastoideo osciló entre 0.9-5.3 mm. Una de las 100 foraminas estudiadas se mostró estenosada. La duplicación se vio en el 4% de los cráneos. Las septaciones en el canal hipogloso se produjeron exclusivamente en el aspecto endocraneal y se observó bilateralmente en un 4% y unilateralmente en un 20% de los cráneos. En uno de los cráneos se encontró occipitalización del atlas. La salida del agujero magno estaba deformada y estenosada. Este fue el único cráneo con un índice en el agujero magno menor de 1. El agujero mastoideo  estuvo presente bilateralmente en un 74% y unilateralmente en un 16% de los cráneos, mientras que las cifras correspondientes para el  canal condíleo posterior fueron de 62% y 26% respectivamente. Introduction: Cranial foramina are the only portals to an otherwise closed cranium. Evaluation of these foramina is an important part of diagnostic medicine and would aid the clinician in his surgical approach to this complicated region. The present study is of foramina in the posterior cranial base including the paired jugular foramen, stylomastoid foramen, the hypoglossal canal; the unpaired foramen magnum and accessory foramina such as the mastoid foramen and the posterior condylar canal. Materials and Method: The study was done on 50 dried, macerated, adult human skulls, all belonging to the Indian subcontinent, using a vernier caliper with a precision of 0.01 mm. Results: There was wide variation in the dimensions of the jugular foramen. The maximum bilateral difference within the same skull was 6.72mm.Dome and incomplete septation coexisted in 20% skulls. The size of stylomastoid foramen ranged from 0.9-5.3 mm. One out of the 100 foramina studied showed a stenosed foramen. Duplication was seen in 4% skulls. Septations in the hypoglossal canal were exclusively on the endocranial aspect and were seen bilaterally in 4% and unilaterally in 20% skulls. In one skull there was occipitalisation of the atlas. The magnum outlet was distorted and stenosed. This was the only skull with a ‘foramen magnum index’ less than 1. The mastoid foramen was present bilaterally in 74% and unilaterally in 16% skulls while the corresponding figures for the posterior condylar canal were 62% and 26% respectively.


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