Morphometric Analysis Of The Occipital Condyles And Their Correlation With Hypoglossal Canal In Dry Skulls Of South Indians

Background: Morphometric analysis of the occipital condyles is essential for craniovertebral junction surgeries.There are no studies done yet on correlation of hypoglossal canal and occipital condyle, therefore the presentstudy is carried out to find differences of parameters of OC in different races and to find out the correlation ofvarious parameters of occipital condyle with orifices of hypoglossal canal.Method: The size, shape and anterior, posterior inter condylar distances of occipital condyles and the locationsof the extracranial and intracranial orifices of the 108 hypoglossal canal were studied in 55 dry skulls.Result: The Mean length, height, width were 21.64±2.97, 11.06±2.2, 6.15±1.44 respectively.Anterior, posteriorinter condylar distances mean were ranged between 13.30-32.93 and 21.46– 46.77 respectively and most commonshape of occipital condyles was oval. Location of hypoglossal canal extra cranially was 3,whereas intra craniallyit was 4 for both right and left sides. There was strong correlation between length of occipital condyle and widthbut the same was not with location of hypoglossal canal.Conclusion: The measurements of occipital condyles were found to have some similarities and some dissimilariesamong different races. These differences could be useful for anthropometric analysis and forensic sciencesstudies. Significant correlation was found between length and width, width and height, height and length.However no correlation could be found between various parameters of occipital condyle and orifices of hypoglossalcanal.

Persistence of a hypoglossal artery: case report / Persistência da artéria hipoglossa: relato de caso

The authors present a case of persistent hypoglossal artery. Persistent hypoglossal artery is the second most common carotid-basilar anastomosis with a frequency of 0.02% to 0.09% and it can be associated with cerebrovascular disease. Diagnosis is by imaging methods and angiotomography is the method most often employed...

Os autores apresentam o caso de persistência da artéria hipoglossa. A artéria hipoglossa é a segunda anastomose carótida-basilar mais comum, com frequência de 0,02% a 0,09%, podendo estar associada a doenças vasculares cerebrais. Seu diagnóstico se faz através de métodos de imagem, sendo a angiotomografia o método mais utilizado...

Osteotic Variations in Paracondylar Region of Adult Human Skulls – Incidence and Clinical Significance.

Aim: In the paracondylar region(lateral to the occipital condyles)there might be morphological variation in the form of an anomalous foramina. This anomalous foramina may represent the course of an emissary vein in absence of posterior condylar canal or an aberrant course. Material & Method: 82 dry adult skulls (164 sides), of Indian origin and of both the sexes formed the basis for this study. The region anterior, posterior and lateral to the occipital condyles was carefully examined for the presence of foramina. Complete foramina were only considered for this study. The patency was ascertained by passage of a probe through it. Results: paracondylar foramina was observed in 12.1% specimens ,in 10.9% it was predominantly located on the left side and in 1.2% it was bilateral. No right sided paracondylar foramina was observed. Unilateral left sided Double hypoglossal canal was seen in 4.8% specimens . Posterior condylar canal was present in 9.7% out of which 6.0% were on the left side exclusively and 3.6% bilateral in position. Conclusion: Misinterpretation may occur as neoplasm or an abnormal lymph node during radiodiagnosis Surgical procedures in this area such as paracondylar approach and far lateral supracondylar approach could be impacted upon by this.

Morphometric analysis related to the transcondylar approach in dry skulls and computed tomography / Análisis morfométrico del acesso transcondilar en cráneos secos y en tomografia computarizada

The transcondylar approach (TA) has been used in surgeries to access lesions in areas close to the foramen magnum (FM) and is performed directly through the occipital condyle (OC) or through the atlanto-occipital joint and adjacent portions of the same. The objective of this study is to examine anatomical variations related to the TA by morphometric parameters of the FM, OC and of the hypoglossal canal (HC) in dry skulls and in computed tomography (CT). In 111 skulls, characteristics of the HC, and measures related to the FM, the HC and to the OC were examined. In CT, the measurements obtained bilaterally in 10 patients who underwent examination of the skull base in 1 mm-thick axial helical cuts were the distances from the outer half of the clivus to the opening of the HC; from the lower portion of the OC to the middle of HC; from the inner half of the clivus to the intracranial opening of the HC and to the midpoint of the HC; from the HC extracranial opening to the lower portion of the OC and to the outer half of the clivus. The results of CT measurements are consistent to previous studies of morphometric variations related to the TA, with no significant difference between the measurements obtained in the right and in the left sides, or related to gender. The data obtained by three-dimensional CT images are important in assessing the morphometric variations of pre-surgical patientsof TA.

El acceso transcondilar (AT)ha sido utilizado comoun procedimiento quirúrgico para lesiones cercanas al foramen magnum(FM)y se realizadirectamente a través delcóndilooccipital (CO)o por medio delas porciones atlanto-occipitalconjuntay adyacentesde lamisma.El objetivo del presenteestudio fue examinarlas variaciones anatómicas relacionadas con el AT mediantelos parámetros morfométricos del FM, CO y el canal delhipogloso (CH) en cráneossecos y tomografía computadorizada (CT). En 111 cráneos fueron examinadas las característicasdel CH y tomadas medidas relacionadas con el FM, CO y CH. En la CT, las mediciones se obtuvieron de forma bilateral en10 pacientes que se sometieron a exámen de la base del cráneo en corte axial helicoidal de 1mm de espesor. Las medidas tomadas fueron las distancias: de la mitad exterior del clivus a la apertura del CH; de la parte inferior de las emisiones de CO a la mitad del CH; de la mitad interna del clivus a la apertura intracraneal del CH y hasta el punto medio del CH; de la apertura extracraneal del CH a la parte inferior de las emisiones de CO y hasta la mitad exterior del clivus. Los resultados de las mediciones de CT son consistentes con estudios prévios de los cambios morfométricos en relación con AT, sin diferencia significativa entre las mediciones obtenidas en el lado derecho e izquierdo y ni en relación con el sexo. Los datos obtenidos a través de imágenes en tres dimensiones de CT son importantes para evaluarlas variaciones morfométricas de pre-quirúrgicos en el AT.

The study of hyperostosic variants: significance of hyperostotic variants of human skulls in anthropology / 대한해부학회지

Minor variations in the ossicles, foramina and ridges of the cranium have aroused the curiosity of anatomists for many decades. These non-metric variants help us to study the genetic relationships among ancient populations. Since these traits show considerable frequency differences in different populations, they can be used as anthropological characters in epidemiological studies. These variants indirectly reflect the part of underlying genotype of a given population thus implying their usefulness in biological comparisons of related groups. They can be used for the assessment of the existence of the parental structures within a community or as taxonomic indicators. For anthropological studies, the traits should be genetically determined, vary in frequency between different populations and should not show age, sex, and side dependency. The present study was conducted on hundred dry adult human skulls from Northern India. They were sexed and studied for the presence of hyperostotic traits (double hypoglossal canal, jugular foramen bridging, and paracondylar process). Sexual and side dimorphism was observed. None of the traits had shown statistically significant side and sexual dimorphism. Since the dimorphism is exhibited by none of them, it can be postulated that these traits are predominantly under genetic control and can be effectively used for population studies.

A Case of Dural Arteriovenous Fistula of the Anterior Condylar Vein / 신경중재치료의학

We present a rare case of dural arteriovenous fistula of the anterior condylar vein presenting with conjunctival injection and proptosis, and pulsatile tinnitus on the right side. A two-session transvenous and transarterial embolization, using fibered pushable coils and n-butyl cyanoacrylate, respectively, resulted in complete obliteration of the fistula without complication. The angioarchitecture, pathophysiology, and management of the fistula will be discussed.

Persistent Primitive Hypoglossal Artery Associated with Cerebral Aneurysm / 대한뇌혈관외과학회지

A persistent primitive hypoglossal artery (PPHA) is a rare vascular anomaly, which belongs to the group of carotid-basilar anastomosis that may occur in adults. The association of PPHA with cerebral aneurysms has also rarely reported. A review of the published cases of PPHA with cerebral aneurysms is made including the author's own case of 66 years-old woman with the left internal carotid artery aneurysm, which treated with surgical clipping. Key points concerning the definition, imaging, and clinical series data available for PPHA with cerebral aneurysm are highlighted.

Types of the hypoglossal canal.

A study on frequencies of various types of the hypoglossal canal was done on 187 Thai skulls, 123 males and 64 females. Type 1 was the most predominant type, found on either right or left side. Type 2, 3 and 4 appeared less respectively. Type 5 was the lest common type, found in only one skull and on only one side. The comparison with European, Egyptian and American Indian skulls showed the difference in frequencies with statistically significance.