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Czasopismo

2010 | 69 | 3 |

Tytuł artykułu

A case of occipitalization in the human skull

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Occipitalization of the atlas is an osseous anomaly of the craniovertebral junction. The aim of this paper is to present an anatomical variant of the fused atlas with the occipital bone and discuss similar cases described in literature. The skull of an adult male analysed in this study belonged to the cranial collection of the Department of Anatomy of the Jagiellonian University, Medical Collage. A tight bony fusion between the anterior arch of the atlas, the left portion of the posterior arch, the lateral masses of the atlas, and the occipital bone was observed. Hence, the left and right superior articular facets of the atlas were fused with the corresponding occipital condyles. The anteroposterior dimension of both inferior articular facets was the same (20 mm), while the transverse diameter of the right one was considerably smaller (12 mm). The transverse diameter of the left inferior articular facets was 17 mm. The right and the left transverse process of the atlas were normally developed, each of them contained transverse foramen, and they were not fused with the occipital bone. The circumference of the foramen magnum was minimally diminished by the osseous structures of the atlas fused to the occipital bone. The sagittal and transverse diameters of the foramen magnum (38 mm x 34 mm) were within the normal range of variation. However, the asymmetrical anatomy of the inferior articular facets of the atlas give rise to speculation that movement in the atlantoaxial joint was disturbed by assimilation with the occipital bone. (Folia Morphol 2010; 69, 3: 134–137)

Wydawca

-

Czasopismo

Rocznik

Tom

69

Numer

3

Opis fizyczny

p.134-137,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Kopernika 12, 31-034 Krakow, Poland
autor
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Krakow, Poland
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Krakow, Poland
autor
  • Department of Anatomy, Collegium Medicum, Jagiellonian University, Krakow, Poland

Bibliografia

  • 1. AL-Motabagani MA, Surendra M (2006) Total occipitalization of the atlas. Anatom Scien Inter, 81: 173–180.
  • 2. Chamberlain WE (1939) Basilar impression (platybasia). Yale J Biol Med, 11: 487–496.
  • 3. Gholve PA, Hosalkar HS, Ricchetti ET, Pollock AN, Dormans JP, Drummond DS (2007) Occipitalization of the atlas in children. Morphologic classification, associations and clinical relevance. J Bone Joint Surg Am, 89: 571–578.
  • 4. Goel A, Sharma P, Dange N, Kulkarni AG (2005) Techniques in the treatment of craniovertebral instability. Neurol India, 53: 525–533.
  • 5. Jayanthi V, Kulkarni R, Kulkarni RN (2003) Atlanto-occipital fusion — report of two cases. J Anat Soc India, 52: 71–73.
  • 6. Lang J (1995) Skull base and related structures. Atlas of clinical anatomy. Shattauer, Stutgart, New York.
  • 7. Nayak S, Vollala VR, Raghunathan D (2005) Total fusion of atlas with occipital bone: a case report. Neuroanatomy, 4: 39–40.
  • 8. Ranade AV, Rai R, Prabhu LV, Kumaran M, Pai MM (2007) Atlas assimilation: a case report. Neuroanatomy, 6: 32–33.
  • 9. Schwarz N (1998) The fate of missed atlanto-axial rotator subluxation in children. Arch Orthop Trauma Surg, 117: 288–289.
  • 10. Tun K, Okutan O, Kaptanoglu E, Gok B, Solaroglu I, Beskonakli E (2004) Inverted hypertrophy of occipital condyles associated with atlantooccipital fusion and basilar invagination: a case report. Neuroanatomy, 3: 43–45.
  • 11. Ugar DA, Semb G (2001) The prevalence of anomalies of the upper cervical vertebrae in subjects with cleft lip, cleft palate, or both. Cleft Palate Craniofac J, 38: 498–503.
  • 12. Wendy RK (1994) Craniovertebral junction: normal anatomy, craniometry, and congenital anomalies. RadioGraphics, 14: 255–277.
  • 13. Wortzman G, Dewar FP (1968) Rotary fixation of the atlantoaxial joint: rotational atlantoaxial subluxation. Radiology, 90: 479–702.
  • 14. Wysocki J, Bubrowski M, Szymański I (2003) Developmental abnormalities of the craniovertebral region and their significance for heating and balance disorders. Otolaryngologia, 2: 65–71.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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