The clival canal.
نویسندگان
چکیده
In a skull of an approximately 35-year-old belonging to the didactical collection of the University of Santa Cruz do Sul, Brazil, it was noted the clival canal of the occipital portion of the clivus (Figure). According to recent descriptions1, a clival canal was identified in 1.6% of skulls and there is limited information on bony canals in the occipital part of the clivus. Moreover, the presence of clival canal hasn’t been reported in classic anatomical textbooks. The finding of a clival canal might interfere with neurosurgical operations in the clival region and possibly provoke symptoms of the basilar artery, as well as of the basilar plexus2. In addition, clinicians and radiologists should take into account this variability when managing cerebral venous disorders or interpreting imaging studies of the skull base3. To our knowledge, there is no evidence in the current literature on the incidence of this variation in the population of our country. Thus, this report will be useful to increase the knowledge about this region that has considerable clinical interest2,4 (clival tumours had very high mortality and morbidity rates) 5, and finally to help promoting future studies in this area. Deivis de Campos1, 2, Geraldo Pereira Jotz3, Guilherme Reghelin Goulart2, Tais Malysz3,4
منابع مشابه
Intradural Clival Chordoma: A Case Report
Clival chordoma is a rare intracranial neoplasm located in the clivus with bony extension and destruction. It is difficult to resect completely and generally has a poor prognosis. However, intradural clival chordomas have been reported with good surgical outcomes. We present a rare case of intradural chordoma and a review of the literature.
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During routine osteology demonstration of the posterior cranial fossa we noticed a transverse bony canal in the middle third of the clivus of an adult male skull. The canal was situated 1.8 cm in front the anterior border of the foramen magnum. The length of the canal was 0.6 cm long. The possible embryological basis and clinical significance of the variation was discussed.
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Central skull base osteomyelitis is a rare, but potentially life-threatening disease entity often lacking otologic symptoms or external auditory canal pathology. We present a case of a man in his 70s who had developed cranial nerve deficits with radiographic evidence that was consistent with a tumor due to this uncommon entity. The radiologic findings and our experience are discussed to increas...
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Background: Petro-clival, clival and spheno-petro-clival tumours are still a neurosurgical challenge. Usually, the classical skull base transpetrous approaches are employed, although they are burdened by an important rate of morbidity, and a very low rate of radical removal is reported. Objectives: We present our indications and results with minimally invasive transnasal and transoral approache...
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In some previous cases of clival bone fracture in patients with severe head injury, the diagnosis of clival bone fracture was relatively complicated. Regarding the incidence of clival fractures, some reports have shown an incidence of between 0.21% and 1.2% among traumatic brain injury victims who are admitted to hospital (1-3). The relationship between the site of the head and the type of frac...
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ورودعنوان ژورنال:
- Arquivos de neuro-psiquiatria
دوره 73 12 شماره
صفحات -
تاریخ انتشار 2015