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Posterior clinoid process in children: morphometric analysis, pneumatization ratio, and surgical implications.
Alpergin, Baran Can; Beger, Orhan; Zaimoglu, Murat; Kilinç, Mustafa Cemil; Özpiskin, Ömer Mert; Erdin, Engin; Çalisir, Ebru Sena; Eroglu, Umit.
Afiliación
  • Alpergin BC; Faculty of Medicine, Department of Neurosurgery, Ankara University, Ankara, Turkey.
  • Beger O; Faculty of Medicine, Department of Anatomy, Gaziantep University, 27310, Gaziantep, Turkey. obeger@gmail.com.
  • Zaimoglu M; Faculty of Medicine, Department of Neurosurgery, Ankara University, Ankara, Turkey.
  • Kilinç MC; Department of Neurosurgery, Hitit University, Çorum Erol Olçok Training and Research Hospital, Çorum, Turkey.
  • Özpiskin ÖM; Faculty of Medicine, Department of Neurosurgery, Ankara University, Ankara, Turkey.
  • Erdin E; Faculty of Medicine, Department of Neurosurgery, Ankara University, Ankara, Turkey.
  • Çalisir ES; Faculty of Medicine, Department of Anatomy, Gaziantep Islam Science and Technology University, Gaziantep, Turkey.
  • Eroglu U; Faculty of Medicine, Department of Neurosurgery, Ankara University, Ankara, Turkey.
Childs Nerv Syst ; 2024 Aug 19.
Article en En | MEDLINE | ID: mdl-39158633
ABSTRACT

PURPOSE:

To describe pneumatization and topographic position of the posterior clinoid process (PCP) in healthy children when approaching the anterior and middle fossae.

METHODS:

The study consisted of computed tomography images of 180 pediatric patients (90 males / 90 females), aged 1-18 years. The presence or absence of PCP pneumatization was noted, and the distances of certain landmarks to PCP were measured.

RESULTS:

The distances of the foramen ovale, foramen rotundum, superior orbital fissure, anterior clinoid process (ACP), foramen magnum and crista galli to PCP were measured as 18.59 ± 3.36 mm, 15.37 ± 3.45 mm, 14.60 ± 3.05 mm, 5.27 ± 3.24 mm, 32.03 ± 3.27 mm, and 30.45 ± 3.93 mm, respectively. These parameters increased with growth (between 1-18 years), but the distance between PCP and ACP decreased with an irregular pattern. In 11 sides (3.10%), a fusion between PCP and ACP was determined. PCP pneumatization was identified in 32 sides (8.9%). Its pneumatization correlated with pediatric ages (p < 0.001), but not gender (p = 0.459) or side (p = 0.711). Most of PCP pneumatization appeared after late childhood period (i.e., between 10-18 years).

CONCLUSION:

Our study provides beneficial data for neurosurgeons to use PCP as a reference point for creating a skull base map in children, because of the incomparable position of PCP in the skull base center.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Childs Nerv Syst Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Childs Nerv Syst Asunto de la revista: NEUROLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania