open access

Vol 81, No 4 (2022)
Original article
Submitted: 2021-09-19
Accepted: 2021-10-03
Published online: 2021-10-21
Get Citation

Anatomical observation and significance of the parietal foramen in Chinese adults

D. Liu12, H. Yang1, Jua. Wu2, J-H Li1, Y-K Li1
·
Pubmed: 34699055
·
Folia Morphol 2022;81(4):998-1004.
Affiliations
  1. School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong, P.R. China
  2. Department of Rehabilitation Medicine, the third affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, P.R. China

open access

Vol 81, No 4 (2022)
ORIGINAL ARTICLES
Submitted: 2021-09-19
Accepted: 2021-10-03
Published online: 2021-10-21

Abstract

Background: This study aimed to investigate the incidence, number, diameter, and relative location of the parietal foramen (PF) as well as communication of intracranial and extracranial orifices and their direction, and sagittal suture morphology and length.
Materials and methods: A total of 280 dry Chinese adult skull specimens from the Department of Anatomy, Southern Medical University, were observed and measured. The occurrence rate and quantity of the PF near the sagittal suture were recorded. The aperture of the PF, the vertical distance between PF and sagittal suture, and the linear distance between PF and lambda were measured using a Vernier calliper. The length of the sagittal suture was measured by a flexible ruler; the direction and communication of intracranial and extracranial orifices were detected using a probe.
Results: The total incidence of the PF was 82.86%, slightly higher on the right side than on the left side. The single-foramen type was the most prevalent. The mean diameter of the PF on the left and right sides were 1.02 ± 0.72 mm and 1.07 ± 0.67 mm, respectively, and the diameter of the PF on the sagittal suture was 1.77 ± 0.44 mm. The mean vertical distance between the PF and the sagittal suture was 5.90 ± 2.78 mm and 5.85 ± 2.75 mm on the left and right sides, respectively. The shape of the sagittal suture in the PF area was primarily dentate shaped, with an average arc length of χ = 124.36 ± 7.76 mm, of which the majority were completely healed type. The intracranial and extracranial communication was 39.97%, and the majority of the PF were anteromedial direction.
Conclusions: The current study provided an anatomical basis for imaging diagnosis and neurosurgery by investigating the incidence, diameter, and relative location of the PF and intracranial and extracranial communication and direction.

Abstract

Background: This study aimed to investigate the incidence, number, diameter, and relative location of the parietal foramen (PF) as well as communication of intracranial and extracranial orifices and their direction, and sagittal suture morphology and length.
Materials and methods: A total of 280 dry Chinese adult skull specimens from the Department of Anatomy, Southern Medical University, were observed and measured. The occurrence rate and quantity of the PF near the sagittal suture were recorded. The aperture of the PF, the vertical distance between PF and sagittal suture, and the linear distance between PF and lambda were measured using a Vernier calliper. The length of the sagittal suture was measured by a flexible ruler; the direction and communication of intracranial and extracranial orifices were detected using a probe.
Results: The total incidence of the PF was 82.86%, slightly higher on the right side than on the left side. The single-foramen type was the most prevalent. The mean diameter of the PF on the left and right sides were 1.02 ± 0.72 mm and 1.07 ± 0.67 mm, respectively, and the diameter of the PF on the sagittal suture was 1.77 ± 0.44 mm. The mean vertical distance between the PF and the sagittal suture was 5.90 ± 2.78 mm and 5.85 ± 2.75 mm on the left and right sides, respectively. The shape of the sagittal suture in the PF area was primarily dentate shaped, with an average arc length of χ = 124.36 ± 7.76 mm, of which the majority were completely healed type. The intracranial and extracranial communication was 39.97%, and the majority of the PF were anteromedial direction.
Conclusions: The current study provided an anatomical basis for imaging diagnosis and neurosurgery by investigating the incidence, diameter, and relative location of the PF and intracranial and extracranial communication and direction.

Get Citation

Keywords

anatomy, skull, parietal foramen, sagittal suture, lambda, parietal emissary vein

About this article
Title

Anatomical observation and significance of the parietal foramen in Chinese adults

Journal

Folia Morphologica

Issue

Vol 81, No 4 (2022)

Article type

Original article

Pages

998-1004

Published online

2021-10-21

Page views

4173

Article views/downloads

706

DOI

10.5603/FM.a2021.0106

Pubmed

34699055

Bibliographic record

Folia Morphol 2022;81(4):998-1004.

Keywords

anatomy
skull
parietal foramen
sagittal suture
lambda
parietal emissary vein

Authors

D. Liu
H. Yang
Jua. Wu
J-H Li
Y-K Li

References (32)
  1. Bartsch O, Wuyts W, Van Hul W, et al. Delineation of a contiguous gene syndrome with multiple exostoses, enlarged parietal foramina, craniofacial dysostosis, and mental retardation, caused by deletions in the short arm of chromosome 11. Am J Hum Genet. 1996; 58(4): 734–742.
  2. Boyd GI. The emissary foramina of the cranium in man and the anthropoids. J Anat. 1930; 65(Pt 1): 108–121.
  3. Carolineberry A, Berry RJ. Epigenetic variation in the human cranium. J Anat. 1967; 101(Pt 2): 361–379.
  4. Chapot R, Saint-Maurice JP, Narata AP, et al. Transcranial puncture through the parietal and mastoid foramina for the treatment of dural fistulas. Report of four cases. J Neurosurg. 2007; 106(5): 912–915.
  5. de Souza Ferreira MR, Galvão AP, de Queiroz Lima PT, et al. The parietal foramen anatomy: studies using dry skulls, cadaver and in vivo MRI. Surg Radiol Anat. 2021; 43(7): 1159–1168.
  6. Durão C, Carpinteiro D, Pedrosa F, et al. Enlarged parietal foramina: a rare forensic autopsy finding. Int J Legal Med. 2016; 130(3): 855–857.
  7. Gangmei G, Devi HS, Daimei T. Variations of parietal foramen in dried adult human skulls. J Dent Med Sci. 2018; 17(5): 26–29.
  8. Griessenauer CJ, Veith P, Mortazavi MM, et al. Enlarged parietal foramina: a review of genetics, prognosis, radiology, and treatment. Childs Nerv Syst. 2013; 29(4): 543–547.
  9. Keskil S, Gözil R, Çalgüner E. Common surgical pitfalls in the skull. Surg Neurol. 2003; 59(3): 228–231.
  10. Lacković Z, Filipović B, Matak I, et al. Activity of botulinum toxin type A in cranial dura: implications for treatment of migraine and other headaches. Br J Pharmacol. 2016; 173(2): 279–291.
  11. Louis RG, Loukas M, Wartmann CT, et al. Clinical anatomy of the mastoid and occipital emissary veins in a large series. Surg Radiol Anat. 2009; 31(2): 139–144.
  12. Makandar UK, Kulkarni PR, Suryakar AN. Comparative Study of Incidence of Parietal Foramina in North and South Indian Human Crania. Indian J Foren Med Toxicol. 2013; 7(2): 123.
  13. Mann RW. Enlarged parietal foramina and craniosynostosis in an American Indian child. Am J Roentgenol. 1990; 154(3): 658.
  14. Mann R, Manabe J, Byrd J. Relationship of the parietal foramen and complexity of the human sagittal suture. Int J Morphol. 2009; 27(2).
  15. Mavrogiannis LA, Taylor IB, Davies SJ, et al. Enlarged parietal foramina caused by mutations in the homeobox genes ALX4 and MSX2: from genotype to phenotype. Eur J Hum Genet. 2006; 14(2): 151–158.
  16. Mortazavi MM, Tubbs RS, Riech S, et al. Anatomy and pathology of the cranial emissary veins: a review with surgical implications. Neurosurgery. 2012; 70(5): 1312–1318.
  17. Mupparapu M, Binder RE, Duarte F. Hereditary cranium bifidum persisting as enlarged parietal foramina (Catlin marks) on cephalometric radiographs. Am J Orthod Dentofacial Orthop. 2006; 129(6): 825–828.
  18. Murlimanju BV, Reddy G, Prabhu LV, et al. Foramen of vesalius: prevalence, morphology, embryological basis and clinical implications. J Surg Acad. 2015; 5(1): 24–28.
  19. Murlimanju BV, Saralaya VV, Somesh MS, et al. Morphology and topography of the parietal emissary foramina in South Indians: an anatomical study. Anat Cell Biol. 2015; 48(4): 292–298.
  20. O'Rahilly R, Twohig MJ. Foramina parietalia permagna. Am J Roentgenol Radium Ther Nucl Med. 1952; 67(4): 551–561.
  21. Reddy AT, Hedlund GL, Percy AK. Enlarged parietal foramina: association with cerebral venous and cortical anomalies. Neurology. 2000; 54(5): 1175–1178.
  22. Reis CVC, Deshmukh V, Zabramski JM, et al. Anatomy of the mastoid emissary vein and venous system of the posterior neck region: neurosurgical implications. Neurosurgery. 2007; 61(5 Suppl 2): 193–200; discussion 200.
  23. Sharma NA, Garud RS. Morphometric evaluation and a report on the aberrations of the foramina in the intermediate region of the human cranial base: A study of an Indian population. Eur J Anat. 2011; 15(3): 140–149.
  24. Singh D, Raibagkar D. Study of variation in atypical foramina of dry human skull. NJIRM. 2011; 2(2): 1–5.
  25. Thompson EM, Baraitser M, Hayward RD. Parietal foramina in Saethre-Chotzen syndrome. J Med Genet. 1984; 21(5): 369–372.
  26. Tsutsumi S, Nonaka S, Ono H, et al. The extracranial to intracranial anastomotic channel through the parietal foramen: delineation with magnetic resonance imaging. Surg Radiol Anat. 2016; 38(4): 455–459.
  27. Tubbs R, Doughty K, Oakes W, et al. Duane's syndrome and giant parietal foramina. Pediatr Neurol. 2004; 30(1): 75–76.
  28. Tubbs RS, Smyth MD, Oakes WJ. Parietal foramina are not synonymous with giant parietal foramina. Pediatr Neurosurg. 2003; 39(4): 216–217.
  29. Wilkie AO, Tang Z, Elanko N, et al. Functional haploinsufficiency of the human homeobox gene MSX2 causes defects in skull ossification. Nat Genet. 2000; 24(4): 387–390.
  30. Wuyts W, Cleiren E, Homfray T, et al. The ALX4 homeobox gene is mutated in patients with ossification defects of the skull (foramina parietalia permagna, OMIM 168500). J Med Genet. 2000; 37(12): 916–920.
  31. Wysocki J, Reymond J, Skarzyński H, et al. The size of selected human skull foramina in relation to skull capacity. Folia Morphol. 2006; 65(4): 301–308.
  32. Yoshioka N, Rhoton AL, Abe H. Scalp to meningeal arterial anastomosis in the parietal foramen. Neurosurgery. 2006; 58(1 Suppl): ONS123–6; discussion ONS123.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl