Morphological and morphometric study of petrosphenoidal ligament calcification in dry human skulls
DOI:
https://doi.org/10.48017/dj.v9i3.2927Keywords:
Skull, Skull Base, Ligaments, Calcification, PhysiologicAbstract
Recent studies have suggested that calcifications in the petrosphenoidal ligament (PSL) may increase the likelihood of abducens nerve injury, resulting in idiopathic paralysis of the lateral rectus muscle of the eyeball. However, the literature is still scarce in determining the occurrence of these calcifications and associated factors. Therefore, the objective of this study was to evaluate the occurrence of calcifications in the PSL in dry human skulls from Northeastern Brazil. The presence of areas indicative of calcifications in skulls belonging to the Federal University of Alagoas and the Federal University of Pernambuco were evaluated. Each ligament was classified into four patterns based on morphometric parameters, with the aid of a digital caliper: (1) Absence of calcifications; (2) < 50%; 3- 50% to < 100% and, 4- complete calcification. Statistical analyzes were tabulated in the jamovi statistical software, version 2.2.5, with a significance level of 5%. 65.5% of the skulls showed some degree of calcification. 56.4% had calcification on the right side and 40% on the left side. The most common classification was type 2. The frequency of calcification was statistically higher on the right side. The frequency of calcification in the PSL was high in the sample of skulls evaluated and more frequent on the direct side. More studies are necessary to better elucidate its occurrence, relationship with the sides of the skull, gender, age and possible clinical complications.
Metrics
References
Ambekar, S., Sonig, A., & Nanda, A. (2012). Dorello ’ s Canal and Gruber ’ s Ligament : Historical Perspective. J Neurol Surg B, 73, 430–433.
De Oliveira, K. M., de Souza, S. D. G., Liberti, E. A., Benevenuto, G. D. C., de Faria, G. M., de Almeida, A. C. F., E Silva, A. C. C., Gonçalves, G. R., Reis, Y. P., Magalhães, W. A., de Almeida, V. L., Oliveira, M. de F. S., Grecco, L. H., Nicolato, A. A., & Dos Reis, F. A. (2022). Incomplete Petrosphenoidal Foramen: Morphological and Morphometric Analysis and the Proposal of a Classification Study in Brazilian Dry Skulls. International Journal of Morphology, 40(2), 507–515.
Ekanem, U.-O. I., Chaiyamoon, A., Cardona, J. J., Berry, J. F., Wysiadecki, G., Walocha, J. A., Iwanaga, J., Dumont, A. S., & Tubbs, R. S. (2023). Prevalence, Laterality, and Classification of Ossified Petroclival Ligaments: An Anatomical and Histological Study With Application to Skull Base Surgery. Cureus, 15(3):e36469 9
Ferraro, F. M., Chaves, H., Olivera Plata, F. M., Miquelini, L. A., & Mukherji, S. K. (2018). Eponyms in Head and Neck Anatomy and Radiology | Epónimos en la anatomía y radiología de cabeza y cuello. Revista Argentina de Radiologia, 82(2), 72–82.
Icke, C., Ozer, E., & Arda, N. (2010). Microanatomical characteristics of the petrosphenoidal ligament of gruber. Turkish Neurosurgery, 20(3), 323–327.
Kshettry, V. R., Lee, J. H., & Ammirati, M. (2013). The dorello canal: Historical development, controversies in microsurgical anatomy, and clinical implications. Neurosurgical Focus, 34(3), 1–7.
Kumar, P. B., Al-Khamis, F. H., Taher, H. H., & Abdulreheim, A. (2023). Occurrence of the ossification of petrosphenoid ligament: a retrospective radiologic study from computed tomographic images. Folia Morphologica. doi:10.5603/FM.a2023.0004. Online ahead of print
Lei n° 8.501/1992. (1992). Diário Oficial da União: Seção I, nº 240. https://legis.senado.leg.br/norma/550377/publicacao/15715368.
Lei No 10.406/2002 da Presidência da República. (2002). Diário Oficial da União: Seção I, nº 8. https://www.planalto.gov.br/ccivil_03/leis/2002/l10406compilada.htm.
Lemos, G. A., Araújo, D. N., de Lima, F. J. C., & Bispo, R. F. M. (2020). Human anatomy education and management of anatomic specimens during and after COVID-19 pandemic: Ethical, legal and biosafety aspects. Annals of Anatomy. 233:151608.
Özgür, A., & Esen, K. (2015). Ossification of the petrosphenoidal ligament: multidetector computed tomography findings of an unusual variation with a potential role in abducens nerve palsy. Japanese Journal of Radiology, 33(5), 260–265.
Skrzat, J., Mróz, I., Spulber, A., Zarzecki, M., & Walocha, J. (2017). Ossification of the petrosphenoid ligament - a case study. Folia Medica Cracoviensia, 57(2), 87–94.
Touska, P., Hasso, S., Oztek, A., Chinaka, F., & Connor, S. E. J. (2019). Skull base ligamentous mineralisation: evaluation using computed tomography and a review of the clinical relevance. Insights into Imaging, 10(1):55.
Tubbs, R. S., Radcliff, V., Shoja, M. M., Naftel, R. P., Mortazavi, M. M., Zurada, A., Loukas, M., & Cohen Gadol, A. A. (2012). Dorello canal revisited: An observation that potentially explains the frequency of abducens nerve injury after head injury. World Neurosurgery, 77(1), 119–121.
Tubbs, R. S., Sharma, A., Loukas, M., & Cohen-Gadol, A. A. (2014). Ossification of the petrosphenoidal ligament: Unusual variation with the potential for abducens nerve entrapment in Dorello’s canal at the skull base. Surgical and Radiologic Anatomy, 36(3), 303–305.
Umansky, F., Elidan, J., & Valarezo, A. (1991). Dorello’s canal: A microanatomical study. Journal of Neurosurgery, 75(2), 294–298.
Warwick, R., Williams, P. L. (1979). Gray Anatomia (35a). Guanabara Koogan.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Maria Marcelly Lucio Mota, Igor Hudson Albuquerque e Aguiar, Kaio Coura Melo Pacheco, Fernando José Camello Lima, Renata Cristinny de Farias Campina, George Azevedo Lemos
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Diversitas Journal expresses that the articles are the sole responsibility of the Authors, who are familiar with Brazilian and international legislation.
Articles are peer-reviewed and care should be taken to warn of the possible incidence of plagiarism. However, plagiarism is an indisputable action by the authors.
The violation of copyright is a crime, provided for in article 184 of the Brazilian Penal Code: “Art. 184 Violating copyright and related rights: Penalty - detention, from 3 (three) months to 1 (one) year, or fine. § 1 If the violation consists of total or partial reproduction, for the purpose of direct or indirect profit, by any means or process, of intellectual work, interpretation, performance or phonogram, without the express authorization of the author, the performer, the producer , as the case may be, or whoever represents them: Penalty - imprisonment, from 2 (two) to 4 (four) years, and a fine. ”