Guduri Pavan, Ekanem Uduak-Obong I, Shekhawat Devendra, Chaiyamoon Arada, Cardona Juan J, Iwanaga Joe, Dumont Aaron S, Tubbs R Shane
Tulane University School of Medicine, New Orleans, USA.
Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, USA.
Cureus. 2023 Mar 25;15(3):e36678. doi: 10.7759/cureus.36678. eCollection 2023 Mar.
Background Granular foveolae in the groove of the sigmoid sinus have rarely been reported in the literature compared to numerous published reports on the granular foveolae near the superior sagittal sinus and its sulcus on the internal aspect of the calvaria. The present study was performed to better elucidate their prevalence and locations. Materials and methods One hundred and ten adult dry skulls (220 sides) were analyzed for the presence of granular foveolae within the groove of the sigmoid sinus. The exact position of the foveolae was documented, and the diameter of the granular foveola was measured. Results Granular foveolae were found in the groove of the sigmoid sinus on 3.6% of the sides. These were at or within a mean of 1.3 cm inferior to the transverse-sigmoid junction. When a mastoid foramen was noted in the groove, it was always located inferior to the granular foveolae when present. The mean diameters of the granular foveolae of the left groove of the sigmoid sinus were 2.8 mm and 4 mm for the right grooves. The mean depth of the granular foveolae in the left groove of the sigmoid sinus was 2.7 mm and 3.5 mm for the right grooves. Granular foveolae were statistically larger and deeper on the right versus left sides (p<0.05). Conclusions Granular foveolae of the groove of the sigmoid sinus were identified most commonly on the right sides and 3.6% on all sides. If identified on medical imaging, these uncommon structures at the skull base should be considered normal anatomical variations.
背景 与众多关于上矢状窦及其颅骨内面沟附近颗粒小凹的报道相比,乙状窦沟内的颗粒小凹在文献中鲜有报道。本研究旨在更好地阐明其发生率和位置。材料与方法 对110个成人干燥颅骨(220侧)进行分析,以确定乙状窦沟内颗粒小凹的存在情况。记录小凹的确切位置,并测量颗粒小凹的直径。结果 在3.6%的侧别中发现乙状窦沟内有颗粒小凹。这些小凹位于横窦-乙状窦交界处下方平均1.3 cm处或其范围内。当在沟内发现乳突孔时,若存在颗粒小凹,乳突孔总是位于其下方。左侧乙状窦沟颗粒小凹的平均直径为2.8 mm,右侧为4 mm。左侧乙状窦沟颗粒小凹的平均深度为2.7 mm,右侧为3.5 mm。右侧的颗粒小凹在统计学上比左侧更大更深(p<0.05)。结论 乙状窦沟颗粒小凹最常见于右侧,所有侧别的发生率为3.6%。如果在医学影像上发现,颅底这些不常见的结构应被视为正常解剖变异。