IJAR.2020.212

Type of Article:  Original Research

Volume 8; Issue 4.1 (November 2020)

Page No.: 7771-7776

DOI: https://dx.doi.org/10.16965/ijar.2020.212

MORPHOLOGY AND MORPHOMETRIC ANALYSIS OF FORAMEN MAGNUM IN ADULT HUMAN SKULLS

Giridhar Dasegowda 1, Padmalatha K *2, Priyanka B P 3, Sanjiti Mirmire 4

1 Third year MBBS Student, ESIC Medical College & PGIMSR, Rajajinagar, Bengaluru, Karnataka, India.

*2 Associate Professor, ESIC Medical College & PGIMSR, Rajajinagar, Bengaluru,  Karnataka, India.

3 Third year MBBS Student, ESIC Medical College & PGIMSR, Rajajinagar, Bengaluru, Karnataka, India.

4 Third year MBBS Student, ESIC Medical College & PGIMSR, Rajajinagar, Bengaluru, Karnataka, India.

Corresponding Author: Dr Padmalatha K, Associate Professor, Department of Anatomy, ESIC Medical College & PGIMSR, Rajajinagar, Bengaluru, Karnataka, India. E-Mail: padduanat@gmail.com

ABSTRACT

Background: The Foramen magnum is an important landmark present at the base of the skull, it serves as a transitional zone between spine and skull. It is closely related to vital structures such as medulla oblongata, meninges, anterior and posterior spinal arteries, vertebral arteries and spinal accessory nerve, passing through it hence thorough knowledge of foramen magnum is required. These structures passing may undergo compression in case of foramen magnum herniation, meningiomas and foramen magnum achondroplasia.

Aims: The present study aims in performing the morphometric analysis foramen magnum and to classify it based on its shape.

Materials and methodology A total number of 64 adult dry human skulls were evaluated from the Department of Anatomy, ESIC MC & PGIMSR, Rajajinagar, Bengaluru, Karnataka.

Results: The mean antero-posterior diameter was found to be 34.10 ± 2.63 mm, mean transverse diameter was 28.07 ± 1.87 mm, with mean area of 752.07 ± 111.97 mm2 and foramen magnum index was 1.21 ± 0.12. The foramen magnum shapes were classified as oval (30%), circle (12%), hexagonal (3%), pentagonal (5%), egg (17%), leaf (6%), irregular (27%).

Conclusion: The morphometry along with other parameters can be used for sex determination in partially damaged skull bones of unknown individuals. The obtained data is useful not only for anatomists but also the neurosurgeons, otorhinolaryngologist and radiologists.

Keywords: Foramen Magnum, Morphometry, Meningioma, Achondroplasia, Antero-Posterior Diameter, Transverse Diameter, Foramen Magnum Area, Foramen Magnum Index.

REFERENCES

[1]. Standring S, Borley NR, Collins P et al. Gray’s Anatomy: Head and Neck-External Skull. 40th edition. Edinburgh: Elsevier Churchill Livingstone; 2008:415-427.
[2]. Moore KL, Dalley AF, Agur AMR et al. Clinically Oriented Anatomy. 6th edition. Philadelphia: Lippincott Williams & Wilkins; 1999:833.
[3]. Rohinidevi M, Vimala V. Morphometric analysis of foramen magnum and variations in its shape in dried human adult skulls: an original article. Int J Anat Res 2016;4(3):2670-2673.
https://doi.org/10.16965/ijar.2016.298
[4]. Sampada P K, Poornima B, Mallikarjun M, Sakri SB. Morphometric and morphological study of foramen magnum in dried human skull bones. Int J Anat Res 2017;5(2.1):3682-3686.
https://doi.org/10.16965/ijar.2017.139
[5]. Gruber P, Henneberg M, Boni T, Ruhli FJ. Variability of Human Foramen Magnum Size. The Anatomical Record 2009;292:1713-1719.
https://doi.org/10.1002/ar.21005
PMid:19777568
[6]. Sahoo S, Giri SK, Panda SK, Panda P, Sahu MC, Mohapatra C. Morphometric Analysis of the Foramen Magnum and the Occipital condyles. Int. J. Pharm. Sci. Rev. Res. 2015:198-204.
[7]. Manoel C, Prado FB, Caria PHF, Grappo FC: Morphomet¬ric analysis of foramen magnum in Human skulls of Brazilian individuals in relation to gender. Braz. J. Morphol. Sci. 2009;26(2):104.
[8]. Sharma S, Sharma AK, Modi B S, Arshad M. Morphometric evaluation of the foramen magnum and variation in its shape and size: a study on human dried skull. Int J Anat Res 2015;3(3):1399-1403.
https://doi.org/10.16965/ijar.2015.246
[9]. Cirpan S, Yonguc GN, Mas NG, Aksu F, Orhan Magden A. Morphological and Morphometric Analysis of Foramen Magnum: An Anatomical Aspect. J Craniofacial Surg. 2016;27(6):1576-1578.
https://doi.org/10.1097/SCS.0000000000002822
PMid:27607122
[10]. Radinsky L. Relative brain size: a new measure. Science 1967;155:836-38.
https://doi.org/10.1126/science.155.3764.836
PMid:4959814
[11]. Osunwoke EA, Oladipo GS, Gwunireama IU, Ngaokere JO. Morphometric analysis of the foramen magnum and jugular foramen in adult skulls in southern Nigerian population. Am. J. Sci. Ind. Res. 2012;3(6):446-448.
https://doi.org/10.5251/ajsir.2012.3.6.446.448
[12]. Kizilkanat E D, Boyan N, Morphometry of hypoglossal canal, occipital condyle and foramen magnum: abstract, Neurosurgery quarterly 2006;16(3):121-125.
https://doi.org/10.1097/01.wnq.0000214018.49915.49
[13]. Murshed AK, Cicekcibasi AE, Tuncer I. Morphometric evaluation of the foramen magnum and variations in its shape: A study on computerized Tomographic images of normal adults. Turk J Med Sci 2003;33:301-306.
[14]. Ganapathy A, Sadeesh T, Rao S. Morphometric analysis of foramen magnum in adult human skulls and CT images. Int J Cur Res Rev. 2014;6(20):11-15.
[15]. Fathima F, Babu KY. Evaluating the Shape of Foramen Magnum and Overlapping of Occipital Condyle on the Foramen. International Journal of Science and research 2013:1078-1082.
[16]. Degno S, Abrha M, Asmare Y, Muche A. Anatomical Variation in Morphometry and Morphology of the Foramen Magnum and Occipital Condyle in Dried Adult Skulls. J Craniofacial Surg. 2019;30(1):256-259.
https://doi.org/10.1097/SCS.0000000000004925
PMid:30480625
[17]. Chethan P, Prakash KG, Murlimanju BV. Morphological analysis and morphometry of the foramen magnum: an anatomical investigation. Turk Neurosurg. 2012;22(4):416-419.
[18]. Natsis K, Piagkou M, Skotsimara G. A morphometric anatomical and comparative study of the foramen magnum region in a Greek population. Surg Radiol Anat. 2013:925-934.
https://doi.org/10.1007/s00276-013-1119-z
PMid:23620089
[19]. Sharma NA, Garud RS. Foramina of posterior cranial base: a study of adult human skulls. Rev Arg de Anat Clin 2011;3(2): 89-98.
https://doi.org/10.31051/1852.8023.v3.n2.13925
[20]. Tellioglu AM, Durum Y, Gok M, Karakas S, Polat AG, Karaman CZ. Suitability of foramen magnum measurements in sex determination and their clinical significance. Folia Morphol 2018;77(1):99-104.
https://doi.org/10.5603/FM.a2017.0070
PMid:28832085
[21]. Hajhouji F, Lmejjati M, Aniba K, Laghmari M, Ghannane H, Benali SA. Foramen magnum meningioma’s management: the experience of the department of neurosurgery in Marrakesh. Pan Afr Med J. 2017;26:42.
https://doi.org/10.11604/pamj.2017.26.42.10838
PMid:28451020 PMCid:PMC5398218
[22]. Matsushima T, Natori Y, Katsuta T, Ikezaki K, Fukui M, Rhoton AL. Microsurgical anatomy for lateral approaches to the foramen magnum with special reference to transcondylar fossa (supracondylar trans jugular tubercle) approach. Skull Base Surg. 1998;8(3):119-125.
https://doi.org/10.1055/s-2008-1058570
PMid:17171046 PMCid:PMC1656679
[23]. Bo X, Wang W, Chen Z. et al. Compression-distraction reduction surgical verification and optimization to treat the basilar invagination and atlantoaxial dislocation: a finite element analysis. BioMed Eng. OnLine 2016;15(suppl 2):383-397.
https://doi.org/10.1186/s12938-016-0246-2
PMid:28155678 PMCid:PMC5259821
[24]. Karam YR, Menezes AH, Traynelis VC. Posterolateral approaches to the craniovertebral junction. Neurosurgery. 2010;66(Suppl 3):135-140.
https://doi.org/10.1227/01.NEU.0000365828.03949.D0
PMid:20173516
[25]. Pai SB, Raghuram G, Keshav GC, Rodrigues E. Far-lateral Transcondylar Approach to Anterior Foramen Magnum Lesions – Our Experience. Asian J Neurosurg. 2018;13(3):651-655.
[26]. Liu JK. Extreme lateral transcondylar approach for resection of ventrally based meningioma of the craniovertebral junction and upper cervical spine. Neurosurg Focus 2012;33(Suppl 1):1.
https://doi.org/10.3171/2012.V2.FOCUS12143
[27]. Menezes AH. Surgical approaches: postoperative care and complications “posterolateral-far lateral transcondylar approach to the ventral foramen magnum and upper cervical spinal canal”. Childs Nerv Syst. 2008;24(10):1203-1207.
https://doi.org/10.1007/s00381-008-0597-5
PMid:18365213
[28]. Prakash BS, Padma Latha K, Jagdish LM, Ramesh BR. A tubercle at the anterior margin of foramen magnum. International Journal of Anatomical Variation 2011;4:118-119.

Cite this article: Giridhar Dasegowda, Padmalatha K, Priyanka B P, Sanjiti Mirmire. MORPHOLOGY AND MORPHOMETRIC ANALYSIS OF FORAMEN MAGNUM IN ADULT HUMAN SKULLS. Int J Anat Res 2020;8(4.1):7771-7776. DOI: 10.16965/ijar.2020.212