Ossification of caroticoclinoid ligament and its clinical importance in skull-based surgery

Srijit Das*, Rajesh Suri, Vijay Kapur

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)

Abstract

Context: The medial end of the posterior border of the sphenoid bone presents the anterior clinoid process (ACP), which is usually accessed for operations involving the clinoid space and the cavernous sinus. The ACP is often connected to the middle clinoid process (MCP) by a ligament known as the caroticoclinoid ligament (CCL), which may be ossified, forming the caroticoclinoid foramen (CCF). Variations in the ACP other than ossification are rare. The ossified CCL may have compressive effects on the internal carotid artery. Thus, anatomical and radiological knowledge of the ACP and the clinoid space is also important when operating on the internal carotid artery. Excision of the ACP may be required for many skull-based surgical procedures, and the presence of any anomalies such as ossified CCL may pose a problem for neurosurgeons. Case Report: We observed the presence of ossified CCL in a skull bone. A detailed radiological study of the CCL and the CCF was conducted. Morphometric measurements were recorded and photographs were taken. The ACP was connected to the MCP and was converted into a CCF. Considering the fact that standard anatomy textbook do not provide morphological descriptions and radiological evaluations of the CCL, the present study may be important for neurosurgeons operating in the region of the ACP.

Original languageEnglish
Pages (from-to)351-353
Number of pages3
JournalSao Paulo Medical Journal
Volume125
Issue number6
DOIs
Publication statusPublished - Nov 2007
Externally publishedYes

Keywords

  • Abnormalities
  • Anatomy
  • Skull
  • Sphenoid bone

ASJC Scopus subject areas

  • Medicine(all)

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