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Related Experiment Videos

Cranial dysraphism mistaken for trephination.

T D Stewart

    American Journal of Physical Anthropology
    |May 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    A disputed prehistoric Indian skull perforation is re-diagnosed as congenital cranial dysraphism, specifically encephalocele, not trephination. Similar lesions in Peru and New England support this revised diagnosis.

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    Area of Science:

    • Paleopathology
    • Neuropathology
    • Skeletal Biology

    Background:

    • A perforated prehistoric New England Indian skull was previously diagnosed as trephination.
    • Trephination involves surgical perforation of the skull.
    • Evidence for trephination in prehistoric New England is scarce.

    Observation:

    • The skull exhibits a midline perforation anterior to the bregma, with a surrounding saucer-like depression.
    • A similar lesion was identified in a prehistoric Peruvian Indian skull.
    • Prehistoric Peruvian sites also lack substantial evidence of trephination.

    Findings:

    • The observed cranial lesions are more consistent with congenital cranial dysraphism, specifically encephalocele.
    • Encephalocele is a neural tube defect resulting in protrusion of the brain through a skull opening.

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  • This diagnosis offers a more plausible explanation for both the New England and Peruvian cases.
  • Implications:

    • Revises the interpretation of ancient cranial pathologies.
    • Highlights the importance of considering congenital conditions in paleopathological diagnoses.
    • Suggests encephalocele may have been present in ancient American populations.