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Published on: November 4, 2025
The clivus: anatomy, normal variants and imaging pathology
1Klinik für Diagnostische und Interventionelle Neuroradiologie, Klinikum Fulda, Pacelliallee 4, 36043 Fulda, Deutschland. ehofmann.raz@klinikum-fulda.de
This review details the anatomy and pathology of the clivus, a central skull base region. Imaging is crucial for diagnosing clival diseases, including variations, masses, and trauma.
Area of Science:
- Skull base anatomy and pathology
- Medical imaging in diagnosis
Background:
- The clivus, a critical skull base component, is challenging to evaluate clinically.
- Imaging is essential for diagnosing clival region pathologies.
Purpose of the Study:
- To provide a comprehensive overview of clival anatomy and pathology.
- To illustrate common and rare conditions affecting the clivus using a pictorial essay.
Main Methods:
- Review of anatomical and pathological literature on the clivus.
- Compilation of imaging examples of clival diseases.
Main Results:
- Detailed description of clival development and normal anatomy.
- Presentation of variations, developmental disorders, non-neoplastic and neoplastic masses, inflammatory diseases, and trauma of the clivus.
- Extensive pictorial essay with diagnostic imaging examples.
Conclusions:
- Accurate diagnosis of clival diseases relies heavily on advanced imaging techniques.
- Understanding clival anatomy and pathology is vital for effective clinical management.
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