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An unusual foramen in the transverse process of first thoracic vertebra
Monika Gupta1, Sneh Agarwal, Shipra Paul
1Department of Anatomy, Lady Hardinge Medical College, New Delhi, India. sanjaymittal.uro@gmail.com
Insights
A rare anatomical variation, a complete foramen was found in the first thoracic vertebra's transverse process. This finding, near the cervical foramina transversaria, has significant implications for medical imaging and surgery.
Area of Science:
- Anatomy
- Embryology
- Radiology
Background:
- Cervical vertebrae characteristically possess foramina in their transverse processes, transmitting the vertebral artery.
- Thoracic vertebrae typically articulate with ribs via facets on their bodies and transverse processes.
Observation:
- A rare complete foramen was identified in the left transverse process of a first thoracic vertebra.
- This foramen was located near the root of the transverse process, aligning with the ipsilateral cervical foramina transversaria.
Findings:
- The presence of a foramen in the transverse process of a thoracic vertebra is an uncommon anatomical variation.
- This finding is embryologically explained by developmental events involving dorsal aorta branches.
Implications:
- Accurate interpretation of radiological images, including CT and MR angiographies, may be enhanced by knowledge of this variation.
- Surgical management in the thoracic region may benefit from awareness of this rare anatomical finding.
Abstract:
The presence of foramina in the transverse processes of thoracic vertebrae is not a common feature while they are the characteristic feature of cervical vertebrae. Foramina present in the transverse process of cervical vertebrae give passage to the vertebral artery-an important artery supplying the brain and spinal cord. Thoracic vertebrae typically bear facets on the body and the transverse processes for articulation with ribs. We report the presence of a complete foramen in the left transverse process of first thoracic vertebra, which is a very rare finding. The foramen was present near the root of the transverse process in alignment with the foramina transversaria of the cervical vertebrae of the same side. This variation is explained embryologically in relation to the branches of dorsal aortae in post-branchial stage of development. Knowledge of such a variation may be of great relevance for accurate interpretation of radiological pictures and for CT and MR angiographies as well as for the management of surgical procedures.
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