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Posterior clinoid process in children: morphometric analysis, pneumatization ratio, and surgical implications
Baran Can Alpergin1, Orhan Beger2, Murat Zaimoglu1
1Faculty of Medicine, Department of Neurosurgery, Ankara University, Ankara, Turkey.
Summary
Pneumatization of the posterior clinoid process (PCP) occurs in 8.9% of children and is linked to age, not gender. This anatomical data aids neurosurgeons in pediatric skull base mapping.
Area of Science:
- Skull Base Anatomy
- Pediatric Neurosurgery
- Radiology
Background:
- The posterior clinoid process (PCP) is a key anatomical landmark in the skull base.
- Understanding its pneumatization and topographic relationship to adjacent structures is crucial for surgical planning.
Purpose of the Study:
- To detail the pneumatization patterns and positional anatomy of the posterior clinoid process (PCP) in healthy children.
- To provide reference data for neurosurgical approaches to the anterior and middle cranial fossae.
Main Methods:
- Analysis of computed tomography (CT) scans from 180 pediatric patients (aged 1-18 years).
- Evaluation of PCP pneumatization and measurement of distances from PCP to key landmarks (e.g., foramen ovale, anterior clinoid process).
Main Results:
- PCP pneumatization was observed in 8.9% of sides, correlating significantly with pediatric age (p < 0.001).
- Distances to various foramina and processes generally increased with age, while PCP-ACP distance showed irregular changes.
- Fusion between PCP and anterior clinoid process (ACP) occurred in 3.10% of cases.
Conclusions:
- The posterior clinoid process (PCP) serves as a valuable reference point for pediatric skull base mapping due to its central location.
- The findings offer essential anatomical data for neurosurgeons performing procedures in the pediatric skull base.
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