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ArticleSurgical and radiologic anatomy : SRA2024

Computed-tomography evaluation of parietal foramen topography in adults: a retrospective analysis.

Anwar Al-Shuaili, Eiman Al-Ajmi, Sreenivasulu Reddy Mogali, Sara Al-Qasmi, Younis Al-Mufargi, Rajeev Kariyattil, Srinivasa Rao Sirasanagandla

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Article in Surgical and radiologic anatomy : SRA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

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7 authors.

Anwar Al-ShuailiRadiology Residency Program, Oman Medical Specialty Board, Muscat, Oman.
Eiman Al-AjmiDepartment of Radiology and Molecular Imaging, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Sreenivasulu Reddy MogaliLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Sara Al-QasmiCollege of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Younis Al-MufargiArmed Forces Medical Services, Muscat, Oman.
Rajeev KariyattilDepartment of Surgery, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Srinivasa Rao SirasanagandlaDepartment of Human and Clinical Anatomy, College of Medicine and Health Sciences, Sultan Qaboos University, Al-Khoudh 123, Muscat, Oman. srinivasa@squ.edu.om.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe parietal foramen (PF) of the skull is a variable anatomic feature with important implications for venous drainage, infection, and injury. Its topography is clinically relevant for neurosurgeons for intracranial navigation and preoperative planning.

methodsPF topography was investigated in a series of 440 head computed-tomography scans of Omani subjects at Sultan Qaboos University Hospital. The mean age of the patients was 52 ± 17 years and there were 160 males and 280 females. The topography features of the PF, including frequency, diameter, patency, and relative position in relation to the superior sagittal sinus (SSS), were recorded. Additionally, sex and laterality differences in PF parameters were analyzed using a Chi-square test.

resultsThe overall prevalence of PF was 72.3% (318/440). The bilateral presence of PF was identified in 34% of skulls. Unilateral right-side prevalence was 18.2%, while left prevalence was 13.2% (p = 0.62). The prevalence of unilateral accessory PF on the right side was 1.8%, while it was 1.1% on the left (p = 0.69). PF within the sagittal suture/or intra-sutural PF was observed in 6.8% of skulls, with a frequency of 9.4% in men and 5.4% in women (p = 0.29). The diameter of the PF was 1.45 ± 0.74 mm on the right side, and 1.54 ± 0.99 mm on the left side (p = 0.96). There were 2% of incomplete PF. The PF was located over the SSS in 70.3% on the right side and 53.8% on the left side. No significant differences were observed between the PF topography parameters and sex or laterality.

conclusionThe present study for the first time reports the baseline data of PF topography in a large sample of CT scans in the Arab population. The geography and race influence the PF topography differences. PF may be used as a reliable landmark of SSS. The morphological characteristics and distribution of PF reported in this study have clinical implications for imaging diagnosis, intracranial navigation of vascular disorders, and treatment.

Indexed as

Sphenoid BoneTomography, X-Ray ComputedAdultAgedFemaleHeadHumansMaleMiddle AgedRetrospective StudiesSuperior Sagittal SinusArabsComputed tomographyDiagnostic imagingForamenSkullTopography

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.