Evidence map›Paper›PMID 41331156›Full record

ArticleSurgical and radiologic anatomy : SRA2025

Anatomical variability of the hypoglossal dural pori and canal: double hypoglossal dural porus is the main anatomical configuration in the German population.

Julian N Klaeger, Michael J Schmeisser, Sven Schumann

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Article in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Duplicated hypoglossal canal prevalence in a fetal and infantile population: neurosurgical considerations.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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5 · Who and what money

Authors and funding

3 authors.

Julian N KlaegerInstitute of Anatomy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Michael J SchmeisserInstitute of Anatomy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Sven SchumannInstitute of Anatomy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany. sven.schumann@mhb-fontane.de.ORCID http://orcid.org/0000-0003-1785-622X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe hypoglossal nerve innervates all the extrinsic and intrinsic tongue muscles except the palatoglossus. Hypoglossal rootlets emerge from the brainstem via the pre-olivary sulcus, fuse to fiber bundles which pierce the cranial dura mater, and leave the skull through the hypoglossal canal. While the presence of two hypoglossal fiber bundles piercing the dura separately, as well as the presence of exostoses in the hypoglossal canal are well known phenomena, their co-occurrence and the prevalence of these variations in the German population has poorly been described.

methods101 formaldehyde fixated skull base sides (52 right, 49 left) from the collection of the Institute of Anatomy Mainz, Germany, were used in this study. The course of the hypoglossal nerve from the dural porus to the entrance in the hypoglossal canal was investigated by macroscopical dissection.

resultsIn 32.7% (n = 33) only one dural porus on each side was present. In most cases (65.3%, n = 66) two hypoglossal dural pori were visible and in 2% (n = 2) three dural pori. Five types of hypoglossal canal configuration could be distinguished: Type 1: Simple canal (34.7%); Type 2: Exostosis at the superior margin (superior lingula, 31.7%); Type 3: Exostosis at the inferior margin (inferior lingula, 4%); Type 4: Both a superior and an inferior lingula (3%); Type 5: Complete osseus bridge (26.7%). Additionally, we described a rare case of a triplication of the hypoglossal canal.

conclusionA double hypoglossal dural porus is the most common anatomical configuration in the German population.

Indexed as

Anatomic VariationDura MaterHypoglossal NerveSkull BaseCadaverDissectionGermanyHumansAnatomical variationsCranial nervesDura materNeurosurgerySkull baseTongue

Identifiers

PMID41331156
PMCPMC12672797

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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.