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Anterior Clinoid Processes
The anterior clinoid process is a posterior projection of the sphenoid bone at the junction of the medial end of either lesser wing of sphenoid bone with the body of sphenoid bone. The bilateral processes flank the sella turcica anteriorly. The ACP is an important structure for cranial and endovascular surgical operations for several structures, including the pituitary gland and the internal carotid artery. Anatomy The anterior clinoid process is a pyramid-shaped bony projection of the lesser wing of the sphenoid bone and forms part of the lateral wall of the optic canal. Between each ACP lies the sella turcica, which holds the pituitary gland. Additionally, the ACP is part of the anterior roof of the cavernous sinus. The posterior and inferior portions of the ACP border the internal carotid artery. Attachments The free border of the tentorium cerebelli extends anteriorly on either side beyond the attached border of the same side (which ends anteriorly at the posterior clinoi ...
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Base Of The Skull
The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria. Structure Structures found at the base of the skull are for example: Bones There are five bones that make up the base of the skull: *Ethmoid bone *Sphenoid bone *Occipital bone *Frontal bone *Temporal bone Sinuses * Occipital sinus * Superior sagittal sinus * Superior petrosal sinus Foramina of the skull * Foramen cecum *Optic foramen * Foramen lacerum * Foramen rotundum * Foramen magnum * Foramen ovale *Jugular foramen * Internal auditory meatus * Mastoid foramen * Sphenoidal emissary foramen * Foramen spinosum Sutures * Frontoethmoidal suture * Sphenofrontal suture * Sphenopetrosal suture * Sphenoethmoidal suture * Petrosquamous suture * Sphenosquamosal suture Other * Sphenoidal lingula * Subarcuate fossa * Dorsum sellae * Jugular process * Petro-occipital fissure * Condylar canal * J ...
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Posterior Clinoid Processes
The posterior clinoid processes are the tubercles of the sphenoid bone situated at the superior angles of the dorsum sellae (one on each angle) which represents the posterior boundary of the sella turcica. They vary considerably in size and form. The posterior clinoid processes deepen the sella turcica, and give attachment to (the attached border of) the tentorium cerebelli, and the dura forming the floor of the hypophyseal fossa (sella turcica). The petroclinoid ligament The petroclinoid ligament is a fold of dura matter. It extends between the posterior clinoid process and anterior clinoid process and the petrosal part of the temporal bone of the skull. There are two separate bands of the ligament; named the anterior and posterior petroclinoid ligaments respectively. The anterior petroclinoid ligament is considered to be an extension of the tentorium cerebelli and the posterior petroclinoid ligament arises from the posteromedial extensions of the tentorial notch. The anterio ...
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Endovascular Aneurysm Repair
Endovascular aneurysm repair (EVAR) is a type of minimally-invasive endovascular surgery used to treat pathology of the aorta, most commonly an abdominal aortic aneurysm (AAA). When used to treat thoracic aortic disease, the procedure is then specifically termed TEVAR for "thoracic endovascular aortic/aneurysm repair." EVAR involves the placement of an expandable stent graft within the aorta to treat aortic disease without operating directly on the aorta. In 2003, EVAR surpassed open aortic surgery as the most common technique for repair of AAA, and in 2010, EVAR accounted for 78% of all intact AAA repair in the United States. Medical uses Standard EVAR is appropriate for aneurysms that begin below the renal arteries, where there exists an adequate length of normal aorta (the ''"proximal aortic neck"'') for reliable attachment of the endograft without leakage of blood around the device ("'' endoleak''"). If the proximal aortic neck is also involved with the aneurysm, the pati ...
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Meningioma
Meningioma, also known as meningeal tumor, is typically a slow-growing tumor that forms from the meninges, the membranous layers surrounding the brain and spinal cord. Symptoms depend on the location and occur as a result of the tumor pressing on nearby tissue. Many cases never produce symptoms. Occasionally seizures, dementia, trouble talking, vision problems, one sided weakness, or loss of bladder control may occur. Risk factors include exposure to ionizing radiation such as during radiation therapy, a family history of the condition, and neurofibromatosis type 2. They appear to be able to form from a number of different types of cells including arachnoid cells. Diagnosis is typically by medical imaging. If there are no symptoms, periodic observation may be all that is required. Most cases that result in symptoms can be cured by surgery. Following complete removal fewer than 20% recur. If surgery is not possible or all the tumor cannot be removed, radiosurgery may b ...
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Giant Meningiomas
In folklore, giants (from Ancient Greek: ''gigas'', cognate giga-) are beings of humanoid appearance, but are at times prodigious in size and strength or bear an otherwise notable appearance. The word ''giant'' is first attested in 1297 from Robert of Gloucester's chronicle. It is derived from the ''Gigantes'' () of Greek mythology. Fairy tales such as ''Jack the Giant Killer'' have formed the modern perception of giants as dimwitted and violent ogres, sometimes said to eat humans, while other giants tend to eat livestock. In more recent portrayals, like those of Jonathan Swift and Roald Dahl, some giants are both intelligent and friendly. Literary and cultural analysis Giants appear many times in folklore and myths. Representing the human body enlarged to the point of being monstrous, giants evoke terror and remind humans of their body's frailty and mortality. They are often portrayed as monsters and antagonists, but there are exceptions. Some giants intermingle with human ...
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Pituitary Adenoma
Pituitary adenomas are tumors that occur in the pituitary gland. Most pituitary tumors are benign, approximately 35% are invasive and just 0.1% to 0.2% are carcinomas.Pituitary Tumors Treatment (PDQ®)–Health Professional Version
NIH National Cancer Institute
Pituitary adenomas represent from 10% to 25% of all intracranial neoplasia, neoplasms, with an estimated prevalence, prevalence rate in the general population of approximately 17%. Non-invasive and non-secreting pituitary adenomas are considered to be Benign tumors, benign in the literal as well as the clinical sense, though a 2011 meta-analysis of available research showed that research to either support or refute this assumption was scant and of questionable qua ...
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Surgery
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissue (biology), tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, operating theater, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical opera ...
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Neoplasm
A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists in growing abnormally, even if the original trigger is removed. This abnormal growth usually forms a mass, which may be called a tumour or tumor.'' ICD-10 classifies neoplasms into four main groups: benign neoplasms, in situ neoplasms, malignant neoplasms, and neoplasms of uncertain or unknown behavior. Malignant neoplasms are also simply known as cancers and are the focus of oncology. Prior to the abnormal growth of tissue, such as neoplasia, cells often undergo an abnormal pattern of growth, such as metaplasia or dysplasia. However, metaplasia or dysplasia does not always progress to neoplasia and can occur in other conditions as well. The word neoplasm is from Ancient Greek 'new' and 'formation, creation'. Types A neoplasm ...
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Aneurysm
An aneurysm is an outward :wikt:bulge, bulging, likened to a bubble or balloon, caused by a localized, abnormal, weak spot on a blood vessel wall. Aneurysms may be a result of a hereditary condition or an acquired disease. Aneurysms can also be a wikt:Special:Search/nidus, nidus (starting point) for clot formation (thrombosis) and Embolism, embolization. As an aneurysm increases in size, the risk of rupture increases, which could lead to uncontrolled bleeding. Although they may occur in any blood vessel, particularly lethal examples include aneurysms of the circle of Willis in the brain, aortic aneurysms affecting the thoracic aorta, and abdominal aortic aneurysms. Aneurysms can arise in the heart itself following a Myocardial infarction, heart attack, including both Ventricular aneurysm, ventricular and atrial septal aneurysms. There are congenital atrial septal defect, atrial septal aneurysms, a rare heart defect. Etymology The word is from Greek language, Greek: ἀνεύρ� ...
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Head Injury
A head injury is any injury that results in trauma to the skull or brain. The terms ''traumatic brain injury'' and ''head injury'' are often used interchangeably in the medical literature. Because head injuries cover such a broad scope of injuries, there are many causes—including accidents, falls, physical assault, or traffic accidents—that can cause head injuries. The number of new cases is 1.7 million in the United States each year, with about 3% of these incidents leading to death. Adults have head injuries more frequently than any age group resulting from falls, motor vehicle crashes, colliding or being struck by an object, or assaults. Children, however, may experience head injuries from accidental falls or intentional causes (such as being struck or shaken) leading to hospitalization. Acquired brain injury (ABI) is a term used to differentiate brain injuries occurring after birth from injury, from a genetic disorder, or from a congenital disorder. Unlike a broken bo ...
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Tentorium Cerebelli
The cerebellar tentorium or tentorium cerebelli (Latin for "tent of the cerebellum") is one of four dural folds that separate the cranial cavity into four (incomplete) compartments. The cerebellar tentorium separates the cerebellum from the cerebrum forming a supratentorial and an infratentorial region; the cerebrum is supratentorial and the cerebellum infratentorial. The free border of the tentorium gives passage to the midbrain (the upper-most part of the brainstem). Structure Free border The free border of the tentorium is U-shaped; it forms an aperture - the tentorial notch (tentorial incisure) - which gives passage to the midbrain. The free border of each side extends anteriorly beyond the medial end of the superior petrosal sinus (i.e. the apex of the petrous part of the temporal bone) to overlap the attached margin, thenceforth forming a ridge of dura matter upon the roof of the cavernous sinus, terminating anteriorly by attaching at the anterior clinoid process. ...
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Sphenoid Bone
The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of occipital bone, basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit (anatomy), orbit. Its shape somewhat resembles that of a butterfly, bat or wasp with its wings extended. The name presumably originates from this shape, since () means in Ancient Greek. Structure It is divided into the following parts: * a median portion, known as the body of sphenoid bone, containing the sella turcica, which houses the pituitary gland as well as the paired paranasal sinuses, the sphenoidal sinuses * two Greater wing of sphenoid bone, greater wings on the lateral side of the body and two Lesser wing of sphenoid bone, lesser wings from the anterior side. * Pterygoid processes of the sphenoides, directed downwards from the junction of the body and the greater wings. Two sphenoidal co ...
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