Skip to main content

Advertisement

Log in

An atypical anatomical variation of the petrosphenoidal ligament in a newborn cadaver

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

To report an atypical anatomical variation of the petrosphenoidal ligament in a newborn cadaver and to discuss its clinical significance.

Methods

During a study of ten newborn cadavers, the skull base was dissected to reveal the anatomy of the petrosphenoidal ligament and its relationship with the abducens nerve. An atypical anatomical variation was observed, and this is described. The length of the right and left ligaments to the point where it splits into two arms, the joint length of the two ligaments at the junction of the clivus, the length of the ligament proceeding to the posterior clinoid process, and the abducens nerve’s diameter as it passes below the ligament were measured on ImageJ software.

Results

The petrosphenoidal ligaments were y-shaped, and the attachment of the proximal ligaments was bifid. In the midline above the clivus, some ligament bundles joined the contralateral petrosphenoidal ligament, whilst another group of bundles originated at the posterior clinoid process. At the entry to Dorello’s canal, the abducens nerve had a diameter of 0.59 mm on the left and 0.65 mm on the right. The part of the ligaments converging on the clivus in the midline after dividing into two arms was 10.68 mm.

Conclusions

We think that this case report will provide useful information for surgical procedures to the petroclival region, transnasal surgical approaches, and surgical interventions involving the carotid artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

The data used to support the findings of this study are available from the corresponding author upon reasonable request.

References

  1. Gutierrez S, Khan PA, Iwanaga J, Dumont AS, Tubbs RS (2022) Review of the petroclinoid ligament. Kurume Med J 67(1):5–10. https://doi.org/10.2739/kurumemedj.MS671007

    Article  Google Scholar 

  2. Icke C, Ozer E, Arda N (2010) Microanatomical characteristics of the petrosphenoidal ligament of Gruber. Turk Neurosurg 20(3):323–327. https://doi.org/10.5137/1019-5149.Jtn.2921-10.0

    Article  Google Scholar 

  3. Iwanaga J, Altafulla JJ, Gutierrez S, Dupont G, Watanabe K, Litvack Z, Tubbs RS (2020) The petroclinoid ligament: its morphometrics, relationships, variations, and suggestion for new terminology. J Neurol Surg B Skull Base 81(6):603–609. https://doi.org/10.1055/s-0039-1692699

    Article  Google Scholar 

  4. Iwanaga J, Singh V, Ohtsuka A, Hwang Y, Kim HJ, Moryś J, Ravi KS et al (2021) Acknowledging the use of human cadaveric tissues in research papers: recommendations from anatomical journal editors. Clin Anat 34(1):2–4. https://doi.org/10.1002/ca.23671

    Article  Google Scholar 

  5. Joo W, Yoshioka F, Funaki T, Rhoton AL Jr (2012) Microsurgical anatomy of the abducens nerve. Clin Anat 25(8):1030–1042. https://doi.org/10.1002/ca.22047

    Article  Google Scholar 

  6. Kayacı S, Ozveren MF, Bas O, Ayberk G, Aslan MN, Sam B, Arslan YK (2021) Effect of clival bone growth on the localization of the abducens nerve at the petroclival region: a postmortem anatomical study. Surg Radiol Anat 43(6):953–959. https://doi.org/10.1007/s00276-021-02691-z

    Article  Google Scholar 

  7. Krmpotić-Nemanić J, Vinter I, Kelovizć Z, Marusić A (2005) Postnatal changes of the clivus. Ann Anat 187(3):277–280. https://doi.org/10.1016/j.aanat.2004.11.005

    Article  Google Scholar 

  8. Liu XD, Xu QW, Che XM, Mao RL (2009) Anatomy of the petrosphenoidal and petrolingual ligaments at the petrous apex. Clin Anat 22(3):302–306. https://doi.org/10.1002/ca.20771

    Article  Google Scholar 

  9. Ozer E, Icke C, Arda N (2010) Microanatomical study of the intracranial abducens nerve: clinical interest and surgical perspective. Turk Neurosurg 20(4):449–456. https://doi.org/10.5137/1019-5149.Jtn.3303-10.1

    Article  Google Scholar 

  10. Ozveren MF, Erol FS, Alkan A, Kocak A, Onal C, Türe U (2007) Microanatomical architecture of Dorello’s canal and its clinical implications. Neurosurgery 60(2Suppl 1):1–8. https://doi.org/10.1227/01.Neu.0000249229.89988.4d

    Article  Google Scholar 

  11. Ozveren MF, Sam B, Akdemir I, Alkan A, Tekdemir I, Deda H (2003) Duplication of the abducens nerve at the petroclival region: an anatomic study. Neurosurgery 52(3):645–652. https://doi.org/10.1227/01.neu.0000048186.18741.3c

    Article  Google Scholar 

  12. Plutecki D, Ostrowski P, Bonczar M, Iwanaga J, Walocha J, Pękala A, Szczepanek E et al (2022) The petroclinoid ligament: a meta-analysis of its morphometry and prevalence of mineralization with a review of the literature. Folia Morphol (Warsz). https://doi.org/10.5603/FM.a2022.0082

    Article  Google Scholar 

  13. Rai R, Iwanaga J, Shokouhi G, Loukas M, Mortazavi MM, Oskouian RJ, Tubbs RS (2018) A comprehensive review of the clivus: anatomy, embryology, variants, pathology, and surgical approaches. Childs Nerv Syst 34(8):1451–1458. https://doi.org/10.1007/s00381-018-3875-x

    Article  Google Scholar 

  14. Skrzat J, Walocha J, Jaworek JK, Mróz I (2007) The clinical significance of the petroclinoid ligament. Folia Morphol (Warsz) 66(1):39–43

    CAS  Google Scholar 

  15. Tubbs RS, Sharma A, Loukas M, Cohen-Gadol AA (2014) Ossification of the petrosphenoidal ligament: unusual variation with the potential for abducens nerve entrapment in Dorello’s canal at the skull base. Surg Radiol Anat 36(3):303–305. https://doi.org/10.1007/s00276-013-1171-8

    Article  Google Scholar 

  16. Umansky F, Elidan J, Valarezo A (1991) Dorello’s canal: a microanatomical study. J Neurosurg 75(2):294–298. https://doi.org/10.3171/jns.1991.75.2.0294

    Article  CAS  Google Scholar 

  17. Żytkowski A, Clarke E, Musiał A, Dubrowski A, Mazur M, Iwanaga J, Tubbs RS et al (2022) Atypical attachment of the petrosphenoidal (petroclival) ligament to the posterior genu of the cavernous internal carotid artery—case report. Transl Res Anat 27:100185. https://doi.org/10.1016/j.tria.2022.100185

    Article  Google Scholar 

Download references

Acknowledgements

The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind’s overall knowledge that can then improve patient care. Therefore, these donors and their families deserve our highest gratitude [4]. Also, we would like to thank The Scientific and Technological Research Council of Turkey for their support within the scope of the 2211-A General Doctorate Scholarship.

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

Authors

Contributions

BOK: project development, data collection and management, data analysis and manuscript writing. AAW: project development, data collection, manuscript writing and manuscript editing. OB: project development, methodology, data analysis and manuscript writing. ME: manuscript editing. SB: manuscript editing. All the authors have read and approved the manuscript.

Corresponding author

Correspondence to Burak Oğuzhan Karapinar.

Ethics declarations

Conflict of interest

The authors declare that there are no conflicts of interest relevant to this study.

Ethical approval

This study was carried out with the approval of the Ondokuz Mayıs University Clinical Research Ethics Committee (Decision no. 2022/390).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Karapinar, B.O., Warille, A.A., Baş, O. et al. An atypical anatomical variation of the petrosphenoidal ligament in a newborn cadaver. Surg Radiol Anat 45, 137–141 (2023). https://doi.org/10.1007/s00276-022-03072-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-022-03072-w

Keywords

Navigation