Posterior clinoid processes

The posterior clinoid processes are the tubercles of the sphenoid bone situated at the superior angles of the dorsum sellæ (one on each angle) which represents the posterior boundary of the sella turcica. They vary considerably size and form. The posterior clinoid processes deepen the sella turcica, and give attachment to (the attached border of) the tentorium cerebelli,[1]: 440, 509  and the dura forming the floor of the hypophyseal fossa (sella turcica).[1]: 441 

Posterior clinoid processes
Sphenoid bone. Superior view. (Posterior clinoid process labeled at upper left.)
Base of the skull. Upper surface. (Caption for posterior clinoid process visible at center left. Sphenoid bone is yellow.)
Details
Identifiers
LatinProcessus clinoideus posterior
TA98A02.1.05.011
TA2595
FMA54696
Anatomical terms of bone

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 anterior and posterior petroclinoid ligaments are bands composed of collagen and elastic fibres that are densely packed in fascicles [2]

Their function:

The anterior petroclinoid ligament acts to laterally limit the superior wall of the cavernous sinus. The posterior petroclinoid ligament limits the posterior wall of the cavernous sinus. The angle between the two ligaments varies from 20 to 55 degrees.[3][4]

Anatomical Relations and Clinical significance:

The posterior petroclinoid ligament is in close proximity to the oculomotor nerve. During head trauma, it acts as a fulcrum following the downward displacement of the brainstem. This can cause injury to the pupillomotor fibres of the oculomotor nerve, consequently leading to internal ophthalmoplegia[5]

The petroclinoid ligament attaches across the notch at the petrosphenoid junction. This forms a foramen, and within this lies the abducens nerve. The abducens nerve travels inferiorly to the petroclinoid ligament [6]

Ossification

The petroclinoid ligament could calcify. An ossified form of the ligament may create a syndrome, and this can be seen on a radiograph. The ossified ligament is a typical anatomical anomaly.[7][8]

Posterior clinoid process

Etymology

Clinoid likely comes from the Greek root klinein or the Latin clinare, both meaning "sloped" as in "inclined."

References
  1. Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). Elsevier Australia. ISBN 978-0-7295-3752-0.
  2. J. Skrzat, J. Walocha, J.K. Jaworek, I. Mróz (23 November 2006). "The clinical significance of the petroclinoid ligament" (PDF). Via Medica. 66: 39–43. S2CID 10568096.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. Lang, Johannes (1995). Skull base and related structure. Atlas of clinical anatomy. Stuttgart: Schattauer.
  4. Moore KL, Dalley AF (1999). Clinically oriented anatomy. 4th Edition. Philadelphia: Lippincott Williams & Wilkins.
  5. Nagaseki Y, Shimizu T, Kakizawa T, Fukamachi A, Nukui H (1989). "Primary internal ophthalmoplegia due to head injury". Acta Neurochir (Wien). 97 (3–4): 117–122. doi:10.1007/BF01772821. PMID 2718803. S2CID 358411.
  6. Piffer CR, Zorzetto NL (1980). "Course and relations of the abducens nerve". Anat Anz. 147 (1): 42–46. PMID 7396225.
  7. Kimonis VE, Mehta SG, Digiovanna JJ, Bale SJ, Pastakia B (2004). "Radiological features in 82 patients with nevoid basal cell carcinoma (NBCC or Gorlin) syndrome". Genet Med. 6 (6): 495–502. doi:10.1097/01.GIM.0000145045.17711.1C. PMID 15545745.
  8. Reddy DR, Prasad VS, Reddy JJ, Prasad BC (1993). "Neuro-radiology of skeletal fluorosis". Ann Acad Med Singapore. 22 (3 Suppl): 493–500. PMID 8215206.

Public domain This article incorporates text in the public domain from page 147 of the 20th edition of Gray's Anatomy (1918)


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