Asterion (anatomy)

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Asterion
Asterion.PNG
Side view of head, showing surface relations of bones. (Asterion visible at center right.)
Details
Part of Skull
System Skeletal
Identifiers
Latin asterion
TA98 A02.1.00.020
TA2 422
FMA 76625
Anatomical terminology

The asterion is a meeting point between three sutures between bones of the skull. It is an important surgical landmark.

Contents

Structure

In human anatomy, the asterion is a visible (craniometric) point on the exposed skull. It is just posterior to the ear. It is the point where three cranial sutures meet:

It is also the point where three cranial bones meet:

In the adult, it lies 4 cm behind and 12 mm above the center of the entrance to the ear canal.[ citation needed ] Its relation to other anatomical structures is fairly variable. [2]

Clinical significance

Neurosurgeons may use the asterion to orient themselves, in order to plan safe entry into the skull for some operations, such as when using a retro-sigmoid approach. The asterion marks the junction of the transverse and the sigmoid sinuses [1] [3]

Etymology

The asterion receives its name from the Greek ἀστέριον (astērion), meaning "star" or "starry".

The Mercedes point is an alternative term for the asterion, for its resemblance to the Mercedes-Benz logo.

Related Research Articles

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The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone, however two parts are more prominent: the cranium and the mandible. In humans, these two parts are the neurocranium (braincase) and the viscerocranium that includes the mandible as its largest bone. The skull forms the anterior-most portion of the skeleton and is a product of cephalisation—housing the brain, and several sensory structures such as the eyes, ears, nose, and mouth. In humans, these sensory structures are part of the facial skeleton.

<span class="mw-page-title-main">Occipital bone</span> Bone of the neurocranium

The occipital bone is a cranial dermal bone and the main bone of the occiput. It is trapezoidal in shape and curved on itself like a shallow dish. The occipital bone overlies the occipital lobes of the cerebrum. At the base of the skull in the occipital bone, there is a large oval opening called the foramen magnum, which allows the passage of the spinal cord.

<span class="mw-page-title-main">Parietal bone</span> Bone in the human skull which, when joined together, forms the sides and roof of the cranium

The parietal bones are two bones in the skull which, when joined at a fibrous joint, form the sides and roof of the neurocranium. In humans, each bone is roughly quadrilateral in form, and has two surfaces, four borders, and four angles. It is named from the Latin paries (-ietis), wall.

<span class="mw-page-title-main">Zygomatic arch</span> Cheek bone

In anatomy, the zygomatic arch, or cheek bone, is a part of the skull formed by the zygomatic process of the temporal bone and the temporal process of the zygomatic bone, the two being united by an oblique suture ; the tendon of the temporal muscle passes medial to the arch, to gain insertion into the coronoid process of the mandible (jawbone).

<span class="mw-page-title-main">Orbit (anatomy)</span> Cavity or socket of the skull in which the eye and its appendages are situated

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<span class="mw-page-title-main">Sella turcica</span> Saddle-shaped depression in the sphenoid bone of the skull

The sella turcica is a saddle-shaped depression in the body of the sphenoid bone of the human skull and of the skulls of other hominids including chimpanzees, gorillas and orangutans. It serves as a cephalometric landmark. The pituitary gland or hypophysis is located within the most inferior aspect of the sella turcica, the hypophyseal fossa.

<span class="mw-page-title-main">Posterior cranial fossa</span> Area of the cranium containing the brainstem and cerebellum

The posterior cranial fossa is the part of the cranial cavity located between the foramen magnum, and tentorium cerebelli. It is formed by the sphenoid bones, temporal bones, and occipital bone. It lodges the cerebellum, and parts of the brainstem.

<span class="mw-page-title-main">Falx cerebri</span> Anatomical structure of the brain

The falx cerebri is a large, crescent-shaped fold of dura mater that descends vertically into the longitudinal fissure between the cerebral hemispheres of the human brain, separating the two hemispheres and supporting dural sinuses that provide venous and CSF drainage to the brain. It is attached to the crista galli anteriorly, and blends with the tentorium cerebelli posteriorly.

<span class="mw-page-title-main">Skull fracture</span> Medical condition

A skull fracture is a break in one or more of the eight bones that form the cranial portion of the skull, usually occurring as a result of blunt force trauma. If the force of the impact is excessive, the bone may fracture at or near the site of the impact and cause damage to the underlying structures within the skull such as the membranes, blood vessels, and brain.

<span class="mw-page-title-main">Lambdoid suture</span> Connective tissue between the parietal bones and the occipital bone of the skull

The lambdoid suture is a dense, fibrous connective tissue joint on the posterior aspect of the skull that connects the parietal bones with the occipital bone. It is continuous with the occipitomastoid suture.

<span class="mw-page-title-main">Jugular foramen</span> Opening in the base of the skull allowing many structures to pass

A jugular foramen is one of the two large foramina (openings) in the base of the skull, located behind the carotid canal. It is formed by the temporal bone and the occipital bone. It allows many structures to pass, including the inferior petrosal sinus, three cranial nerves, the sigmoid sinus, and meningeal arteries.

<span class="mw-page-title-main">Internal auditory meatus</span> Canal within the temporal bone

The internal auditory meatus is a canal within the petrous part of the temporal bone of the skull between the posterior cranial fossa and the inner ear.

<span class="mw-page-title-main">Carotid canal</span> Hole in the temporal bone in the skull for the internal carotid artery to enter the skull

The carotid canal is a passage in the petrous part of the temporal bone of the skull through which the internal carotid artery and its internal carotid (nervous) plexus pass from the neck into the cranial cavity.

<span class="mw-page-title-main">Occipital vein</span> Vein of the scalp

The occipital vein is a vein of the scalp. It originates from a plexus around the external occipital protuberance and superior nuchal line to the back part of the vertex of the skull. It usually drains into the internal jugular vein, but may also drain into the posterior auricular vein. It drains part of the scalp.

<span class="mw-page-title-main">Mastoid part of the temporal bone</span> Back part of the sides of the skull base

The mastoid part of the temporal bone is the posterior (back) part of the temporal bone, one of the bones of the skull. Its rough surface gives attachment to various muscles and it has openings for blood vessels. From its borders, the mastoid part articulates with two other bones.

<span class="mw-page-title-main">Petrous part of the temporal bone</span> Feature at the base of the human skull

The petrous part of the temporal bone is pyramid-shaped and is wedged in at the base of the skull between the sphenoid and occipital bones. Directed medially, forward, and a little upward, it presents a base, an apex, three surfaces, and three angles, and houses in its interior, the components of the inner ear. The petrous portion is among the most basal elements of the skull and forms part of the endocranium. Petrous comes from the Latin word petrosus, meaning "stone-like, hard". It is one of the densest bones in the body. In other mammals, it is a separate bone, the petrosal bone.

<span class="mw-page-title-main">Infratemporal fossa</span> Cavity that is part of the skull

The infratemporal fossa is an irregularly shaped cavity that is a part of the skull. It is situated below and medial to the zygomatic arch. It is not fully enclosed by bone in all directions. It contains superficial muscles, including the lower part of the temporalis muscle, the lateral pterygoid muscle, and the medial pterygoid muscle. It also contains important blood vessels such as the middle meningeal artery, the pterygoid plexus, and the retromandibular vein, and nerves such as the mandibular nerve (CN V3) and its branches.

<span class="mw-page-title-main">Mastoid foramen</span> Hole in the back of the temporal bone

The mastoid foramen is a hole in the posterior border of the temporal bone. It transmits an emissary vein between the sigmoid sinus and the suboccipital venous plexus, and a small branch of the occipital artery, the posterior meningeal artery to the dura mater.

<span class="mw-page-title-main">Clivus (anatomy)</span> Bony part of the skull base

The clivus or Blumenbach clivus is a part of the occipital bone at the base of the skull. It is a shallow depression behind the dorsum sellae of the sphenoid bone. It slopes gradually to the anterior part of the basilar occipital bone at its junction with the sphenoid bone. It extends to the foramen magnum. It is related to the pons and the abducens nerve.

<span class="mw-page-title-main">Base of skull</span> Inferior area of the skull, composed of the endocranium and lower parts of the skull roof

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.

References

  1. 1 2 3 4 Ucerler, Hulya; Govsa, Figen (2006-10-01). "Asterion as a surgical landmark for lateral cranial base approaches". Journal of Cranio-Maxillofacial Surgery. 34 (7): 415–420. doi:10.1016/j.jcms.2006.05.003. ISSN   1010-5182. PMID   16963269 via ScienceDirect.
  2. Avci, Emel; Kocaogullar, Yalcin; Fossett, Damirez; Caputy, Anthony (2003-05-01). "Lateral posterior fossa venous sinus relationships to surface landmarks". Surgical Neurology. 59 (5): 392–397. doi:10.1016/S0090-3019(03)00037-5. ISSN   0090-3019. PMID   12765815 via ScienceDirect.
  3. Babacan S, Yildiz-Yilmaz M, Kafa IM, Coşkun I (2019). "The Surface and Intracranial Location of Asterion". J Craniofac Surg. 30 (8): e753–e755. doi:10.1097/SCS.0000000000005757. PMID   31689738. S2CID   207889825.