Pterion

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Pterion
Pterion.PNG
Side view of head, showing surface relations of bones (Pterion labeled at center)
Gray188-Sphenoparietal suture.png
Side view of the skull with arrow pointing to the Pterion
Details
Identifiers
Latin pterion
TA98 A02.1.00.019
TA2 421
FMA 264720
Anatomical terminology

The pterion is the region where the frontal, parietal, temporal, and sphenoid bones join. [1] It is located on the side of the skull, just behind the temple. It is also considered to be the weakest part of the skull, which makes it clinically significant, as if there is a fracture around the pterion it could be accompanied by an epidural hematoma.

Contents

Structure

The pterion is located in the temporal fossa, approximately 2.6 cm behind and 1.3 cm above the posterolateral margin of the frontozygomatic suture. [2]

It is the junction between four bones:

These bones are typically joined by five cranial sutures:

Clinical significance

Haematoma

The pterion is known as the weakest part of the skull. [3] The anterior division of the middle meningeal artery runs underneath the pterion. [4] Consequently, a traumatic blow to the pterion may rupture the middle meningeal artery causing an epidural haematoma. The pterion may also be fractured indirectly by blows to the top or back of the head that place sufficient force on the skull to fracture the pterion.

Surgery

The pterion is a structural landmark for neurosurgical approach to middle cerebral artery aneurysms. [5]

Etymology

The pterion receives its name from the Greek root pteron, meaning wing . In Greek mythology, Hermes, messenger of the gods, was enabled to fly by winged sandals, and wings on his head, which were attached at the pterion.

Related Research Articles

<span class="mw-page-title-main">Skull</span> Bony structure that forms the head in vertebrates

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">Sphenoid bone</span> Bone at the front of the skull

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 the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit. Its shape somewhat resembles that of a butterfly or bat with its wings extended.

<span class="mw-page-title-main">Occipital bone</span> Saucer-shaped membrane bone situated at the back and lower part of the cranium

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">Frontal bone</span> Bone in the human skull

The frontal bone is a bone in the human skull. The bone consists of two portions. These are the vertically oriented squamous part, and the horizontally oriented orbital part, making up the bony part of the forehead, part of the bony orbital cavity holding the eye, and part of the bony part of the nose respectively. The name comes from the Latin word frons.

<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 cranium. 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">Temporal bone</span> Sides and base of skull, connecting to the jaw and occipital bone

The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex.

<span class="mw-page-title-main">Epidural hematoma</span> Build-up of blood between the dura mater and skull

Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain and the skull. Often there is loss of consciousness following a head injury, a brief regaining of consciousness, and then loss of consciousness again. Other symptoms may include headache, confusion, vomiting, and an inability to move parts of the body. Complications may include seizures.

<span class="mw-page-title-main">Middle meningeal artery</span> Artery supplying the meninges

The middle meningeal artery is typically the third branch of the first portion of the maxillary artery. After branching off the maxillary artery in the infratemporal fossa, it runs through the foramen spinosum to supply the dura mater and the calvaria. The middle meningeal artery is the largest of the three (paired) arteries that supply the meninges, the others being the anterior meningeal artery and the posterior meningeal artery.

<span class="mw-page-title-main">Crown (anatomy)</span> Top of the head

The crown is the top portion of the head behind the vertex. The anatomy of the crown varies between different organisms. The human crown is made of three layers of the scalp above the skull. The crown also covers a range of bone sutures, and contains blood vessels and branches of the trigeminal nerve.

<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">Temporal fossa</span>

The temporal fossa is a fossa on the side of the skull bounded by the temporal lines above, and the zygomatic arch below. Its floor is formed by the outer surfaces of four bones of the skull. The fossa is filled by the temporalis muscle.

<span class="mw-page-title-main">Temple (anatomy)</span> Side of the head behind the eyes

The temple is a latch where four skull bones fuse: the frontal, parietal, temporal, and sphenoid. It is located on the side of the head behind the eye between the forehead and the ear. The temporal muscle covers this area and is used during mastication.

<span class="mw-page-title-main">Foramen spinosum</span> Hole in the sphenoid bone of the skull

The foramen spinosum is a small open hole in the greater wing of the sphenoid bone that gives passage to the middle meningeal artery and vein, and the meningeal branch of the mandibular nerve.

<span class="mw-page-title-main">Greater wing of sphenoid bone</span> Large part of the skull front behind the eye socket

The greater wing of the sphenoid bone, or alisphenoid, is a bony process of the sphenoid bone; there is one on each side, extending from the side of the body of the sphenoid and curving upward, laterally, and backward.

<span class="mw-page-title-main">Squamous part of temporal bone</span> Front and upper part of the sides of the skull base

The squamous part of temporal bone, or temporal squama, forms the front and upper part of the temporal bone, and is scale-like, thin, and translucent.

<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">Squamous part of the frontal bone</span> Upper two-thirds of the forward skull

The squamous part of the frontal bone is the superior portion when viewed in standard anatomical orientation. There are two surfaces of the squamous part of the frontal bone: the external surface, and the internal surface.

<span class="mw-page-title-main">Middle cranial fossa</span>

The middle cranial fossa is formed by the sphenoid bones, and the temporal bones. It lodges the temporal lobes, and the pituitary gland. It is deeper than the anterior cranial fossa, is narrow medially and widens laterally to the sides of the skull. It is separated from the posterior cranial fossa by the clivus and the petrous crest.

<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">Calvaria (skull)</span> Top part of the skull

The calvaria is the top part of the skull. It is the superior part of the neurocranium and covers the cranial cavity containing the brain. It forms the main component of the skull roof.

References

PD-icon.svgThis article incorporates text in the public domain from page 182 of the 20th edition of Gray's Anatomy (1918)

  1. R.M. McMinn.Last's anatomy regional and applied, 9th edition. Edinburgh (UK): Churchill Livingstone; 1994. Page 645
  2. Siyan, MA; Louisa J.M. Baillie; Mark D. Stringer (April 2012). "Reappraising the surface anatomy of the pterion and its relationship to the middle meningeal artery". Clinical Anatomy. 25 (3): 330–339. doi:10.1002/ca.21232. PMID   21800374. S2CID   24390399.
  3. Garner, Jeff; Goodfellow, Peter (2004). Questions for the MRCS Vivas . p.  123. ISBN   9780340812921.
  4. Weston, Gabriel (22 August 2011). "Mapping the Body: The Temple". The Guardian. Retrieved 4 April 2012.
  5. Urzì, Filippo; Iannello, Annalisa; Torrisi, Antonio; Foti, Pietro; Mortellaro, Nicola Filippo; Cavallaro, Marco (1 April 2003). "Morphological variability of pterion in the human skull". Italian Journal of Anatomy and Embryology = Archivio Italiano di Anatomia ed Embriologia. 108 (2): 83–117. ISSN   2038-5129. PMID   14503657.