IJAR.2017.392

Type of Article:  Original Research

Volume 5; Issue 4.1 (October 2017)

Page No.: 4527-4530

DOI: https://dx.doi.org/10.16965/ijar.2017.392

AN OSTEOLOGICAL STUDY OF OSSIFIED CAROTICO-CLINOID LIGAMENTS AS POTENTIAL RISK FOR INTERNAL CAROTID ARTERY COMPRESSION

Pratibha Gupta 1, Khizer Hussain Afroze *2, Ramesh P 3.

1 Associate Professor, Department of Anatomy, IQ City Medical College, Durgapur, West Bengal, India

*2 Research Scholar, Department of Anatomy, Sri Siddhartha Medical College (SSMC), Sri Siddhartha Academy of Higher Education (SSAHE), Tumakuru, Karnataka, India

3 Assistant Professor, Department of Anatomy,  IQ City Medical College, Durgapur, West Bengal, India

Corresponding Author: Dr. Khizer Hussain Afroze, Department of Anatomy, Sri Siddhartha Medical College (SSMC), Sri Siddhartha Academy of Higher Education (SSAHE), Tumakuru,  Karnataka, India. 572107.  E-Mail: drafroze.homoeo@gmail.com

ABSTRACT:

Introduction: Knowledge of morphological structure such as anterior clinoid process and the middle clinoid process is essential during the surgical approach of the cavernous sinus and internal carotid artery. In addition, osseous variations such as ossified interclinoid and carotico clinoid ligament are significant in clinical practice because they can produce various neurological disturbances or block the passage of an internal carotid artery which changes its direction and runs medially out of the cavernous sinus through the osseous bar. The aim of the present study was to evaluate the incidence of the ossified carotico clinoid ligament in Bengal population.

Material and Methods: 56 dry unknown skull bones were studied from the Department of Anatomy, IQ City Medical College, Durgapur, West Bengal. The incidence of partial or complete and unilateral and bilateral ossification of carotico clinoid ligaments (CCL) was observed and photographed.

Results: In the present study, the incidence of the ossified carotico clinoid ligament (CCL) was observed in 38 (33.93%) sides of skulls. The incidence of complete ossification of the carotico clinoid ligament (CCL) was observed in 9 (16.07%) skulls (unilateral-5 and bilateral-4). Incomplete ossification of the carotico clinoid ligament (CCL) was found in 17 (30.35%) skulls (unilateral- 9 and bilateral-8).

Conclusion: A potential risk for compression of the internal carotid artery is due to ossification of the carotico clinoid ligament. Hence, a detailed anatomical and morphometric knowledge of the region is necessary to perform the successful surgeries. The aim of the present study was to evaluate the incidence of the ossified carotico clinoid ligament in Bengal population as well as to discuss its clinical relevance.

KEY WORDS: Clinoid process, Sphenoid bone, Anterior clinoidectomy, Internal carotid artery compression.

REFERENCES

  1. Susan Standring (2008) Intracranial Region: Gray’sAnatomy, The Anatomical Basis of Clinical Practice: 40th Ed, Spain. Churchill Livingstone, Elsevier. p-424.
  2. Erturk M., Kayalioglu G., Gousa F. Anatomy of the clinoidal region with special emphasis on the carotico-clinoid foramen and interclinoid osseous bridge in a recent Turkish population. Neurosurg Rev 2004; 27:22-6.
  3. Inoue T, Rhoton AL Jr, Theele D, Barry ME (1990) Surgical approaches to the cavernous sinus: a microsurgical study. Neurosurgery 26: 903–932.
  4. Ozdomuos O, Saka E, Tulay C, Gurdal E, Uzun I, Cavdar S. The anatomy of the caroticoclinoid foramen and its relation with the internal carotid artery. Surg Radiol Anat 2003; 25:241–6.
  5. Cireli E, Ustun EE, Yurtseven M, Pala S. Fossa sella turcica varyasyonlarının değerlendirilmesi I: Morfolojik ve antropolojik kriterlere göre. Ege Tıp Dergisi. 1990; 29:364-7.
  6. Desai SD, Sreepadma S. Study of carotico clinoid foramen in dry human skulls of north interior karnataka. NJBMS. 2010 Oct; 1(2):60-4.
  7. Azeredo RA, Liberti EA, Watanabe IS. Anatomical variations of the clinoid process of the human sphenoid bone. Arquivos do Centro de Estudos do curso de odontologia. 1987 Dec; 25(1-2):9-11.
  8. Lee HY, Chung IH, Choi BY, Lee KS. Anterior clinoid process and optic strut in Koreans. Yonsei Med J. 1997 Jun 1; 38(3):151-4.
  9. Shaikh SI, Ukey RK, Kawale DN, Diwan CV. Study of carotico-clinoid foramen in dry human skulls of Aurangabad district. International Journal. 2012 Dec; 3(5):148.
  10. Gurun R, Magden O, Ertem AD. Foramen corticoclinoideum. Cerrahpaşa Tıp Dergisi. 1994; 25:685-91.
  11. D’Souza A, Ankolekar VH, Nayak N, Mamatha H, D’Souza AS. Morphometric Study of Anterior Clinoid Process and Optic Strut and the Ossification of Carotico-Clinoid Ligament with their Clinical Importance. Journal of Clinical and Diagnostic Research. 2016; 10(4):5-7.

Cite this article: Pratibha Gupta, Khizer Hussain Afroze, Ramesh P. AN OSTEOLOGICAL STUDY OF OSSIFIED CAROTICO-CLINOID LIGAMENTS AS POTENTIAL RISK FOR INTERNAL CAROTID ARTERY COMPRESSION. Int J Anat Res 2017;5(4.1):4500-4503. DOI: 10.16965/ijar.2017.383