MORPHOMETRIC ANALYSIS OF THE TENTORIAL NOTCH
Abstract
Tentorial notch is a gap in the tentorium cerebel-li connecting the posterior cranial fossa with the supra tentorial compartments of the cranial cavi-ty and transmits the mid-brain, the posterior cer-ebral arteries, and cerebrospinal fluid in the sub-arachnoid space. The dimensions of tentorial notch determine the prognosis of trans-tentorial herniation, concussion, acceleration-deceleration injuries. It also explains the differences in the clinical outcome in patients with similar intracra-nial pathologies. The extent of brain tissue her-niation through the tentorial opening and the brainstem damage depends on the variations in dimensions of tentorial notch and the relation-ship of brain stem to the free tentorial margin. In this study of 10 specimens from the Institute of Anatomy, Madras Medical College, specific pa-rameters were measured and tabulated.
This study may modify the criteria for interven-tion procedures in neurosurgery and may pro-vide data for interpreting the radiological imag-ing of the tentorial opening and its relation to brain stem.
Keywords
Full Text:
PDFReferences
Corsellis JAN: Individual variation in the size of the tentorial opening. J Neurol Neurosurg Psychiatry 21:279-283, 1958
David E. Adler, Thomas H. Milhorat: The tentorial notch: anatomical variation, morpho-metric analysis, and classification in 100 human autopsy cases. J Neurosurg 96:1103-1112, 2002
Sunderland S: The tentorial notch and complications produced by herniations of the brain through that aperture. Br J Surg 45:422-438, 1958
Susan standring, Grays anatomy, 40th edition, Churchill Livingstone Elsevier
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr M.G.R. Medical University