Homology and evolution of the orbitotemporal venous sinuses of humans

Anatomical correlates and nomenclature of the chiropteran endocranial cast

Bats form a diverse group of mammals that are highly specialized in active flight and ultrasound echolocation. These specializations rely on adaptations that reflect on their morphoanatomy and have been tentatively linked to brain morphology and volumetry. Despite their small size and fragility, bat crania and natural braincase casts ("endocasts") have been preserved in the fossil record, which allows for investigating brain evolution and inferring paleobiology. Advances in imaging techniques have allowed virtual extraction of internal structures, assuming that the shape of the endocast reflects soft organ morphology. However, there is no direct correspondence between the endocast and internal structures because meninges and vascular tissues mark the inner braincase together with the brain they surround, resulting in a mosaic morphology of the endocast. The hypothesis suggesting that the endocast reflects the brain in terms of both external shape and volume has drastic implications when addressing brain evolution, but it has been rarely discussed. To date, only a single study addressed the correspondence between the brain and braincase in bats. Taking advantage of the advent of imaging techniques, we reviewed the anatomical, neuroanatomical, and angiological literature and compare this knowledge available on bat's braincase anatomy with anatomical observations using a sample of endocranial casts representing most modern bat families. Such comparison allows to propose a Chiroptera-scale nomenclature for future descriptions and comparisons among bat endocasts. Describing the imprints of the tissues surrounding the brain also allows to address to what extent brain features can be blurred or hidden (e.g., hypophysis, epiphysis, colliculi, flocculus). Furthermore, this approach encourages further study to formally test the proposed hypotheses.

The Sphenoparietal Sinus Revisited: Anatomical and Histological Study With Application to Interventional Procedures and Skull Base Surgery

Background The sphenoparietal sinus (SPS) is implicated in various clinical pathologies, specifically arteriovenous fistulas and venous sinus thrombosis. This study is aimed to better understand this venous structure of the skull base via histological examination. Methods Ten embalmed and latex-injected adult body donors' heads (20 sides) underwent microdissection of the SPS using a surgical microscope. The entire dura on the underside of the lesser wing of the sphenoid bone encompassing the region known as the groove for the SPS was harvested from each body donor and submitted for histological analysis (H&E, Periodic acid-Schiff [PAS], Masson's Trichrome). Five left and five right transverse sinuses were harvested and analyzed histologically as controls. Results A definitive SPS was identified in 14/20 (70%) of the latex-injected body donors. When present, the sinuses were classified as small, medium, or large. Tributaries included the middle meningeal veins, superficial Sylvian vein, and anterior temporal veins. All sinuses drained medially into the cavernous sinus. For the body donors analyzed histologically, 17 (85%) were consistent with a dural venous sinus and not a vein and were observed to have a rich nerve and arterial supply within their walls. The histological findings of the SPS were similar to those seen for the transverse sinus. The combined prevalence for the SPS in gross and histological body donors was 78%. Conclusions Our findings support the presence of SPS in the majority of body donors. To our knowledge, this is the first histological study of the SPS.

Cribra orbitalia is correlated with the meningo-orbital foramen and is vascular and developmental in nature

Cribra orbitalia is a phenomenon with interdisciplinary interest. However, the etiology of cribra orbitalia remains unclear. Recently, the appearance of cribra orbitalia was identified as vascular in nature. This study assessed the relationship between anatomical variation of vasculature, as determined by the presence of meningo-orbital foramina, and the presence of cribra orbitalia in 178 orbits. Cribra orbitalia was identified in 27.5% (49:178) of orbits (22.7%, 35:154 adult orbits and 58.3%, 14:24 subadult orbits) and meningo-orbital foramina were identified in 65.8% (100:152) of orbits. Among the 150 total intact adult orbits (i.e., orbital roof and posterior orbits both intact), cribra orbitalia was found in 35 (23.3%). Of these 35 occurrences of cribra orbitalia, 32 (91.4%) had the concurrent finding of a meningo-orbital foramen. However, in the absence of the meningo-orbital foramen, cribra orbitalia was only found in three sides out of the total sample of intact orbits (3:150; 2.0%). Fisher's exact test revealed that the presence of cribra orbitalia and the meningo-orbital foramen were statistically dependent variables (p = .0002). Visual evidence corroborated statistical findings-vascular impressions joined cribra orbitalia to meningo-orbital foramina. This study identifies that individuals who possess a meningo-orbital foramen are anatomically predisposed to developing cribra orbitalia. Conversely, cribra orbitalia is unlikely to occur in an individual who does not possess a meningo-orbital foramen. Thus, the antecedent of cribra orbitalia is both vascular and developmental in nature. This report represents an important advancement in the understanding of cribra orbitalia-there is an anatomical predisposition to the development of cribra orbitalia.

Bilateral venous sinuses of Kelch

Knowledge of the variant anatomy of the intradural venous sinuses is important to anatomists and clinicians alike. Herein, we report a cadaveric case of the rare venous sinus of Kelch, which some have believed is a remnant of the cranio-orbital sinuses. To our knowledge, only one other cadaveric case has been reported in the extant medical literature. Clinically, knowledge of such a variant venous sinus can minimize misdiagnoses such as when anatomical variations are noted on imaging. Surgically, such an understanding can avoid intraoperative complications such as iatrogenic hemorrhage.

Persistent petrosquamosal sinus in adults: qualitative imaging evaluation on high-resolution CT venography

BACKGROUND

The persistent petrosquamosal sinus (PSS) is usually overlooked before or during otological surgeries, which may cause misdiagnosis or iatrogenic bleedings. Imaging characteristics have not been well summarized for PSS, especially for large consecutive cases.

PURPOSE

To analyze the characteristics of PSS on high-resolution CT venography (HRCTV) in order to improve imaging diagnostic accuracy as well as to assist clinical management.

MATERIAL AND METHODS

Five hundred and thirty-two consecutive patients with pulsatile tinnitus who underwent CT angiography and venography examinations in the last 4 years were reviewed. Thirty patients with PSS in 39 temporal bones (TBs) were identified by two radiologists' consensus. The characteristics of PSS were analyzed according to its embryological variations. Different types of PSS were divided according to the origin and course, respectively.

RESULTS

The average diameter of the PSS was 1.4 mm. Twenty-nine TBs (74%) had PSS origin from the dorsolateral surface of the transverse sinus before its junction with the superior petrosal sinus (Position A); three TBs (8%) had PSS origin from the ventroinferior surface of the transverse sinus after or before the junction (Position B or C); seven TBs (18%) had PSS without definite origin (Position D). Eighteen TBs (46%) had PSS course in a lateral bony canal/groove (lateral canal type); 15 TBs (38%) had PSS course in petrosquamosal fissure (PSF) (PSF type); six TBs (15%) had PSS course in both (lateral canal/PSF type). For other imaging findings, a branch entering the cranial part of PSS was identified in 10 TBs (26%); a vascular mass was formed in five TBs (13%); focal defect of bony wall was observed in seven TBs (18%). A postglenoid foramen (PGF) was detected in 25 TBs (64%).

CONCLUSION

HRCTV can mostly identify the characteristics of PSS similar to its anatomic findings and the optimal imaging technique has the potential to improve its clinical management.

The meningo-orbital foramen in a Scottish population

The meningo-orbital foramen is a small opening in the orbit lateral to the lateral end of the superior orbital fissure. It is widely reported to contain an orbital branch of the middle meningeal artery. The foramen may be single or multiple and may occur in the posterosuperior part of the lateral orbital wall or in the posterolateral part of the orbital roof. There is a lack of clarity in the literature as to whether foramina occurring in the orbital roof are the same entity as those occurring in the lateral wall. The disposition of the lesser wing of the sphenoid at the anterior limit of the middle cranial fossa makes it difficult to see how a foramen communicating with the anterior cranial fossa could transmit a branch of the middle meningeal artery. Our study contained 16 meningo-orbital foramina in the orbital roof that would transmit a fine probe. Fourteen of these passed into canals that tracked posteriorly in the bone to open into the middle cranial fossa close to the lateral extremity of the superior orbital fissure. The other two of these foramina communicated with the anterior cranial fossa and both were associated with a more posterior foramen that communicated with the middle cranial fossa. We hope this study clarifies an issue with relevance to surgery in the anterior cranial fossa.

Hominid evolution of the arteriovenous system through the cranial base and its relevance for craniosynostosis

OBJECTIVE

This paper discusses how the evolving hominid architecture of the arteriovenous system through the cranial base diverted foreseeable pathology in the human brain.

MATERIALS AND METHODS

Bipedal upright posture was an early adaptation in mosaic morphological pattern changes in hominid evolution; a key feature, the ability of blood to flow either to vertebral or internal jugular venous systems. Encephalization punctuated hominid evolution, its vulnerable feature, a lower threshold for thermal damage. Comparative analysis of ape and human skulls show "fingerprint" structures, revealing big changes in pattern complexity of the cranial vascular tree. Clues to structural/functional changes span data for apes, humans, and hominid fossils. Here, the increasing vascular network, Australopithecus to Homo sapiens, necessitated changes in the blood flow patterns. The transverse-sigmoid (T/S) and occipital-marginal (O/M) venous networks accommodated hydrostatic changes of blood flow, regulating temperature uniquely: the O/M system enlarged, allowing blood to flow straight down into the vertebral plexus without cooling, and added a vast network of emissary/diploic veins, acting as a brain cooling "radiator." This O/M system was fixed in the Australopithecus robustus lineage, p = 0.000001; high frequencies of emissary foramen were selected for over time. Ontologically, the human neonatal O/M system is fully developed; emissary/diploic veins are established by age 5, setting conditions for selective brain cooling.

CONCLUSION

The Radiator Theory is the evolution of the functionally efficient brain cooling system, fixed in the A. robustus lineage, tying hydrostatic consequences of bipedalism with release of a "thermal constraint" on the encephalizing brain, and reflected in our own ontogeny.

The sphenoparietal sinus

OBJECTIVE

There is minimal detailed information regarding the sphenoparietal venous sinus found in the extant medical literature. Furthermore, there is controversy in the literature regarding drainage of the Sylvian vein into this sinus. The sphenoparietal sinus can potentially be encountered with cranial base approaches near the lesser wing of the sphenoid bone and may be found as one surgically traverses the superior orbital fissure.

METHODS

To further elucidate the anatomy of this structure, we injected this intracranial venous sinus with blue latex in 15 adult cadavers (30 sides) via cannulation of the cavernous sinus near the posterior part of the oculomotor trigone. Observations and measurements of this and nearby structures were then made.

RESULTS

A left and right sphenoparietal sinus were found in all specimens and had a mean diameter of 2.5 mm for left sides and 3 mm for right sides. No statistical difference was noted between sides or sexes (P > 0.05). This structure generally began at the lateral tip of the lesser wing of the sphenoid bone and ended in the cavernous sinus near the passage of the ophthalmic nerve. In seven left sides and eight right sides, no discernible connection with the middle meningeal veins was noted. This sinus was found to have a connection with the Sylvian vein in all but one side. One sinus did not drain into the cavernous sinus but rather into the veins of the foramen rotundum. Ten specimens were noted to have previously undocumented temporal veins from the anterior temporal tip that drained into the sphenoparietal sinus.

CONCLUSION

We think that these data will aid the clinician in the diagnosis of the pathology of this region and decrease morbidity that may follow manipulation of this venous sinus.

The cranio-orbital foramen, the groove on the lateral wall of the human orbit, and the orbital branch of the middle meningeal artery

The cranio-orbital foramen, a foramen in the lateral wall of the orbit, contains an anastomosis between the anterior branch of the middle meningeal artery and the lacrimal artery. Previous workers have speculated that the groove starting either from the cranio-orbital foramen or the lateral extremity of the superior orbital fissure contains the anastomotic artery. We investigated the cranio-orbital foramen and the groove on the lateral wall of the orbit in a series of 170 dried adult human skulls, and the course of the orbital branch of the middle meningeal artery in 74 specimens from 37 cadavers. We observed the cranio-orbital foramen in 141 skulls (82.9%). It was unilateral in 55 (32.4%) and bilateral in 86 (50.6%) skulls. The groove on the lateral wall of the human orbit was observed in 122 skulls (71.8%). It was unilateral in 40 (23.5%) and bilateral in 82 (48.2%). The groove on the lateral wall of the orbit started from the cranio-orbital foramen in 20 skulls (11.8%). The orbital branch of the middle meningeal artery was found in 48 cadaveric specimens (64.9%): 32 (43.2%) passed through the cranio-orbital foramen and 12 (16.2%) passed through the superior orbital fissure. In four specimens (5.4%), orbital branches of the middle meningeal artery passed through both the superior orbital fissure and the cranio-orbital foramen. The anatomy of the cranio-orbital foramen and the course of the orbital branch should be well known by surgeons reconstructing the anterior base of the skull, the orbit after orbital base surgery, and during excision of meningiomas.

Comparative endocranial vascular changes due to craniosynostosis and artificial cranial deformation

The processes of craniosynostosis (premature fusion of one or more of the calvarial sutures) and artificial cranial deformation are similar since both can alter the shape of the craniofacial complex. Most research exploring these processes has focused on the ectocranium, although it is obvious that these processes also modify the endocranium. Endocranial changes due to either craniosynostosis or artificial cranial deformation have not been as thoroughly examined. Silicone rubber endocasts were made from 11 craniosynostotic archaeologically derived specimens from North and South America. For comparative purposes, endocasts were made from 22 normal and 17 occipitally deformed crania that were archaeologically derived from North and South America. With all samples, middle meningeal vessel patterns and venous sinus impressions were qualitatively and quantitatively analyzed. Depth, width, and convolution of the middle meningeal vessels were recorded, and the direction of vessel branches was noted. Both artificial cranial deformation and craniosynostosis altered the endocranial vasculature. Middle meningeal vessel and venous sinus impressions of the craniosynostotic group differed when compared to both the undeformed and artificially cranially deformed samples. Sinuses traversing under synostosed sutures became wider and deeper. In contrast, sinuses directly underneath the greatest artificial deformational stress were shallower, while there was compensatory enlargement of sinuses further away from the greatest deformational effects. Such compensatory enlargement also was shown by the high incidence of enlarged occipital/marginal sinuses in artificially deformed skulls. Increased intracranial pressure is hypothesized to be the cause of the venous sinus changes found in craniosynostotic individuals. Middle meningeal vessel patterns from craniosynostotic and artificially deformed specimens were similar in that their direction paralleled the direction of altered cranial growth. These findings demonstrate that the endocranial vasculature is developmentally plastic and responds to deformation in a predictable pattern.

Meningeal arterial patterns in great apes: implications for hominid vascular evolution

Arterial meningeal patterns were observed for 100 hemispheres from great ape endocasts (Pan paniscus, Pan troglodytes, Gorilla gorilla, and Pongo pygmaeus). Eight patterns emerged based on the relative contributions to the walls and dura mater of the middle part of the braincase of meningeal arteries that stem from two sources. These arteries enter the braincase through either the orbit (delivering blood from the internal carotid artery) or through the base of the middle cranial fossa (via the middle meningeal artery whose blood comes from the external carotid artery). The three genera of apes manifest different frequencies of the eight patterns, with orangutans highly dependent on orbital meningeal arteries at one extreme, and chimpanzees showing the greatest reliance on the middle meningeal artery at the other. As was the case in an earlier study of rhesus monkeys, there is a trend across the two genera of African apes for increased mean cranial capacity to be associated with increased reliance on the internal carotid artery for supplying the middle portion of the braincase. However, unlike the case for macaques, this trend does not reach statistical significance in African apes. Because it is rare for humans to manifest significant arterial contributions from the orbit to the middle cranial fossa, the comparative data on monkeys, apes, and humans suggest that, during the course of vascular evolution in Homo, the middle meningeal artery eventually took over supply of the entire middle cranial fossa. This hypothesis should be tested in the hominid fossil record. Earlier work on meningeal arterial patterns in apes has traditionally relied on Adachi's system that was determined from humans and focuses on the origin of the middle branch of the middle meningeal artery. As a result, the extensive orbital contributions to the middle portion of the braincase that characterize apes were not recognized and the eight patterns described in this paper were often erroneously assigned to the three patterns that adequately describe only humans. Adachi's system should therefore be abandoned for nonhuman primates and early hominids. A correct understanding of meningeal arterial evolution cannot be achieved until the orbital contributions to the meningeal arteries are recognized and incorporated into an evolutionary study that spans from apes to fossil hominids to living people.