Correlation of the inclination of the tentorium cerebellum and the volume of the posterior cranial fossa

Redžib Direković; Hakija Bečulić; Zdenka Krivokuća

doi:10.17392/1568-23

Review paper

Published: 01.12.2022. Biochemistry

<< Prev | Next >>

PDF

https://doi.org/10.17392/1568-23

Correlation of the inclination of the tentorium cerebellum and the volume of the posterior cranial fossa

Abstract

Aim
To investigate the influence of the inclination and insertion of the cerebellar tentorium on the posterior cranial fossa (PCF)
volume.
Methods
A retrospective, non-randomized study including 174 patients (117 females and 57 males) who underwent magnetic resonance imaging in the period from 31 December 2020 to 1 June 2021 under the indication (mostly headache) set by a competent ordinary. Acute or chronic intracranial events were not verified in the patients.
Results
The average value of the PCF volume was 138.93 cm3 and the slope of the tentorium was 44.15°. Comparing the volume of
the PCF and the slope of the tentorium in males and females no significant difference was found. A correlation was found in the females age groups 18-24 and 45-54 years.
Conclusion
Understanding dimensions of the posterior cranial fossa morphometry has clear implications for reducing morbidity
and mortality in surgery, especially in the case of applying lateral approaches and their variations.

Keywords:

cerebellar malformation,

posterior fossa capacity,

tentorial position

References

Dagtekina A, Avci E, Kara E, Uzmansel D, Dagtekind O, Koseoglua A, et al. Bagda-toglua C. Posterior cranial fossa morphometry in symptomatic adult Chiari I malformation patients: Comparative clinical and anatomical study. Clin Neurol Neurosurg 2011:399–403.

Şeker A, Rhoton A. The Anatomy of the Posterior Cranial Fossa 2015.

Shukla V, Hayman L, Ly C, Fuller G, Taber K. Adult cranial dura I: intrinsic vessels. J Compu Assist Tomo 2002:1069–74.

Carlos A, Luiz R, Andreza N, Augusto B, Lenine G. Anatomical study of jugular foramen in the neck. Braz J Otorhinolaryngol 2020:44–8.

Adeeb N, Mortazavi M, Tubbs R, Cohen-Gadol A. The cranial dura mater: a review of its history, embryology, and anatomy. Child Nerv Syst 2012:827–37.

Klintworth G. The comparative anatomy and phylogeny of the tentorium cerebelli. Anat Rec 1968:635–41.

Kanodia G, Parihar V, Yadav R, Bhatele P. Sharma D. Morphometric analysis of posterior fossa and foramen magnum. J Neurosci Rural Pract 2012:261–6.

Vurdem U, Acer N, Ertekin T, Savranlar A, Inci M. Analysis of the volumes of the posterior cranial fossa, cerebellum, and herniated tonsils using the stereological methods in patients with Chiari Type I malformation. ScientificWorld Journal 2012:616934.

Basaran R, Efendioglu M, Senol M, Ozdogan S, Isik N. Morphometric analysis of posterior fossa and craniovertebral junction in subtypes of Chiari malformation. Clin Neurol Neurosurg 2018:1–11.

Öksuzler M, Polat S, Ipek C, Goker P. The relationship of the posterior cranial fossa with age and sex. Int J Morphol 2021:1371–82.

Botelho R, Heringer L, Botelho P, Lopes R, Waisberg J. Posterior fossa dimensions of Chiari malformation patients compared with normal subjects: systematic review and metanalysis. World Neurosurgery 2020:521–9.

Badie B, Mendoza D, Batzdorf U. Posterior fossa volume and response to suboccipital decompression in patients with Chiari I malformation. Neurosurgery 1995:214–8.

Sgouros S, Kountouri M, Natarajan K. Posterior fossa volume in children with Chiari malformation Type I. Comment in J Neurosurg 2006:329.

Goel A, Bhatjiwale M, Desai K. Basilar invagination: A study based on 190 surgically treated patients. J Neurosurg 1998:962–8.

Trigylidas T, Baronia B, Vassilyadi M, Ventureyra E. Posterior fossa dimension and volume estimates in pediatric patients with Chiari I malformations. Childs Nerv Syst 2008:329–36.

Tubbs R, Hill M, Loukas M, Shoja M, Oakes W. Volumetric analysis of the posterior cranial fossa in a family with four generations of the Chiari malformation Type I. J Neurosurg Pediatr 2008:21–4.