A Computed Tomography Study of the Prechiasmatic Sulcus Anatomy in Children
Autor: | Celal Bagdatoglu, Derya Ümit Talas, Yusuf Vayisoglu, Yüksel Balcı, Barış Ten, Vural Hamzaoğlu, Ahmet Dağtekin, Salim Çakır, Hakan Özalp, Orhan Beger |
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Rok vydání: | 2020 |
Předmět: |
Prechiasmatic sulcus
Adult Male Adolescent Sphenoid Sinus Planum temporale Synchondrosis Computed tomography Resection 03 medical and health sciences Young Adult 0302 clinical medicine Medicine Humans Child Retrospective Studies medicine.diagnostic_test business.industry Infant Anatomy University hospital stomatognathic diseases Treatment Outcome nervous system 030220 oncology & carcinogenesis Anatomical knowledge Child Preschool Surgery Female Neurology (clinical) business Tomography X-Ray Computed Head 030217 neurology & neurosurgery |
Zdroj: | World neurosurgery. 141 |
ISSN: | 1878-8769 |
Popis: | Purpose To investigate the characteristics of the prechiasmatic sulcus in children aged between 1–20 years. Methods Patient files of 200 children admitted to the university hospital on 2019 were analyzed, retrospectively. The computed tomography images of patients were used to obtain anatomical knowledge containing prechiasmatic sulcus types and dimensions. Results The measurements related to the sulcal length (6.94 ± 1.25 mm) and sulcal angle (31.01 ± 18.13°) showed that the sulcal length did not alter in children between 1 and 20 years, whereas the sulcal angle did not vary from infancy to prepubescent period, but it was decreasing in postpubescent period. In 29 patients, the sulcal length was observed to divide into 2 parts with an evident angle. The interoptic distance and planum length were found as follows: 14.70 ± 2.85 mm and 14.84 ± 4.12 mm, respectively. The order of PS types was observed as type 4 (26.5%, 53 cases) > type 2 (26%, 52 cases) > type 1 (24%, 48 cases) > type 3 (23.5%, 47 cases). Conclusions The sulcal length did not vary in children, whereas the sulcal angle decreased with an irregular pattern. The sulcal angle decreased after prepubescent period, possibly due to the sphenoid sinus pneumatization and spheno-occipital synchondrosis. The sulcal length angle mostly in infants and young children may cause surgical orientation difficult during the resection of tumors using transcranial approaches. |
Databáze: | OpenAIRE |
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