AI Article Synopsis

  • Asterion is a key surgical landmark located at the junction of several skull sutures, traditionally believed to align with the transverse-sigmoid sinus junction (TSSJ).
  • This study aimed to assess the accuracy of asterion as a TSSJ landmark specifically within the Indian population, using a sample of 16 dried skulls from AIIMS, New Delhi.
  • The findings revealed that asterion is not a reliable TSSJ marker, with noteworthy average distances indicating that TSSJ is positioned significantly anterior and mostly inferior to asterion, suggesting the need for further research with larger sample sizes.

Article Abstract

Background: Asterion is the junction of lambdoid, parietomastoid, and occipitomastoid sutures. In traditional anatomy teaching, it is believed that asterion sits over the transverse-sigmoid sinus junction (TSSJ). It is a significant surgical landmark for the placement of a burr hole in the retrosigmoid approach.

Objective: The purpose of this study was to evaluate the asterion's accuracy as a TSSJ-specific external surgical landmark in the Indian population.

Materials And Methods: 16 human dried skulls were obtained from the Department of Anatomy, AIIMS, New Delhi. The point of TSSJ was taken between the two lips and just posterior to the entry of the superior petrosal sinus. Asterion internally was localized with the help of a geometrical divider. The x- horizontal/ anterior and y- vertically superior (+)/ inferior (-) distances were measured from asterion (internally) to the TSSJ by a digital vernier caliper.

Results: The mean horizontal distance (x) of the left side asterion & TSSJ was 10.3±1.0mm whereas the vertical distance (y) ranged between +2 to -4.3 mm. The mean horizontal distance (x) of the right side asterion & TSSJ was 13.5±1.4mm whereas the vertical distance (y) ranged between +3 to -4.2 mm.

Conclusion: Asterion is not a reliable landmark for TSSJ in Indian skulls. The TSSJ with respect to asterion was found on average 10mm and 13.5mm anterior on the left and right side respectively, and mostly inferior (average 4.2mm) in 75% of the skulls. The TSSJ was closer to the asterion on the left side in comparison with the right side. However, further studies with a larger sample size will be needed to evaluate the population-specific relation of asterion with the TSSJ.

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http://dx.doi.org/10.4103/0028-3886.383854DOI Listing

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