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Year 2018, Volume: 12 Issue: 3, 135 - 139, 31.12.2018

Abstract

References

  • 1. Amy S, Lewis C. H, Samuel H. C, Mark S, Victor T. The Accuracy of Topographical Methods in Determining Central Sulcus: A Statistical Correlation Between Modern Imaging Data and These Historical Predications Cureus 2014, 6: 186-190.
  • 2. Anderson W, Makins GH. Experiments in Cranio-Cerebral Topography. J Anat Physiol. 1889, 23: 455-65.
  • 3. Broca P: Sur le principe des localisations cérébrales (article in French). Bull Soc d’AnthII.,1861, 190–204.
  • 4. Chen F, Chen T, Nakaji P. Adjustment of the endoscopic third ventriculostomy entry point based on the anatomical relationship between coronal and sagittal sutures. J Neurosurg. 2013; 118: 510-3.
  • 5. DaCosta JC, Spitzka EA: Anatomy, descriptive and surgical: Henry Gray; 17th. Ed. Lea & Febiger, Philadelphia; 1908; 970.
  • 6.Di Ieva A, Bruner E, Davidson J, Pisano P, Haider T, Stone SS, Cusimano MD, Tschabitscher M, Grizzi F. Cranial sutures: a multidisciplinary review. Child's Nervous System. 29:2013; 893-905.
  • 7. Ebeling U, Rikli D, Huber P, Reulen HJ. The coronal suture, a useful bony landmark in neurosurgery? Craniocerebral topography between bony landmarks on the skull and the brain.Acta Neurochir (Wien).1987; 89:130-4.
  • 8. Frigeri T, Paglioli E, de Oliveira E, Rhoton AL Jr. Microsurgical anatomy of the central lobe. J Neurosurg. 122:2015; 483-98.
  • 9. Gusmão S, Reis C, Silveira RL, Cabral G. Relationships between the coronal suture and the sulci of the lateral convexity of the frontal lobe: neurosurgical applications. Arq Neuropsiquiatr. 2001; 59: 570-6.
  • 11. Kido DK, LeMay M, Levinson AW, Benson WE. Computed tomographic localization of the precentral gyrus.Radiology. 1980; 135: 373-7.
  • 12. Martin N, Grafton S, Viñuela F, Dion J, Duckwiler G, Mazziotta J, Lufkin R, Becker D. Imaging techniques for cortical functional localization. Clin Neurosurg. 1992; 38:132-65.
  • 13. Ribas GC, Yasuda A, Ribas EC, Nishikuni K, Rodrigues AJ, Jr: Surgical anatomy of microneurosurgical sulcal key points. Neurosurgery. 2006; 59: 177-210.
  • 14. Rhoton AL, Jr: The cerebrum. Neurosurgery. 2002, 51:S1-51.
  • 15.Rivet DJ1, O'Brien DF, Park TS, Ojemann JG.Distance of the motor cortex from the coronal suture as a function of age.Pediatr Neurosurg.40: 2004; 215-9.
  • 16. Sarmento SA, Jácome DC, de Andrade EM, Melo AV, de Oliveira OR, Tedeschi H. Relationship between the coronal suture and the central lobe: how important is it and how can we use it in surgical planning? Arq Neuropsiquiatr. 2008; 66: 868-71.
  • 17. Schultze OMS, Steward GD: Atlas and textbook of topographic and applied anatomy. WB Saunders & Company, Philadelphia and London;, 1905; 37.
  • 18. Taylor AJ, Haughton VM, Syvertsen A, Ho KC: Taylor-Haughton line revisited. AJNR Am JNeuroradiol. 1980; 1:55-6.
  • 19. Tubbs RS, Loukas M, Shoja MM, Bellew MP, Cohen-Gadol AA. Surface landmarks for the junction between the transverse and sigmoid sinuses: application of the "strategic" burr hole for suboccipital craniotomy. Neurosurgery 2009; 65: 37-41.
  • 20. Wilkins R H, Rengachary S S, (eds.): Neurosurgery. McGraw-Hill, New York, 1985.

Localization of the bregma and its clinical relevance

Year 2018, Volume: 12 Issue: 3, 135 - 139, 31.12.2018

Abstract





Objectives: External landmarks on
the skull are important guides in various neurosurgical procedures. The
localization of the bregma is vitally important in bedside ventriculostomy and
craniotomies. The aim of the current study was to verify the localization of
the bregma.



 



Methods: This was performed on dry
skulls (n=72) and sagittal computerized tomography (CT) images of patients
(n=100). The age and the sex of dry skulls were unknown. Of the 100 patients,
48 were males and 52 were females and the mean age for males was 51.14 and for
females was 55.34. The distance between nasion to inion and nasion to bregma
were measured from both dry skulls and on multiplanar reformation (MPR)
sagittal images. The ratio of the two measurements was calculated.



 



Results: The nasion to bregma
distances on 72 dry skulls ranged between 120–140 mm: the average distance was
124.3±6.9 mm. The nasion to inion distance ranged between 295–345 mm; the
average was 320.8±14.4 mm. The ratio of nasion to bregma distance to nasion to inion
distance was calculated as 0.384. The nasion to bregma distance obtained from
100 CT images scans ranged from 107 to 139 mm (average 126.6±7.3) mm. The
nasion to inion distances ranged between 301 and 356 (average 330.2±15.2) mm.
The ratio of nasion to bregma distance to nasion to inion distance was
calculated as 0.383. Measurements for females were lower than males, but there
was no statistical significance between genders. The multiplication of the
nasion to inion distance by 0.38 gave the location of bregma for both genders.



 



Conclusion:
An accurate and reliable ratio (0.38 times the distance from nasion to inion)
was obtained to define the bregma. The coronal suture lay on each side of
bregma, so knowing the exact localization of bregma and of the coronal suture
can be vitally important in various surgical procedures to the cranium. 



References

  • 1. Amy S, Lewis C. H, Samuel H. C, Mark S, Victor T. The Accuracy of Topographical Methods in Determining Central Sulcus: A Statistical Correlation Between Modern Imaging Data and These Historical Predications Cureus 2014, 6: 186-190.
  • 2. Anderson W, Makins GH. Experiments in Cranio-Cerebral Topography. J Anat Physiol. 1889, 23: 455-65.
  • 3. Broca P: Sur le principe des localisations cérébrales (article in French). Bull Soc d’AnthII.,1861, 190–204.
  • 4. Chen F, Chen T, Nakaji P. Adjustment of the endoscopic third ventriculostomy entry point based on the anatomical relationship between coronal and sagittal sutures. J Neurosurg. 2013; 118: 510-3.
  • 5. DaCosta JC, Spitzka EA: Anatomy, descriptive and surgical: Henry Gray; 17th. Ed. Lea & Febiger, Philadelphia; 1908; 970.
  • 6.Di Ieva A, Bruner E, Davidson J, Pisano P, Haider T, Stone SS, Cusimano MD, Tschabitscher M, Grizzi F. Cranial sutures: a multidisciplinary review. Child's Nervous System. 29:2013; 893-905.
  • 7. Ebeling U, Rikli D, Huber P, Reulen HJ. The coronal suture, a useful bony landmark in neurosurgery? Craniocerebral topography between bony landmarks on the skull and the brain.Acta Neurochir (Wien).1987; 89:130-4.
  • 8. Frigeri T, Paglioli E, de Oliveira E, Rhoton AL Jr. Microsurgical anatomy of the central lobe. J Neurosurg. 122:2015; 483-98.
  • 9. Gusmão S, Reis C, Silveira RL, Cabral G. Relationships between the coronal suture and the sulci of the lateral convexity of the frontal lobe: neurosurgical applications. Arq Neuropsiquiatr. 2001; 59: 570-6.
  • 11. Kido DK, LeMay M, Levinson AW, Benson WE. Computed tomographic localization of the precentral gyrus.Radiology. 1980; 135: 373-7.
  • 12. Martin N, Grafton S, Viñuela F, Dion J, Duckwiler G, Mazziotta J, Lufkin R, Becker D. Imaging techniques for cortical functional localization. Clin Neurosurg. 1992; 38:132-65.
  • 13. Ribas GC, Yasuda A, Ribas EC, Nishikuni K, Rodrigues AJ, Jr: Surgical anatomy of microneurosurgical sulcal key points. Neurosurgery. 2006; 59: 177-210.
  • 14. Rhoton AL, Jr: The cerebrum. Neurosurgery. 2002, 51:S1-51.
  • 15.Rivet DJ1, O'Brien DF, Park TS, Ojemann JG.Distance of the motor cortex from the coronal suture as a function of age.Pediatr Neurosurg.40: 2004; 215-9.
  • 16. Sarmento SA, Jácome DC, de Andrade EM, Melo AV, de Oliveira OR, Tedeschi H. Relationship between the coronal suture and the central lobe: how important is it and how can we use it in surgical planning? Arq Neuropsiquiatr. 2008; 66: 868-71.
  • 17. Schultze OMS, Steward GD: Atlas and textbook of topographic and applied anatomy. WB Saunders & Company, Philadelphia and London;, 1905; 37.
  • 18. Taylor AJ, Haughton VM, Syvertsen A, Ho KC: Taylor-Haughton line revisited. AJNR Am JNeuroradiol. 1980; 1:55-6.
  • 19. Tubbs RS, Loukas M, Shoja MM, Bellew MP, Cohen-Gadol AA. Surface landmarks for the junction between the transverse and sigmoid sinuses: application of the "strategic" burr hole for suboccipital craniotomy. Neurosurgery 2009; 65: 37-41.
  • 20. Wilkins R H, Rengachary S S, (eds.): Neurosurgery. McGraw-Hill, New York, 1985.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Bilgehan Solmaz 0000-0003-2015-9484

Publication Date December 31, 2018
Published in Issue Year 2018 Volume: 12 Issue: 3

Cite

APA Solmaz, B. (2018). Localization of the bregma and its clinical relevance. Anatomy, 12(3), 135-139.
AMA Solmaz B. Localization of the bregma and its clinical relevance. Anatomy. December 2018;12(3):135-139.
Chicago Solmaz, Bilgehan. “Localization of the Bregma and Its Clinical Relevance”. Anatomy 12, no. 3 (December 2018): 135-39.
EndNote Solmaz B (December 1, 2018) Localization of the bregma and its clinical relevance. Anatomy 12 3 135–139.
IEEE B. Solmaz, “Localization of the bregma and its clinical relevance”, Anatomy, vol. 12, no. 3, pp. 135–139, 2018.
ISNAD Solmaz, Bilgehan. “Localization of the Bregma and Its Clinical Relevance”. Anatomy 12/3 (December 2018), 135-139.
JAMA Solmaz B. Localization of the bregma and its clinical relevance. Anatomy. 2018;12:135–139.
MLA Solmaz, Bilgehan. “Localization of the Bregma and Its Clinical Relevance”. Anatomy, vol. 12, no. 3, 2018, pp. 135-9.
Vancouver Solmaz B. Localization of the bregma and its clinical relevance. Anatomy. 2018;12(3):135-9.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).