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Meningioma probable reason for trephination

Datos Bibliográficos

ID4647213
AutoresSmrčka, Václav Smrcka (0000-0001-8286-511X, Charles University, autor de correspondencia), Kuželka, Vítězslav Kuželka (National Museum), J Melková (Charles University)
Año2003
Volumen13
Número5
Páginas325-330
Fecha de publicación2003-09-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Osteoarchaeology (JOURNAL)
Identificadores de la revistaISSN: 1047-482X • E-ISSN: 1099-1212
EditorialWiley (PUBLISHER • GB)
DOI10.1002/oa.706
OpenAlexW2147005652
IdiomaEN
Citas recibidas12
Referencias citadas3

The incomplete human skull with a trephined hole in the right frontal bone region was identified in 1997 among the collections of the Municipal Museum in Sedlčany. The calvaria of Sedlčany dated back to the period AD 1298-1550 years (14C calibrated age is 528±126 yr BP). The smooth edges of the entire hole indicate a healing process has occured. We can distinguish the application of three surgical techniques in the described trephined hole on the right side of the frontal bone region of the calvaria. The skull is that of a man over 50 years old. 'Grooving' remained visible mainly in the lower half of the trephined hole above the eye socket. Four tiny semicircular incisions in the upper edge of the hole probably represent traces of the 'drilling' technique. Thinning of the wall in the upper part of the hole was evidently caused by a 'scraping' technique. It is hypothesized that the medical reason for the trephination was to relieve the symptoms brought about by increased intracranial pressure caused by a dextral parasagittal meningioma. It is explained by an imprint of middle meningeal arteries. The groove produced by the right middle meningeal artery is deeper and wider than the one on the left side. The bone symptoms for meningioma consist of: a complex of the widened groove at the middle meningeal artery, relating to the cavity for a big Pacchionian (arachnoid) granulation situated along the superior sagittal venous sinus, completed by vascularization of diploe with three 1 mm foramina of vessels, and with a region of bone sclerosis visible in the X-ray picture. Copyright (c) 2003 John Wiley & Sons, Ltd

Biology · Calvaria · Cranial cavity · Craniotomy · Meningioma · Middle meningeal artery · Skull · Craniofacial Disorders and Treatments · Head and Neck Surgical Oncology · Medicine · Meningioma and schwannoma management · Anatomy · Surgery

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Obras citantes distintas12
Citas por año0,57
Intervalo de citas2005 - 2026 (22)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 9
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