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Anatomy of Skull and Spine

on inner aspect of middle cranial fossa 3 foramina are oriented along an oblique line in the greater sphenoidal wing from anteromedial behind the superior orbital fissure to posterolateral

mnemonic: “rotos”

  • foramen rotundum
  • foramen ovale
  • foramen spinosum

Foramen Rotundum!!navigator!!

= canal within greater sphenoid wing connecting middle cranial fossa + pterygopalatine fossa

Location: inferior and lateral to superior orbital fissure

Course: extends obliquely forward + slightly inferiorly in a sagittal direction parallel to superior orbital fissure

Contents: (a) nerves: V2 (maxillary nerve)

(b) vessels: (1) artery of foramen rotundum

(2) emissary vv.

  • best visualized by coronal CT

Foramen Ovale!!navigator!!

= canal connecting middle cranial fossa + infratemporal fossa

Location: medial aspect of sphenoid body, situated posterolateral to foramen rotundum (endocranial aspect) + at base of lateral pterygoid plate (exocranial aspect)

Contents: (a) nerves: (1) V3 (mandibular nerve)

(2) lesser petrosal nerve (occasionally)

(b) vessels: (1) accessory meningeal artery

(2) emissary veins

Foramen Spinosum!!navigator!!

Location: on greater sphenoid wing posterolateral to foramen ovale (endocranial aspect) + lateral to eustachian tube (exocranial aspect)

Contents: (a) nerves: (1) recurrent meningeal branch of mandibular nerve

(2) lesser superficial petrosal nerve

(b) vessels: (1) middle meningeal artery

(2) middle meningeal vein

Foramen Lacerum!!navigator!!

covered (occasionally) by fibrocartilage, carotid artery rests on endocranial aspect of fibrocartilage

Location: at base of medial pterygoid plate

Contents: (inconstant)

(a) nerve: pterygoid canal n. (actually pierces cartilage)

(b) vessel: meningeal branch of ascending pharyngeal a.

Foramen Magnum!!navigator!!

basion = anterior lip of foramen

opisthion = posterior lip of foramen

Contents: (a) nerves: (1) medulla oblongata

(2) CN XI (spinal accessory nerve)

(b) vessels: (1) vertebral artery

(2) anterior spinal artery

(3) posterior spinal artery

Pterygoid Canal!!navigator!!

= VIDIAN CANAL

= within sphenoid body connecting pterygopalatine fossa anteriorly to foramen lacerum posteriorly

Location: at base of pterygoid plate below foramen rotundum

Contents: (a) nerves: vidian nerve = nerve of pterygoid canal = continuation of greater superficial petrosal nerve (from cranial nerve VII) after its union with deep petrosal nerve

(b) vessel: vidian artery = artery of pterygoid canal = branch of terminal portion of internal maxillary a. arising in pterygopalatine fossa passing through foramen lacerum posterior to vidian n.

Hypoglossal Canal!!navigator!!

= ANTERIOR CONDYLAR CANAL

Location: in posterior cranial fossa anteriorly above condyle starting above anterolateral part of foramen magnum, continuing in an anterolateral direction + exiting medial to jugular foramen

Contents: (a) nerves: cranial nerve XII (hypoglossal n.

(b) vessels: (1) pharyngeal artery

(2) branches of meningeal artery

Jugular Foramen!!navigator!!

Location: at posterior end of petrooccipital suture directly posterior to carotid orifice

  1. anterior part:
    1. inferior petrosal sinus
    2. meningeal branches of pharyngeal artery + occipital a.
  2. intermediate part:
    1. cranial nerve IX (glossopharyngeal nerve)
    2. cranial nerve X (vagus nerve)
    3. cranial nerve XI (spinal accessory nerve)
  3. posterior part: internal jugular vein

Outline