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Platybasia; Specialty: Neurosurgical, orthopedic: Symptoms: Platybasia is characterised by abnormal flattening of the skull base as defined as a base of skull angle over 143º.In the absence of neural compression, pain at the back of the skull and upper part of the neck is the most common symptom.
Basilar invagination is invagination (infolding) of the base of the skull that occurs when the top of the C2 vertebra migrates upward. It can cause narrowing of the foramen magnum (the opening in the skull where the spinal cord passes through to the brain). It also may press on the lower brainstem. [1]
Potentially life-threatening complications, all of which become more common in more severe OI, include: tearing of the major arteries, such as the aorta; [1]: 333 [11] pulmonary valve insufficiency secondary to distortion of the ribcage; [1]: 335–341 [12] and basilar invagination. [13]: 106–107
The basilar part of the occipital bone (also basioccipital) extends forward and upward from the foramen magnum, and presents in front an area more or less quadrilateral in outline. In the young skull, this area is rough and uneven, and is joined to the body of the sphenoid by a plate of cartilage.
Several indirect measurements on CT can be used to assess ligamentous integrity at the craniocervical junction. The Wackenheim line, a straight line extending along the posterior margin of the clivus through the dens, should not intersect the dens on plain film, with violation of this relationship raising concern for basilar invagination.
The basilar artery is the main blood supply to the brainstem and connects to the Circle of Willis to potentially supply the rest of the brain if there is compromise to one of the carotids. At each cervical level, the vertebral artery sends branches to the surrounding musculature via the anterior spinal arteries .
In tunicates, invagination is the first mechanism that takes place during gastrulation. The four largest endoderm cells induce the invagination process in the tunicates. Invagination consists of the internal movements of a sheet of cells (the endoderm) based on changes in their shape.
The ventral pons is known as the basilar part, and the dorsal pons is known as the pontine tegmentum. [3] The ventral aspect of the pons faces the clivus, with the pontine cistern intervening between the two structures. The ventral surface of the pons features a midline basilar sulcus along which the basilar artery may or may not