The parietal foramen anatomy: studies using dry skulls, cadaver and in vivo MRI

Surg Radiol Anat. 2021 Jul;43(7):1159-1168. doi: 10.1007/s00276-020-02650-0. Epub 2021 Jan 5.

Abstract

Objective: The aim of this study was to describe the anatomical features encountered in the parietal foramen in a series of 178 human bones and 123 head MRI examinations. A cadaveric specimen was also dissected to demonstrate the trajectory of a superficial scalp vein through the parietal foramen as far as the dura mater. A literature review was performed regarding prevalence of parietal foramen in different populations.

Methods: Totally, 178 paired adult bones were used to investigate the presence, shape and number of the parietal foramina. In addition, 123 brain MRI examinations were also studied.

Results: The parietal foramina were encountered in 75/89 (84.3%) skulls [32/38 (84.2%) in women vs. 43/51 (84.3%) in men, p > 0.05]. The parietal foramen was present bilaterally in 44.73% of females and 54.9% of males. Regarding unilaterality of the parietal foramen, a right or left laterality was observed in female 21% right versus 18% left; and 16% versus 14% (left) in males (p > 0.05). The accessory parietal foramen was present in the right parietal in 2.6% and in 7.9% on the left side of the females, while 5.9% and 3.9% of the males on the right or left sides, respectively. The parietal foramina located in the proximity of the sagittal suture (male 7.1 ± 2.5 mm vs. female, 7.4 ± 2.7 mm). There was a positive correlation between the right and left parietal foramina regarding the distance from the median line. The distance from a foramen to the contralateral one was 16 ± 4 mm in men and 18 ± 5 mm in women, respectively (p > 0.05).

Conclusion: No major differences were encountered between sexes regarding the anatomical features of parietal foramen.

Keywords: Human skull; Morphology; Parietal foramen; Sex difference.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anatomic Variation*
  • Cadaver
  • Dissection
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Parietal Bone / blood supply*
  • Parietal Bone / diagnostic imaging
  • Prevalence
  • Scalp / blood supply*
  • Scalp / diagnostic imaging
  • Veins / anatomy & histology*
  • Young Adult