Jugular Foramen
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A jugular foramen is one of the two (left and right) large
foramina In anatomy and osteology, a foramen (;Entry "foramen"
in
(openings) in the
base of the skull The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria. Structure Structures found at the base of the skull are for ...
, located behind the
carotid canal The carotid canal is a passageway in the temporal bone of the skull through which the internal carotid artery enters the middle cranial fossa from the neck. Structure The carotid canal is located within the middle cranial fossa, at the petrou ...
. It is formed by the
temporal bone The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples, and house the structures of the ears. Th ...
and the
occipital bone The occipital bone () is a neurocranium, cranial dermal bone and the main bone of the occiput (back and lower part of the skull). It is trapezoidal in shape and curved on itself like a shallow dish. The occipital bone overlies the occipital lobe ...
. It allows many structures to pass, including the
inferior petrosal sinus The inferior petrosal sinuses are two small sinuses situated on the inferior border of the petrous part of the temporal bone, one on each side. Each inferior petrosal sinus drains the cavernous sinus into the internal jugular vein. Structure The ...
, three
cranial nerves Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and f ...
, the
sigmoid sinus The sigmoid sinuses (sigma- or s-shaped hollow curve), also known as the , are venous sinuses within the skull that receive blood from posterior dural venous sinus veins. Structure The sigmoid sinus is a dural venous sinus situated within the du ...
, and meningeal arteries.


Structure

The jugular foramen is formed in front by the petrous portion of the
temporal bone The temporal bones are situated at the sides and base of the skull, and lateral to the temporal lobes of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples, and house the structures of the ears. Th ...
, and behind by the
occipital bone The occipital bone () is a neurocranium, cranial dermal bone and the main bone of the occiput (back and lower part of the skull). It is trapezoidal in shape and curved on itself like a shallow dish. The occipital bone overlies the occipital lobe ...
. It is generally slightly larger on the right side than on the left side.


Contents

The jugular foramen may be subdivided into three compartments, each with their own contents. * The ''anterior'' compartment transmits the
inferior petrosal sinus The inferior petrosal sinuses are two small sinuses situated on the inferior border of the petrous part of the temporal bone, one on each side. Each inferior petrosal sinus drains the cavernous sinus into the internal jugular vein. Structure The ...
. * The ''intermediate'' compartment transmits the
glossopharyngeal nerve The glossopharyngeal nerve (), also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper Medulla oblongata, medulla, just anterior (closer to the nose) to t ...
, the
vagus nerve The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and right ...
, and the
accessory nerve The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerv ...
. * The ''posterior'' compartment transmits the
sigmoid sinus The sigmoid sinuses (sigma- or s-shaped hollow curve), also known as the , are venous sinuses within the skull that receive blood from posterior dural venous sinus veins. Structure The sigmoid sinus is a dural venous sinus situated within the du ...
(becoming the
internal jugular vein The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the posteri ...
), and some meningeal branches from the
occipital artery The occipital artery arises from the external carotid artery opposite the facial artery. Its path is below the posterior belly of digastric to the occipital region. This artery supplies blood to the back of the scalp and sternocleidomastoid muscles ...
and
ascending pharyngeal artery The ascending pharyngeal artery is an artery in the neck that supplies the pharynx, developing from the proximal part of the embryonic second aortic arch. It is the smallest branch of the external carotid and is a long, slender vessel, deeply sea ...
. An alternative imaging based subclassification exists, delineated by the
jugular spine The jugular veins are veins that take deoxygenated blood from the head back to the heart via the superior vena cava. The internal jugular vein descends next to the internal carotid artery and continues posteriorly to the sternocleidomastoid mus ...
which is a bony ridge partially separating the jugular foramen into two parts: * The smaller, anteromedial, "pars nervosa" compartment contains
CN IX The glossopharyngeal nerve (), also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior (closer to the nose) to the vagus nerve. Be ...
, (
tympanic nerve The tympanic nerve (Jacobson’s nerve) is a branch of the glossopharyngeal nerve found near the ear. It gives sensation to the middle ear, the Eustachian tube, the parotid gland, and Mastoid cells, mastoid air cells. It gives parasympathetic to ...
, a branch of
CN IX The glossopharyngeal nerve (), also known as the ninth cranial nerve, cranial nerve IX, or simply CN IX, is a cranial nerve that exits the brainstem from the sides of the upper medulla, just anterior (closer to the nose) to the vagus nerve. Be ...
), and receives the venous return from
inferior petrosal sinus The inferior petrosal sinuses are two small sinuses situated on the inferior border of the petrous part of the temporal bone, one on each side. Each inferior petrosal sinus drains the cavernous sinus into the internal jugular vein. Structure The ...
. * The larger, posterolateral, "pars vascularis" compartment contains
CN X The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and right v ...
,
CN XI The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerves ...
,
Arnold's nerve The auricular branch of the vagus nerve is often termed the Alderman's nerve or Arnold's nerve. The latter name is an eponym for Friedrich Arnold. The auricular branch of the vagus nerve supplies sensory innervation to the skin of the ear canal, t ...
(or the auricular branch of
CN X The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and right v ...
involved in the Arnold's reflex, where external auditory meatus stimulation causes cough), jugular bulb, and posterior meningeal branch of
ascending pharyngeal artery The ascending pharyngeal artery is an artery in the neck that supplies the pharynx, developing from the proximal part of the embryonic second aortic arch. It is the smallest branch of the external carotid and is a long, slender vessel, deeply sea ...
.


Clinical significance

Obstruction of the jugular foramen can result in
jugular foramen syndrome Jugular foramen syndrome, or Vernet's syndrome, is characterized by paresis of the glossopharyngeal, vagal, and accessory (with or without the hypoglossal) nerves. Symptoms Symptoms of this syndrome are consequences of this paresis. As such, ...
.


Additional images

File:Base of skull 18.jpg, Jugular foramen Image:Gray193.png, Base of the skull. Upper surface. Image:Skull_foramina_labeled.svg


See also

*
Occipitomastoid suture The occipitomastoid suture or occipitotemporal suture is the cranial suture between the occipital bone and the mastoid portion of the temporal bone. It is continuous with the lambdoidal suture. See also * Jugular foramen Additional images Fi ...


References


External links

* * * (, ) *
UCSD
{{Authority control Foramina of the skull