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In the
sphenoid bone The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of occipital bone, basilar part of the occipital bone. The sphenoid bone is one of the seven bones ...
, the anterior boundary of the
sella turcica The sella turcica (Latin for 'Turkish saddle') is a saddle-shaped depression in the body of the sphenoid bone of the human skull and of the skulls of other hominids including chimpanzees, gorillas and orangutans. It serves as a cephalome ...
is completed by two small eminences, one on either side, called the
anterior clinoid processes In the sphenoid bone, the posterior border, smooth and rounded, is received into the lateral fissure of the brain; the medial end of this border forms the anterior clinoid process, which gives attachment to the tentorium cerebelli; it is sometimes ...
, while the posterior boundary is formed by a square-shaped plate of bone, the
dorsum sellæ The dorsum sellae is part of the sphenoid bone in the skull. Together with the basilar part of the occipital bone it forms the clivus. In the sphenoid bone, the anterior boundary of the sella turcica is completed by two small eminences, one on ...
, ending at its superior angles in two tubercles, the posterior clinoid processes, the size and form of which vary considerably in different individuals. The posterior clinoid processes deepen the sella turcica, and give attachment to the
tentorium cerebelli The cerebellar tentorium or tentorium cerebelli (Latin for "tent of the cerebellum") is an extension of the dura mater that separates the cerebellum from the inferior portion of the occipital lobes. Structure The cerebellar tentorium is an arche ...
.


The petroclinoid ligament

The petroclinoid ligament is a fold of dura matter. It extends between the posterior clinoid process and
anterior clinoid process In the sphenoid bone, the posterior border, smooth and rounded, is received into the lateral fissure of the brain; the medial end of this border forms the anterior clinoid process, which gives attachment to the tentorium cerebelli; it is sometimes ...
and the petrosal part 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 ...
of the skull. There are two separate bands of the ligament; named the anterior and posterior petroclinoid ligaments respectively. The anterior petroclinoid ligament is considered to be an extension of the tentorium cerebelli and the posterior petroclinoid ligament arises from the posteromedial extensions of the tentorial notch. The anterior and posterior petroclinoid ligaments are bands composed of collagen and elastic fibres that are densely packed in fascicles Their function: The anterior petroclinoid ligament acts to laterally limit the superior wall of the cavernous sinus. The posterior petroclinoid ligament limits the posterior wall of the cavernous sinus. The angle between the two ligaments varies from 20 to 55 degrees. Anatomical Relations and Clinical significance: The posterior petroclinoid ligament is in close proximity to the oculomotor nerve. During head trauma, it acts as a fulcrum following the downward displacement of the brainstem. This can cause injury to the pupillomotor fibres of the oculomotor nerve, consequently leading to internal
ophthalmoplegia Ophthalmoparesis refers to weakness (-paresis) or paralysis (-plegia) of one or more extraocular muscles which are responsible for eye movements. It is a physical finding in certain neurologic, ophthalmologic, and endocrine disease. Internal ...
The petroclinoid ligament attaches across the notch at the petrosphenoid junction. This forms a foramen, and within this lies the abducens nerve. The abducens nerve travels inferiorly to the petroclinoid ligament Ossification The petroclinoid ligament could calcify. An ossified form of the ligament may create a syndrome, and this can be seen on a radiograph. The ossified ligament is a typical anatomical anomaly.


Etymology

Clinoid likely comes from the Greek root ''klinein'' or the Latin ''clinare'', both meaning "sloped" as in "inclined."


References


External links

* * Bones of the head and neck {{musculoskeletal-stub