Osteological description of the braincase of Rhabdodon (Dinosauria, Euornithopoda) and phylogenetic implications

2006 ◽  
Vol 177 (2) ◽  
pp. 97-104 ◽  
Author(s):  
Marie Pincemaille-Quillevere ◽  
Eric Buffetaut ◽  
Frédéric Quillevere

Abstract Since the 19th century, the Campanian and Maastrichtian continental deposits of southern France have yielded numerous dinosaur remains [Le Loeuff, 1991; 1998; Buffetaut et al., 1997; Laurent et al., 1991; Allain and Suberbiola, 2003]. The ornithopod remains that have not been referred to the hadrosaurids have been systematically attributed to Rhabdodon [Buffetaut and Le Loeuff, 1991; Buffetaut et al., 1996; Garcia et al., 1999; Pincemaille-Quillévéré, 2002]. This genus, initially named by Matheron [1869] after its discovery in the lower Maastrichtian of La Nerthe (Bouches-du-Rhône), belongs to the Euornithopoda [sensu Sereno, 1999]. Rhabdodon represents the most common element of the dinosaur assemblages from the late Cretaceous of southern France [e.g. Allain and Suberbiola, 2003]. Nevertheless, since the localities have only provided some fragmentary material [Pincemaille-Quillévéré, 2002], the global morphology of this dinosaur and its phylogenetic placement within the euornithopods are still debated. The cranial morphology of Rhabdodon is particularly poorly understood due to the rarity of cranial remains preserved in the localities of southern France [Matheron, 1869; Garcia et al., 1999; Buffetaut et al., 1999; Pincemaille-Quillévéré, 2002]. Buffetaut et al. [1999] first mentioned the discovery of a braincase (M4) referred to Rhabdodon, at Massecaps, a locality close to the village of Cruzy (Hérault, France). More recently, a new braincase (MN25) has been discovered at Montplô Nord, another locality close to Cruzy (specimens M4 and MN25 are conserved in the Museum of Cruzy). Both these localities have revealed a diverse and abundant vertebrate fauna suggesting a late Campanian to early Maastrichtian age [Buffetaut et al., 1999]. These braincases are described here in an attempt to detect potential autapomorphic characters in Rhabdodon, and compared to a more complete braincase of Tenontosaurus, an euornithopod from the Lower Cretaceous of North America, considered as the sister group of Rhabdodon [Weishampel et al., 1998; 2003; Garcia et al., 1999; Pincemaille-Quillévéré, 2002], in order to determine the potential differences and synapomorphies between the occiputs of the two genera. Finally, the braincases from Cruzy are compared to those of the other euornithopods described in the literature. Specimen M4 (figs. 1–4) is incomplete but exceptionally well preserved. This braincase belongs to a juvenile individual, as shown by the numerous visible suture lines between the different cranial elements. Specimen MN25 (fig. 5) is badly deformed and attributable to an adult individual. Until now, all the ornithopods from the Upper Cretaceous of southern France have been referred either to hadrosaurs or to Rhabdodon. The Hadrosauridae show a low nuchal crest and their exoccipitals meet and form a bar on the dorsal border of the foramen magnum, excluding the supraoccipital from this border. Specimens M4 and MN25 do not present any nuchal crest and the supraoccipital participates in the dorsal border of the foramen magnum. Both braincases M4 and MN25 are therefore attributable to Rhabdodon. Specimens M4 and MN25 have been compared to the occiput of a juvenile Tenontosaurus tilletti (fig. 6 : MCZ 4205, conserved in the Museum of Comparative Zoology, Harvard University). This reveals that Tenontosaurus and Rhabdodon share numerous characters : (1) the exoccipitals form the lateral borders of the foramen magnum, its ventral border being occupied by the basioccipital; (2) the occipital condyle is partly constituted by the exoccipitals, and in the same proportions; (3) the supraoccipital is rostrally oriented; (4) the suture line located between the prootic and the laterosphenoid shows the same outline; (5) the cresta prootica starts within the paroccipital process and extends onto the opisthotic; (6) the cresta prootica is transversal and non-horizontal; (7) the distribution of the cranial nerves is homologuous along the lateral surface of the braincase. Nevertheless, the braincase of Tenontosaurus differs from that of Rhabdodon in several significant respects : (1) the exoccipitals are dorsally connected, excluding the supraoccipital from the dorsal border of the foramen magnum; (2) two small dorsal humps are present at the level of the suture of the exoccipitals; (3) the supraoccipital is excluded from the dorsal border of the foramen magnum, which gives it a triangular shape; (4) the paroccipital processes are short, laterally flattened, and wing-shaped, and are more mediodorsally oriented than in Rhabdodon; (5) the cresta prootica follows a concave line and ends up on the prootic, at the level of the opening of the trigeminal nerve; (6) the external curve of the laterosphenoids is stronger; (7) the suture between the basioccipital and the opisthotic is very clear. The first of these unshared characters suggests that Rhabdodon belongs to Norman’s [1984] ‘hypsilophodontoid’ clade and Tenontosaurus to the more evolved ‘iguanodontoid’ clade. The fusion of the exoccipitals on the dorsal border of the foramen magnum, together with other cranial adaptations, may have reduced the stress caused by a more elaborate mastication. Rhabdodon appears to have had a more primitive type of mastication. The strip formed by the reunion of the exoccipitals is less expanded dorsoventrally in Tenontosaurus tilletti than in the ‘iguanodontoid’ and ‘hadrosauroid’ clades. Tenontosaurus may therefore represent an intermediate group between the ‘hypsilophodontoid’ and ‘iguanodontoid’ clades.

2019 ◽  
Vol 80 (S 04) ◽  
pp. S355-S357
Author(s):  
Robert T. Wicks ◽  
Xiaochun Zhao ◽  
Celene B. Mulholland ◽  
Peter Nakaji

Abstract Objective Foramen magnum meningiomas present a formidable challenge to resection due to frequent involvement of the lower cranial nerves and vertebrobasilar circulation. The video shows the use of a far lateral craniotomy to resect a foramen magnum meningioma. Design, Setting, and Participant A 49-year-old woman presented with neck pain and was found to have a large foramen magnum meningioma (Fig. 1A, B). Drilling of the posterior occipital condyle was required to gain access to the lateral aspect of the brain stem. The amount of occipital condyle resection varies by patient and pathology. Outcome/Result Maximal total resection of the tumor was achieved (Fig. 1B, C), and the patient was discharged on postoperative day 4 with no neurologic deficits. The technique for tumor microdissection (Fig. 2) is shown in the video. Conclusion Given the close proximity of foramen magnum meningiomas to vital structures at the craniocervical junction, surgical resection with careful microdissection and preservation of the overlying dura to prevent postoperative pseudomeningocele is necessary to successfully manage this pathology in those patients who are surgical candidates.The link to the video can be found at: https://youtu.be/Mds9N1x2zE0.


Neurosurgery ◽  
2009 ◽  
Vol 64 (5) ◽  
pp. 945-954 ◽  
Author(s):  
Arnold H. Menezes ◽  
Kathleen A. Fenoy

Abstract OBJECTIVE Developmental remnants around the foramen magnum, or proatlas segmentation abnormalities, have been recorded in postmortem studies but very rarely in a clinical setting. Because of their rarity, the pathological anatomy has been misunderstood, and treatment has been fraught with failures. The objectives of this prospective study were to understand the correlative anatomy, pathology, and embryology and to recognize the clinical presentation and gain insights on the treatment and management. METHODS Our craniovertebral junction (CVJ) database started in 1977 and comprises 5200 cases. This prospective study has retrieval capabilities. Neurodiagnostic studies changed with the evolution of imaging. Seventy-two patients were recognized as having symptomatic proatlas segmentation abnormalities. RESULTS Ventral bony masses from the clivus or medial occipital condyle occurred in 66% (44/72), lateral or anterolateral compressive masses in 37% (27 of 72 patients), and dorsal bony compression in 17% (12 of 72 patients). Hindbrain herniation was associated in 33%. The age at presentation was 3 to 23 years. Motor symptoms occurred in 72% (52 of 72 patients); palsies in Cranial Nerves IX, X, and XII in 33% (24 of 72 patients); and vertebrobasilar symptoms in 25% (18 of 72 patients). Trauma precipitated symptoms in 55% (40 of 72 patients). The best definition of the abnormality was demonstrated by 3-dimensional computed tomography combined with magnetic resonance imaging. Treatment was aimed at decompression of the pathology and stabilization. CONCLUSION Remnants of the occipital vertebrae around the foramen magnum were recognized in 72 of 5200 CVJ cases (7.2%). Magnetic resonance imaging with 3-dimensional computed tomography of the CVJ provides the best definition and understanding of the lesions. Brainstem myelopathy and lower cranial nerve deficits are common clinical presentations in the first and second decades of life. Treatment is aimed at decompression of the pathology and CVJ stabilization.


2018 ◽  
Vol 16 (3) ◽  
pp. E81-E81
Author(s):  
Ken Matsushima ◽  
Michihiro Kohno ◽  
Hitoshi Izawa ◽  
Yujiro Tanaka

Abstract The anterior foramen magnum area, ventral to the brainstem is one of the most difficult regions to access surgically, and the extent of osseous drilling through the far-lateral or transcondylar approach should be planned in each case based on the tumor extension.1,2 This video, reproduced after informed consent of the patient, demonstrates a case of a ventral foramen magnum neurenteric cyst surgically treated using the partial transcondylar approach. A 27-yr-old woman presented with gait disturbance, oscillopsia, and transient arm numbness. Neuroimaging revealed a ventral foramen magnum cystic tumor involving the basilar and bilateral vertebral arteries. The tumor extended inferiorly from the middle clivus to the C1 level, and occupied the whole premedullary cistern compressing the bilateral lower cranial nerves. The left partial transcondylar approach was performed with drilling the condylar fossa, superior part of the occipital condyle, C1 posterior arch, and posterior part of the jugular process to achieve the sufficient surgical view from the inferolateral side. The drilling of the occipital condyle was minimized so that the articular facet of the occipital condyle was preserved. The tumor on the bilateral side was completely removed as enabled by the sufficient surgical field without new neurological deficits. Three-dimensional reconstructed images based on the postoperative computed tomography scans demonstrated the appropriate extent of the osseous drilling.


2010 ◽  
Vol 66 (suppl_2) ◽  
pp. ons211-ons220 ◽  
Author(s):  
Victor A. Morera ◽  
Juan C. Fernandez-Miranda ◽  
Daniel M. Prevedello ◽  
Ricky Madhok ◽  
Juan Barges-Coll ◽  
...  

Abstract OBJECTIVE The endoscopic endonasal transclival approach is a valid alternative for treatment of lesions in the clivus. The major limitation of this approach is a significant lateral extension of the tumor. We aim to identify a safe corridor through the occipital condyle to provide more lateral exposure of the foramen magnum. METHODS Sixteen parameters were measured in 25 adult skulls to analyze the exact extension of a safe corridor through the condyle. Endonasal endoscopic anatomic dissections were carried out in nine colored latex–injected heads. RESULTS Drilling at the lateral inferior clival area exposed two compartments divided by the hypoglossal canal: the jugular tubercle (superior) and the condylar (inferior). Completion of a unilateral ventromedial condyle resection opens a 3.5 mm (transverse length) * 10 mm (vertical length) lateral surgical corridor, facilitating direct access to the vertebral artery at its dural entry point into the posterior fossa. The supracondylar groove is a reliable landmark for locating the hypoglossal canal in relation to the condyle. The hypoglossal canal is used as the posterior limit of the condyle removal to preserve more than half of the condylar mass. The transjugular tubercle approach is accomplished by drilling above the hypoglossal canal, and increases the vertical length of the lateral surgical corridor by 8 mm, allowing for visualization of the distal cisternal segment of the lower cranial nerves. CONCLUSION The transcondylar and transjugular tubercle “far medial” expansions of the endoscopic endonasal approach to the inferior third of the clivus provide a unique surgical corridor to the ventrolateral surface of the ponto- and cervicomedullary junctions.


2019 ◽  
Vol 80 (S 04) ◽  
pp. S363-S364
Author(s):  
Ciro Vasquez ◽  
Alexander Yang ◽  
A. Samy Youssef

We present a case of a foramen magnum meningioma in a 42-year-old female who presented with headaches for 2 years, associated with decreased sensation and overall feeling of “heaviness” of the right arm. The tumor posed significant mass effect on the brainstem, and given the location of the tumor in the anterolateral region of the foramen magnum, a right far lateral approach was chosen. The approach incorporates the interfascial dissection technique to safely expose and preserve the vertebral artery in the suboccipital triangle. After drilling the posteromedial portion of the occipital condyle and opening the dura, the tumor can be entirely exposed with minimal retraction on the cerebellum. The working space offered by the far lateral approach allows careful dissection at the lateral craniocervical junction, and preservation of the V4 segment of the vertebral artery and the lower cranial nerves. Simpson's grade-2 resection was achieved with coagulation of the dural base around the vertebral artery. The postoperative course was unremarkable for any neurological deficits. At the 2-year follow-up, imaging identified no recurrence of tumor and the patient remains asymptomatic.The link to the video can be found at: https://youtu.be/IMN1O7vO5B0.


Author(s):  
Vinayak Narayan ◽  
Fareed Jumah ◽  
Anil Nanda

Abstract Objectives Safe maximal resection is the basic principle of cranial base surgery and the grade of resection is an important factor influencing the prognostic outcome. This operative video highlights the surgical principles and technical nuances in the microsurgical resection of foramen magnum meningioma (FMM). Case Description The surgery was performed in a 45-year-old lady who presented with hoarseness of voice and spastic quadriparesis (grade 4/5). On imaging, FMM with mass effect on brainstem and spinal cord was identified. The tumor was gross totally resected through modified far lateral approach with minimal occipital condyle drilling. This video demonstrates the surgical techniques of tumor resection including early devascularization, operating in the arachnoid plane to dissect the neurovascular structures, piecemeal decompression, sharp dissection to separate tumor from lower cranial nerves (LCN), identifying the brainstem veins, and resecting the lesion from tumor–brainstem interface. Postoperatively, she had significant neurological improvement and the magnetic resonance imaging revealed excellent radiological outcome (Figs. 1 and 2). Conclusion The surgery of FMM is challenging due to the deep surgical corridor, critical location, close proximity with various neurovascular structures, firm consistency, and high vascularity of the tumor. The modified far lateral approach by preserving the occipital condyle may prevent the postoperative incidence of craniovertebral junction instability. The key operative principles to achieve the best surgical outcome include careful dissection along the arachnoid plane, gentle handling of cranial nerves, veins, and perforator vessels, avoidance of traction on brainstem and spinal cord, intraoperative neurophysiological monitoring, proper hemostasis, and meticulous dural closure.The link to the video can be found at: https://youtu.be/1qvAeUmNIUw.


2014 ◽  
Vol 11 (1) ◽  
pp. 135-146 ◽  
Author(s):  
Ken Matsushima ◽  
Takeshi Funaki ◽  
Noritaka Komune ◽  
Hiro Kiyosue ◽  
Masatou Kawashima ◽  
...  

Abstract BACKGROUND Although the lateral condylar vein has been encountered in some skull base approaches and used as a route to access the anterior condylar venous confluence, few descriptions can be found in the literature regarding its morphology. OBJECTIVE To examine the anatomy of the lateral condylar vein and its clinical significance. METHODS The craniocervical junctions of 3 cadaveric heads, 15 dry bones, and 25 computed tomography venography images were examined. RESULTS The lateral condylar vein was identified in 88.0% of paracondylar areas, with an average diameter of 3.6 mm. This vein originated near the jugular bulb, descended along the lateral surface of the occipital condyle and medial to the internal jugular vein, cranial nerves IX to XI, and rectus capitis lateralis muscle to drain into the vertebral venous plexus surrounding the vertebral artery. The veins were classified according to their origin from either (1) the anterior condylar confluence or (2) the internal jugular vein. In some specimens, the lateral condylar vein courses within a small osseous canal lateral to the occipital condyle, the paracondylar canal, which was identified in 16.7% of paracondylar areas in the dry bones. CONCLUSION The lateral condylar vein may be encountered in exposing the jugular bulb, hypoglossal canal, or foramen magnum. This vein has been reported to be a main draining route of dural arteriovenous fistulas, in which case it can be utilized as a transvenous route for endovascular treatment, or obliterated. An understanding of the anatomy of this vein may prove useful in planning skull base and endovascular procedures.


2021 ◽  
Author(s):  
Cristina Toledo-Gotor ◽  
Nerea Gorría ◽  
Miren Oscoz ◽  
Katia Llano ◽  
Pablo la Fuente Rodríguez-de ◽  
...  

Abstract Background Multiple lower cranial nerve palsies have been attributed to occipital condyle fractures in older children and adults, but no clinical details of other possible mechanisms have been described in infants. Case Report A 33-month-old boy suffered blunt head trauma. A bilateral skull base fracture was diagnosed, with favorable outcome during the first days after trauma. On the sixth day, the patient began to refuse drinking and developed hoarseness. Physical examination and additional investigations revealed paralysis of left VII, IX, X, and XI cranial nerves. A follow-up computed tomography (CT) scan disclosed a left petrous bone fracture involving the lateral margin of the jugular foramen, and a cranial magnetic resonance imaging (MRI) study showed a left cerebellar tonsil contusion. He improved after methylprednisolone was started. Three months later, he was asymptomatic, although mild weakness and atrophy of the left sternocleidomastoid and trapezius muscles remained 1 year later. Discussion A posttraumatic “jugular foramen syndrome” is rare in children, but it has been reported shortly after occipital condyle fracture, affecting mainly IX, X, and XI cranial nerves. In this toddler, delayed symptoms appeared with unilateral involvement. While an occipital fracture was ruled out, neuroimaging findings suggest the hypothesis of a focal contusion as a consequence of a coup-contrecoup injury. Conclusion This exceptional case highlights the importance of gathering physical examination, anatomical correlation, and neuroimaging to yield a diagnosis.


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