Anat Cell Biol.  2019 Sep;52(3):337-339. 10.5115/acb.19.017.

Partial duplication of tentorium cerebelli and complete duplication of falx cerebelli

Affiliations
  • 1Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, India. ds.surekha@gmail.com

Abstract

Variations of the dural folds and the dural venous sinuses are infrequently reported in the existing medical literature. Such variations in the posterior cranial fossa may pose difficulties in various analytical and surgical procedures of this region. We present a rare concurrent variation of the falx cerebelli and tentorium cerebelli that was detected during routine dissection of an adult male cadaver. While removing the brain, a partial duplication of tentorium cerebelli was observed below the left half of the tentorium cerebelli and above the left cerebellar hemisphere. This fold did not have any dural venous sinus in it. Further, a complete duplication of falx cerebelli with a single occipital venous sinus within its attached border was also observed. We present the review of literature and discuss the comparative anatomy of this case.

Keyword

Dura; Falx cerebelli; Tentorium cerebelli; Meninges; Variation

MeSH Terms

Adult
Anatomy, Comparative
Brain
Cadaver
Cranial Fossa, Posterior
Dura Mater*
Humans
Male
Meninges
Spinal Cord*

Figure

  • Fig. 1 Cranial cavity showing complete duplication of falx cerebelli and partial duplication of tentorium cerebelli. ACF, anterior cranial fossa; ATC, accessory tentorium cerebelli; FC, falx cerebri; FC1 and FC2, duplicated falx cerbelli; FM, foramen magnum; MCF, middle cranial fossa; PT, petrous temporal; TC, tentorium cerebelli (reflected backwards).

  • Fig. 2 Closer view of posterior cranial fossa showing complete duplication of falx cerebelli and partial duplication of tentorium cerebelli. ATC, accessory tentorium cerebelli; FC1 and FC2, duplicated falx cerbelli; PT, petrous temporal; TC, tentorium cerebelli (reflected backwards).


Cited by  1 articles

The terminal ventricle of Saguinus leucopus (Primate)
Jorge Eduardo Duque Parra, Miguel Alejandro Aguirre García, Juan Fernando Vélez García
Anat Cell Biol. 2020;53(4):502-504.    doi: 10.5115/acb.20.062.


Reference

1. Snell RS. Clinical neuroanatomy. Baltimore, MD: Lippincott Williams & Wilkins;2010. p. 428–431.
2. Klintworth GK. The comparative anatomy and phylogeny of the tentorium cerebelli. Anat Rec. 1968; 160:635–642.
Article
3. Greenberg RW, Lane EL, Cinnamon J, Farmer P, Hyman RA. The cranial meninges: anatomic considerations. Semin Ultrasound CT MR. 1994; 15:454–465.
Article
4. Hassler W, Schlenker M. Double falx cerebelli. Case report. Acta Neurochir (Wien). 1982; 62:265–269.
5. Pang D, Dias MS, Ahab-Barmada M. Split cord malformation: Part I: a unified theory of embryogenesis for double spinal cord malformations. Neurosurgery. 1992; 31:451–480.
6. Jeffery N. Differential regional brain growth and rotation of the prenatal human tentorium cerebelli. J Anat. 2002; 200(Pt 2):135–144.
Article
7. D'Costa S, Krishnamurthy A, Nayak SR, Madhyasta S, Prabhu LV, J JP, Ranade AV, Pai MM, Vadgaonkar R, Ganesh Kumar C, Rai R. Duplication of falx cerebelli, occipital sinus, and internal occipital crest. Rom J Morphol Embryol. 2009; 50:107–110.
8. Hasan M, Das AC. A npte on the falx cerebelli. Acta Anat (Basel). 1969; 74:624–628.
9. Shoja MM, Tubbs RS, Khaki AA, Shokouhi G. A rare variation of the posterior cranial fossa: duplicated falx cerebelli, occipital venous sinus, and internal occipital crest. Folia Morphol (Warsz). 2006; 65:171–173.
10. Satheesha Nayak B, Srinivasa Rao S, Deepthinath R, Kumar N. Triple falx cerebelli associated with two aberrant venous sinuses in the floor of posterior cranial fossa. Australas Med J. 2013; 6:397–400.
11. Tubbs RS, Dockery SE, Salter G, Elton S, Blount JP, Grabb PA, Oakes WJ. Absence of the falx cerebelli in a Chiari II malformation. Clin Anat. 2002; 15:193–195.
Article
12. Shoja MM, Tubbs RS, Loukas M, Shokouhi G, Oakes WJ. A complex dural-venous variation in the posterior cranial fossa: a triplicate falx cerebelli and an aberrant venous sinus. Folia Morphol (Warsz). 2007; 66:148–151.
13. Nayak SB, Shetty SD, Kumar N, Sirasanagandla SR. Double falx cerebelli, single occipital sinus and an unusually large meningeal artery in the posterior cranial fossa: a case report. OA Case Rep. 2013; 2:30.
Article
14. Lang J. Clinical anatomy of the posterior cranial fossa and its foramina. New York: Thieme Medical Publishers;1991. p. 6.
15. Hollinshead WH. Anatomy for surgeons: the head and neck. 3rd ed. Philadelphia, PA: JB Lippincott;1982. p. 269–274.
Full Text Links
  • ACB
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr