Medicine:Asterion (anatomy)

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Asterion
Asterion.PNG
Side view of head, showing surface relations of bones. (Asterion visible at center right.)
Details
Part ofskull
Systemskeletal
Identifiers
LatinAsterion
Anatomical terminology

The asterion is a meeting point between three sutures between bones of the skull. It is an important surgical landmark.

Structure

In human anatomy, the asterion is a visible (craniometric) point on the exposed skull. It is just posterior to the ear. It is the point where three cranial sutures meet:

It is also the point where three cranial bones meet:

In the adult, it lies 4 cm behind and 12 mm above the center of the entrance to the ear canal.[citation needed] Its relation to other anatomical structures is fairly variable.[2]

Clinical significance

Neurosurgeons may use the asterion to orient themselves, in order to plan safe entry into the skull for some operations, such as when using a retro-sigmoid approach. The asterion marks the junction of the transverse and the sigmoid sinuses[1][3]

Etymology

The asterion receives its name from the Greek ἀστέριον (astērion), meaning "star" or "starry".

The Mercedes point is an alternative term for the asterion, for its resemblance to the Mercedes-Benz logo.

References

  1. 1.0 1.1 1.2 1.3 Ucerler, Hulya; Govsa, Figen (2006-10-01). "Asterion as a surgical landmark for lateral cranial base approaches" (in en). Journal of Cranio-Maxillofacial Surgery 34 (7): 415–420. doi:10.1016/j.jcms.2006.05.003. ISSN 1010-5182. PMID 16963269. https://www.sciencedirect.com/science/article/abs/pii/S1010518206000825. 
  2. Avci, Emel; Kocaogullar, Yalcin; Fossett, Damirez; Caputy, Anthony (2003-05-01). "Lateral posterior fossa venous sinus relationships to surface landmarks" (in en). Surgical Neurology 59 (5): 392–397. doi:10.1016/S0090-3019(03)00037-5. ISSN 0090-3019. PMID 12765815. https://www.sciencedirect.com/science/article/abs/pii/S0090301903000375. 
  3. "The Surface and Intracranial Location of Asterion". J Craniofac Surg 30 (8): e753–e755. 2019. doi:10.1097/SCS.0000000000005757. PMID 31689738.