Middle cranial fossa

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Middle cranial fossa
Superior view of the skull base. Middle cranial fossa shown in green.

1: Sphenoidal limbus (anterior margin of the chiasmatic groove)
2: Posterior borders of the

lesser wings of the sphenoid

3: Dorsum sellae of the sphenoid bone

4: Superior borders of the petrous part of the temporal bone
Base of the skull. Upper surface. (Middle cranial fossa is the centermost of the three indentations, in pink and yellow.)
Details
Identifiers
Latinfossa cranii media
MeSHD035301
TA98A02.1.00.049
TA2452
FMA54369
Anatomical terminology

The middle cranial fossa is formed by the

petrous crest
.

It is bounded in front by the posterior margins of the lesser wings of the

anterior clinoid processes, and the ridge forming the anterior margin of the chiasmatic groove; behind, by the superior angles of the petrous portions of the temporal bones and the dorsum sellae; laterally by the temporal squamae, sphenoidal angles of the parietals, and greater wings of the sphenoid
. It is traversed by the squamosal, sphenoparietal, sphenosquamosal, and sphenopetrosal sutures.

Anatomy

Features

Middle cranial fossa surgical anatomy as demonstrated in a right cadaver temporal bone by Dr Jack M Kartush - view from above.

Middle part

The middle part of the fossa presents, in front, the

orbital cavity
.

Behind the optic foramen the anterior clinoid process is directed backward and medialward and gives attachment to the cerebellar tentorium .

Behind the tuberculum sellae is a deep depression, the

fossa hypophyseos, which lodges the pituitary gland, and presents on its anterior wall the middle clinoid processes
.

The sella turcica is bounded posteriorly by a quadrilateral plate of bone, the

abducent nerve
.

On either side of the sella turcica is the carotid groove, which is broad, shallow, and curved somewhat like the italic letter f.

It begins behind at the foramen lacerum, and ends on the medial side of the anterior clinoid process, where it is sometimes converted into a foramen (carotico-clinoid) by the union of the anterior with the middle clinoid process; posteriorly, it is bounded laterally by the lingula.

This groove lodges the

sympathetic nerves
.

Lateral parts

The lateral parts of the middle fossa are of considerable depth, and support the

temporal lobes of the brain
.

They are marked by depressions for the brain convolutions and traversed by furrows for the anterior and posterior branches of the

middle meningeal vessels
.

These furrows begin near the

temporal squama
and passes on to the parietal near the middle of its lower border.

The following apertures are also to be seen.

In front is the

great wing, and medially, by the body of the sphenoid; it is usually completed laterally by the orbital plate of the frontal bone
.

It transmits to the

cavernous plexus of the sympathetic, and the orbital branch of the middle meningeal artery; and from the orbital cavity a recurrent branch from the lacrimal artery to the dura mater, and the ophthalmic veins
.

Behind the medial end of the superior orbital fissure is the foramen rotundum, for the passage of the maxillary nerve.

Behind and lateral to the foramen rotundum is the

lesser superficial petrosal nerve
.

Medial to the foramen ovale is the

foramen Vesalii, which varies in size in different individuals, and is often absent; when present, it opens below at the lateral side of the scaphoid fossa
, and transmits a small vein.

Lateral to the foramen ovale is the foramen spinosum, for the passage of the middle meningeal vessels, and a recurrent branch from the mandibular nerve.

Medial to the foramen ovale is the foramen lacerum; in the fresh state the lower part of this aperture is filled up by a layer of fibrocartilage, while its upper and inner parts transmit the internal carotid artery surrounded by a plexus of sympathetic nerves.

The nerve of the pterygoid canal and a meningeal branch from the ascending pharyngeal artery pierce the layer of fibrocartilage.

On the anterior surface of the petrous portion of the temporal bone are seen the eminence caused by the projection of the

semilunar ganglion
and the orifice of the carotid canal.

Clinical significance

A middle fossa craniotomy is one means to surgically remove acoustic neuromas (vestibular schwannoma) growing within the internal auditory canal of the temporal bone.

See also

References

Public domain This article incorporates text in the public domain from page 190 of the 20th edition of Gray's Anatomy (1918)

  1. OCLC 1201341621.{{cite book}}: CS1 maint: location missing publisher (link
    )
  2. .

Additional images

  • Animation
    Animation
  • Middle cranial fossa at human foetus
    Middle cranial fossa at human foetus
  • Base of skull
  • Middle cranial fossa
    Middle cranial fossa
  • Middle cranial fossa
    Middle cranial fossa
  • Middle cranial fossa
    Middle cranial fossa

External links