A calvarial osteolytic lesion of probable vascular origin in a Maya juvenile from the Classic Period ( 250−900 CE)

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2024-06-11 DOI:10.1016/j.ijpp.2024.05.004
Michele M. Bleuze , Ellen Fricano , Jessica M. Farrell , James E. Brady
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Abstract

Objective

This case study evaluates a focal osteolytic lesion in the right sulcus sinus transversi of an isolated os occipitale.

Materials

The os occipitale is from a juvenile from the Cueva de Sangre at the Classic Period (250−900 CE) site of Dos Pilas, Guatemala

Methods

The lesion was examined macroscopically, microscopically, and radiographically.

Results

The oval lesion has a well-circumscribed margin, endocranial origin, and involves cortical destruction of the inner and outer tables. Subperiosteal bone reaction around the lesion is present on the ectocranial surface. Skeletal evidence of increased vascularity, diploë expansion, and perimortem fracture near the lesion are not observed.

Conclusions

The lesion appears to reflect a response to the presence of an expansile process that has caused pressure erosion. The anatomical location of the lesion and the endocranial origin suggest a probable vascular anomaly, such as a vascular malformation.

Significance

This case study represents one of the few bioarchaeological evaluations of probable vascular anomaly in a juvenile. As such, it expands our knowledge about vascular anomalies in the past and provides a comparative and core reference for guiding future paleopathological investigations on cranial osteolytic lesions.

Limitations

The skeletal assemblage is commingled and fragmentary preventing the assessment of the distribution of lesions across the skeleton.

Suggestions for future research

Further scrutiny of bioarchaeological collections is needed to better understand the distribution of vascular anomalies in the past.

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古典时期(公元 250-900 年)一名玛雅少年的腓骨溶骨性病变可能是血管引起的
材料该枕骨来自危地马拉多斯皮拉斯古典时期(公元 250-900 年)遗址的桑格雷洞穴。方法对该病变进行了宏观、显微和放射学检查。结果椭圆形病变的边缘呈环形,起源于颅内,涉及内、外台的皮质破坏。病变周围的骨膜下骨反应出现在颅外表面。病变附近没有观察到血管增多、二叶扩张和死前骨折的骨骼证据。病变的解剖位置和颅内起源表明可能存在血管异常,如血管畸形。因此,它扩展了我们对过去血管畸形的认识,并为指导今后对颅骨溶骨性病变的古病理学调查提供了比较和核心参考。
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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
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