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Looped inferior gluteal nerve – a novel variation 环状臀下神经-一种新的变异
Q3 Medicine Pub Date : 2025-08-30 DOI: 10.1016/j.morpho.2025.101073
S. Nayak, S. Rao, K.G. Mohandas Rao, S.D. Shetty, S. Marpalli, S.B. Nayak
Variations of inferior gluteal nerve are very rare. Knowledge of its variations is of importance in plastic surgery and orthopedic surgery procedures of hip. We report a unique variation of inferior gluteal nerve. During the dissection of left gluteal region of a male cadaver aged approximately 70 years, we observed inferior gluteal nerve with two roots. The superior root pierced the piriformis muscle, and the inferior root emerged out through the greater sciatic foramen, below the piriformis. The two roots joined to form a loop superficial to the piriformis muscle. The loop gave four branches. Two among these branches supplied the gluteus maximus muscle, third one joined the tibial nerve and the fourth one divided into two branches which communicated with the common fibular nerve and the posterior cutaneous nerve of the thigh. In a case like this, the entrapment of the superior root in piriformis may lead to weakness of gluteus maximus muscle.
臀下神经的变异是非常罕见的。了解其变化在髋关节整形外科和矫形外科手术过程中是重要的。我们报告一个独特的变异臀下神经。在对一具70岁左右男性尸体左臀区进行解剖时,我们观察到具有双根的臀下神经。上根穿过梨状肌,下根穿过梨状肌下方的坐骨大孔。这两个根在梨状肌表面连接形成一个环。这个循环有四个分支。其中两个分支支配臀大肌,第三个分支与胫神经相连,第四个分支分成两个分支与腓骨总神经和大腿后皮神经相连。在这种情况下,梨状肌上根的压迫可能导致臀大肌无力。
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引用次数: 0
Effect of experimentally induced sepsis on the kidney and renal artery of adult male albino rats and the role of Boswellia serrata extract 实验性脓毒症对成年雄性白化大鼠肾脏和肾动脉的影响及锯齿乳香提取物的作用
Q3 Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.morpho.2025.101065
M.A. Al-Gholam , N.M. Issa , A.S.A. Alafify

Background

Sepsis can be cured with effective antibiotics against susceptible organisms if treatment is provided early and promptly. As a result of antibiotic resistance and chemotherapeutic agents’ side effects, the use of these medications is restricted. Thus, the search for novel therapeutic targets and studies on the pathogenesis of sepsis has increased. In this study, we aimed to examine the treatment effects of Boswellia serrata extract (BSE) pre- or pre and post-treatment after sepsis induction.

Material and methods

adult male albino rats were assigned into 5 groups: control, BSE, septic, septic pre-treated, or septic pre and post-treated by BSE. Sepsis induction was performed by modified cecal slurry and 500 mg/kg/oral of BSE was administered.

Results

It was found that the elevated serum urea and creatinine in the septic group were ameliorated by pre- or pre and post-treatment with BSE. Parallel histopathological examinations revealed that BSE ameliorated the pathological changes of the kidney and renal artery including shrinkage of capillary tufts, widening of Bowman's space, focal tubular dilatation and appearance of casts inside the tubules, desquamation of endothelium, thickening of tunica media decreasing the diameter of the lumen of the renal artery compared to the septic group. Periodic acid Schiff staining increased while collagen fibers decreased in BSE-treated groups (P < 0.001). Additionally, Cluster of Differentiation 15 (CD15) and the paired box (PAX) expression were downregulated (P < 0.001) and E-cadherin expression was improved in the BSE-treated groups (P < 0.001).

Conclusion

These data indicate that BSE minimizes the lesions of sepsis-induced kidney injury and could be useful in improving the pathological alterations of parenchymal organs associated with sepsis.
如果及早和及时提供治疗,对易感生物有效的抗生素可以治愈败血症。由于抗生素耐药性和化疗药物的副作用,这些药物的使用受到限制。因此,寻找新的治疗靶点和对脓毒症发病机制的研究已经增加。在本研究中,我们旨在研究Boswellia serrata extract (BSE)在脓毒症诱导前后的治疗效果。材料与方法将成年雄性白化大鼠分为5组:对照组、BSE组、脓毒症组、脓毒症预处理组、脓毒症前后处理组。改良盲肠浆液诱导脓毒症,给予BSE 500 mg/kg/口服。结果脓毒症患者的血清尿素和肌酐升高情况在疯牛病治疗前或前后均有改善。平行组织病理学检查显示,与脓毒症组相比,BSE改善了肾脏和肾动脉的病理改变,包括毛细血管丛缩小,鲍曼间隙变宽,局灶性小管扩张,小管内出现铸型,内皮脱屑,中膜增厚,肾动脉管腔直径减小。bse处理组周期性酸性席夫染色增加,胶原纤维减少(P < 0.001)。此外,bse处理组CD15和PAX表达下调(P < 0.001), E-cadherin表达提高(P < 0.001)。结论疯牛病可使脓毒症所致肾损伤的损害最小化,并可改善脓毒症相关肾实质器官的病理改变。
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引用次数: 0
Comparative evaluation of The Eustachian tube in Iraqi individuals with cleft lip and palate and those without: A CBCT analysis 伊拉克唇腭裂患者与非唇腭裂患者咽鼓管的比较评价:CBCT分析
Q3 Medicine Pub Date : 2025-08-21 DOI: 10.1016/j.morpho.2025.101063
N.A. Hassan , M.A.H. Mahdi , M.J. Abbas

Purpose

To contrast Iraqi patients with unilateral cleft lip and palate (UCLP) with healthy controls and pinpoint any variations in the structural characteristics of the Eustachian tube (ET).

Methods

The CBCT used to scan a total of 100 participants, ranging in age from 13 to 40. Of those, 19 men and 31 women had ULCP, while 23 men and 27 women did not. The axial view was used to assess the auditory tube angle (ATA), ET diameter (ETD), and ET length (ETL). A P-value less than 0.05 was selected as the significant measure in the statistical analysis using SPSS version 25.

Results

The study highlighted that patients with ULCP had considerably lower ETL (26.04 mm), a narrower ETD (2.38 mm), and a bigger ATA (144.47°) compared to the control group (29.46 mm, 2.79 mm, and 133.09°, respectively). In addition, the ET variables showed a strong and statistically significant association between the study groups (r = 0.897 [ETL], 0.976 [ETD], and 0.964 [ATA], P < 0.05).

Conclusion

Patients with UCLP and controls showed substantial differences in the ET's dimensions and ATA. The study appreciated the use of CBCT to examine the ET's structural properties.
目的对伊拉克单侧唇腭裂(UCLP)患者与健康对照者进行对比,查明耳咽管(ET)结构特征的变化。方法采用CBCT对100名年龄在13 ~ 40岁之间的受试者进行扫描。其中,19名男性和31名女性患有ULCP, 23名男性和27名女性没有。轴向观评估听筒角度(ATA)、听筒直径(ETD)和听筒长度(ETL)。采用SPSS 25版进行统计分析,选取p值< 0.05为显著性测度。结果与对照组(分别为29.46 mm、2.79 mm和133.09°)相比,ULCP患者的ETL (26.04 mm)明显降低,ETD (2.38 mm)更窄,ATA(144.47°)更大。此外,ET变量在各研究组之间表现出较强且具有统计学意义的相关性(r = 0.897 [ETL], 0.976 [ETD], 0.964 [ATA], P < 0.05)。结论UCLP患者与对照组在ET尺寸和ATA方面存在显著差异。该研究赞赏使用CBCT检查ET的结构特性。
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引用次数: 0
Prenatal superficial musculoaponeurotic system anlage 产前浅肌腱神经系统图像
Q3 Medicine Pub Date : 2025-08-20 DOI: 10.1016/j.morpho.2025.101062
T. Sandulescu, J.F. Koeser, E.A. Naumova, W.H. Arnold

Introduction

The superficial musculoaponeurotic system (SMAS) is an acronym describing a facial subcutaneous anchored three-dimensional (3D) fibro-adipose-muscular tissue network connected to mimic muscles. SMAS transfers, distributes and reinforces mimic facial muscles contractions to the skin determining mimic expression and facial fold formation. The aim of this study was the histomorphological analysis of prenatal SMAS (pre-SMAS) development in analogy to the adult SMAS typology.

Method

Histological serial sections (n = 7300 of 31 embryos and fetuses) of different staining obtained from the historic Carnegie Collection, Washington D.C. and from the Historical Histological Collection, University Witten/Herdecke were analyzed. All specimens head and neck area were investigated microscopically regarding facial mimic muscles genesis, pre-SMAS development and chronological changes.

Results

Three pre-SMAS Types were described. Pre-SMAS Type I consisting of mesenchymal SMAS with low vascularity and minimal structural changes covered Regio Frontalis and Regio Occipitalis. Pre-SMAS Type II consisting of mesenchymal SMAS with low vascularity and minimal structural changes covered Regio Periocularis, Regio Preparotidea and Regio Nasalis. Pre-SMAS Type III consisting of SMAS with muscular integration and connective tissue remodeling covered Regio Parotidea, Regio Perioralis, and Regio Cervicalis. There were no morphological similarities between adult SMAS architecture compared to pre-SMAS anlage in Regio Preparotidea, Regio Frontalis, Regio Occipitalis, Regio Periocularis, Regio Cervical and Regio Nasalis. Regio parotidea pre-SMAS showed analogies in connective tissue architecture to adult type I SMAS. Regio Perioralis pre-SMAS showed isolated muscle fibers, which were aligned perpendicular to the skin level. Subcutaneous facial adipose tissue was undetectable up to the 22nd week of gestation.

Conclusions

Pre-SMAS anlage metamorphosis seems not to emerge synchronously with mimic muscle development, but its changes and tissue differentiation are closely related to mimic muscle activity. Therefore following ontogenetic hypothesis was proposed: the development of pre-SMAS anlage follows the law “form follows functional activity”.
浅表肌腱神经系统(SMAS)是一个首字母缩略词,描述了面部皮下锚定的三维(3D)纤维-脂肪-肌肉组织网络,连接到模拟肌肉。SMAS转移,分布和加强模拟面部肌肉收缩到皮肤决定模拟表情和面部褶皱的形成。本研究的目的是对产前SMAS(前SMAS)发育的组织形态学分析,以类比成人SMAS的类型。方法对来自华盛顿特区历史悠久的Carnegie Collection和Witten/Herdecke大学历史组织学Collection的不同染色的31个胚胎和胎儿的组织学序列切片(n = 7300)进行分析。在显微镜下研究了所有标本头部和颈部的面部模拟肌肉的发生、sma前的发育和时间变化。结果描述了3种前smas类型。前SMAS I型由间充质SMAS组成,血管密度低,结构变化最小,覆盖额部和枕部。Pre-SMAS II型由间充质SMAS组成,血管密度低,结构变化最小,覆盖眼周区、预备区和鼻区。Pre-SMAS III型包括具有肌肉整合和结缔组织重塑的SMAS,覆盖腮腺区、口周区和颈区。成人的SMAS结构在预备区、额区、枕区、眼周区、颈区和鼻区与前SMAS区没有形态学上的相似性。腮腺区前SMAS结缔组织结构与成人I型SMAS相似。口周肌区smas前显示孤立的肌纤维,它们垂直于皮肤水平排列。直到妊娠22周,皮下面部脂肪组织都检测不到。结论spre - smas组织变形与模拟肌肉发育不同步,但其变化和组织分化与模拟肌肉活动密切相关。因此,提出了以下的个体发生假说:前smas样本的发展遵循“形式追随功能活动”的规律。
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引用次数: 0
IVMrescue from stimulated cycle: Improvement of oocyte morphology and competency 从刺激周期中挽救卵细胞:改善卵母细胞形态和能力
Q3 Medicine Pub Date : 2025-08-18 DOI: 10.1016/j.morpho.2025.101064
C. Hilali , N. Louanjli , M. Ennaji , K.H. Mohamed , N. Bouanani , E.M. Hissane , W.S. Rhazi , M. Zarquaoui , I. Kaarouch , R. Cabry , F.A. Lahlou , M. Benkhalifa

Objective

Oocyte in vitro maturation (IVM) is a technique where immature cumulus oocytes complexes (COCs) collected from mid cycle of follicular phase were maturated via Bi-Phasique maturation named CAPA-IVMor germinal vesicles (GV) and/or metaphase I oocytes (MI) from stimulated cycle are matured in vitro(IVM Rescue). The objective of our study was to evaluate the effectiveness of a new formulation of culture medium, developed by ourselves, in terms of improving oocyte maturation, competency, embryo development potential and quality.

Material and methods

This prospective study involved a total of 60 patients who underwent an ICSI cycle. Six hundred and fifty oocytes were collected including 410 oocytes at the metaphase II, 120 oocytes at the metaphase I and 120 oocytes at the germinal vesicle stages. Immature oocytes were divided into two groups: Group M (immature oocytes cultured in commercialIVM medium from Cooper-Origio) and group MS (immature oocytes cultured in the same medium but supplemented with an in-house mixture of cytokines, interleukins and growth factors). Metaphase II oocytes obtained after IVMunderwent an ICSI attempt. Fertilization rates at day 1 and the numbers of 8-blastomere embryos at day 3 were assessed in all cultures after ICSIuntil blastocyst stage.

Results

While comparing IVM outcomes, we noted a significant increase in the oocyte maturation rate, fertilization rate and the percentage of 8-cell embryos on day 3 in the MS group compared to the M group. Moreover, the MS group also showed a significant increase in blastulation when compared to the MS group (P = 0.02).

Conclusion

The development of suitable IVM medium contributes to better rescue maturation of immature oocytes obtained in stimulated cycles. Its use may increase the number of good-quality embryos and thus can improve time to pregnancy and the cumulative pregnancy rate.
目的卵母细胞体外成熟(IVM)是一种从卵泡期中期收集的未成熟卵丘卵母细胞复合物(COCs)通过称为capa - ivmore生发囊泡(GV)和/或刺激周期中期的卵母细胞(MI)在体外成熟的技术(IVM Rescue)。本研究的目的是评价我们研制的一种新的培养基配方在提高卵母细胞成熟、能力、胚胎发育潜力和质量方面的有效性。材料和方法本前瞻性研究共涉及60例接受ICSI周期的患者。共收集卵母细胞650个,其中中期I期410个,中期I期120个,生发囊泡期120个。未成熟卵母细胞分为两组:M组(未成熟卵母细胞在cooper - origin的商用vm培养基中培养)和MS组(未成熟卵母细胞在相同的培养基中培养,但补充了细胞因子、白细胞介素和生长因子的混合物)。ivf行ICSI后获得的中期卵母细胞。在icsi后至囊胚期的所有培养中,评估第1天的受精率和第3天的8-卵裂球胚胎数量。结果在比较IVM结果时,我们注意到MS组第3天的卵母细胞成熟率、受精率和8细胞胚胎百分比明显高于M组。与MS组相比,MS组的囊胚数量也显著增加(P = 0.02)。结论培养合适的IVM培养液有助于刺激周期中未成熟卵母细胞的抢救成熟。它的使用可以增加优质胚胎的数量,从而可以延长妊娠时间和累积妊娠率。
{"title":"IVMrescue from stimulated cycle: Improvement of oocyte morphology and competency","authors":"C. Hilali ,&nbsp;N. Louanjli ,&nbsp;M. Ennaji ,&nbsp;K.H. Mohamed ,&nbsp;N. Bouanani ,&nbsp;E.M. Hissane ,&nbsp;W.S. Rhazi ,&nbsp;M. Zarquaoui ,&nbsp;I. Kaarouch ,&nbsp;R. Cabry ,&nbsp;F.A. Lahlou ,&nbsp;M. Benkhalifa","doi":"10.1016/j.morpho.2025.101064","DOIUrl":"10.1016/j.morpho.2025.101064","url":null,"abstract":"<div><h3>Objective</h3><div>Oocyte in vitro maturation (<em>IVM</em>) is a technique where immature cumulus oocytes complexes (COCs) collected from mid cycle of follicular phase were maturated via Bi-Phasique maturation named CAPA-<em>IVM</em>or germinal vesicles (GV) and/or metaphase I oocytes (MI) from stimulated cycle are matured <em>in vitro</em>(<em>IVM</em> Rescue). The objective of our study was to evaluate the effectiveness of a new formulation of culture medium, developed by ourselves, in terms of improving oocyte maturation, competency, embryo development potential and quality.</div></div><div><h3>Material and methods</h3><div>This prospective study involved a total of 60 patients who underwent an <em>ICSI</em> cycle. Six hundred and fifty oocytes were collected including 410 oocytes at the metaphase II, 120 oocytes at the metaphase I and 120 oocytes at the germinal vesicle stages. Immature oocytes were divided into two groups: Group M (immature oocytes cultured in commercial<em>IVM</em> medium from Cooper-Origio) and group MS (immature oocytes cultured in the same medium but supplemented with an in-house mixture of cytokines, interleukins and growth factors). Metaphase II oocytes obtained after <em>IVM</em>underwent an <em>ICSI</em> attempt. Fertilization rates at day 1 and the numbers of 8-blastomere embryos at day 3 were assessed in all cultures after <em>ICSI</em>until blastocyst stage.</div></div><div><h3>Results</h3><div>While comparing <em>IVM</em> outcomes, we noted a significant increase in the oocyte maturation rate, fertilization rate and the percentage of 8-cell embryos on day 3 in the MS group compared to the M group. Moreover, the MS group also showed a significant increase in blastulation when compared to the MS group (<em>P</em> <!-->=<!--> <!-->0.02).</div></div><div><h3>Conclusion</h3><div>The development of suitable <em>IVM</em> medium contributes to better rescue maturation of immature oocytes obtained in stimulated cycles. Its use may increase the number of good-quality embryos and thus can improve time to pregnancy and the cumulative pregnancy rate.</div></div>","PeriodicalId":39316,"journal":{"name":"Morphologie","volume":"109 367","pages":"Article 101064"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144861259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can artificial intelligence accurately detect and summarize anatomy education literature? A comparative analysis of ChatGPT and ScholarGPT 人工智能能否准确检测和总结解剖学教育文献?ChatGPT与ScholarGPT的比较分析
Q3 Medicine Pub Date : 2025-08-12 DOI: 10.1016/j.morpho.2025.101061
D. Chytas , S. Kanakaris , M. Piagkou , I. Chryssanthou , A.V. Vasiliadis , K. Natsis

Purpose

Artificial intelligence platforms have been suggested as tools that can facilitate anatomy teachers’ work and students’ learning process. We aimed to investigate the ability of ChatGPT to detect and summarize studies of the anatomy education literature compared to ScholarGPT, a version of ChatGPT specified in academic research. Secondly, we aimed to explore if the ability of each platform is influenced by the level of queries complexity.

Methods

We asked the two platforms to list five studies about each of the following three topics: (1) use of virtual reality in anatomy education, (2) use of stereoscopic virtual reality in anatomy education, (3) use of stereoscopic virtual reality in anatomy education, involving user's interaction with the virtual environment. We assessed if the retrieved studies fulfilled the search criteria, and if their summaries were accurate (if they contained true information about all the educational results of the article's abstract).

Results

The ChatGPT's percentages of successful detection were 100%, 60% and 0% respectively for the three queries. The percentages of accurate summaries were 60%, 20% and 0% respectively. ScholarGPT performed better, with a percentage of successful detection 100%, 60% and 40% respectively. The percentages of accurate summaries were 80%, 60% and 40% respectively. Both platforms showed bias in favor of the educational intervention.

Conclusions

ChatGPT and ScholarGPT are not currently at an adequate level to essentially aid researchers to detect and summarize studies of the anatomy education literature. Ongoing research may increase the ability of those platforms to provide more reliable information.
目的人工智能平台被认为是促进解剖学教师工作和学生学习过程的工具。我们的目的是考察ChatGPT与学术研究中指定的ChatGPT版本ScholarGPT相比,检测和总结解剖学教育文献研究的能力。其次,我们的目标是探索每个平台的能力是否受到查询复杂性水平的影响。方法我们要求两个平台分别列出以下三个主题的五项研究:(1)在解剖学教育中使用虚拟现实;(2)在解剖学教育中使用立体虚拟现实;(3)在解剖学教育中使用立体虚拟现实,涉及用户与虚拟环境的交互。我们评估检索到的研究是否符合检索标准,以及它们的摘要是否准确(是否包含文章摘要中所有教育结果的真实信息)。结果ChatGPT对三个查询的检测成功率分别为100%、60%和0%。总结准确率分别为60%、20%和0%。ScholarGPT表现较好,检测成功率分别为100%、60%和40%。总结准确率分别为80%、60%和40%。两个平台都显示出支持教育干预的偏见。结论schatgpt和ScholarGPT目前的水平不足以从本质上帮助研究者发现和总结解剖学教育文献的研究。正在进行的研究可能会提高这些平台提供更可靠信息的能力。
{"title":"Can artificial intelligence accurately detect and summarize anatomy education literature? A comparative analysis of ChatGPT and ScholarGPT","authors":"D. Chytas ,&nbsp;S. Kanakaris ,&nbsp;M. Piagkou ,&nbsp;I. Chryssanthou ,&nbsp;A.V. Vasiliadis ,&nbsp;K. Natsis","doi":"10.1016/j.morpho.2025.101061","DOIUrl":"10.1016/j.morpho.2025.101061","url":null,"abstract":"<div><h3>Purpose</h3><div>Artificial intelligence platforms have been suggested as tools that can facilitate anatomy teachers’ work and students’ learning process. We aimed to investigate the ability of ChatGPT to detect and summarize studies of the anatomy education literature compared to ScholarGPT, a version of ChatGPT specified in academic research. Secondly, we aimed to explore if the ability of each platform is influenced by the level of queries complexity.</div></div><div><h3>Methods</h3><div>We asked the two platforms to list five studies about each of the following three topics: (1) use of virtual reality in anatomy education, (2) use of stereoscopic virtual reality in anatomy education, (3) use of stereoscopic virtual reality in anatomy education, involving user's interaction with the virtual environment. We assessed if the retrieved studies fulfilled the search criteria, and if their summaries were accurate (if they contained true information about all the educational results of the article's abstract).</div></div><div><h3>Results</h3><div>The ChatGPT's percentages of successful detection were 100%, 60% and 0% respectively for the three queries. The percentages of accurate summaries were 60%, 20% and 0% respectively. ScholarGPT performed better, with a percentage of successful detection 100%, 60% and 40% respectively. The percentages of accurate summaries were 80%, 60% and 40% respectively. Both platforms showed bias in favor of the educational intervention.</div></div><div><h3>Conclusions</h3><div>ChatGPT and ScholarGPT are not currently at an adequate level to essentially aid researchers to detect and summarize studies of the anatomy education literature. Ongoing research may increase the ability of those platforms to provide more reliable information.</div></div>","PeriodicalId":39316,"journal":{"name":"Morphologie","volume":"109 367","pages":"Article 101061"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144826332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A unique variant of a persistent trigeminal artery combined with an accessory anterior cerebral artery 持久的三叉动脉与副大脑前动脉合并的独特变体
Q3 Medicine Pub Date : 2025-07-29 DOI: 10.1016/j.morpho.2025.101059
G. Triantafyllou , P. Papadopoulos-Manolarakis , G. Tsakotos , S. Luzzi , M. Piagkou
The cerebral arterial circle exhibits considerable variability with clinical relevance in radiological and neurosurgical practice. Among its rarest variants are persistent embryonic arteries, notably the persistent trigeminal artery (PTA). We present a unique case identified via magnetic resonance angiography (MRA) in a 39-year-old female, revealing a PTA giving rise to the anterior inferior cerebellar artery (AICA). An accessory anterior cerebral artery (aACA) emerged from the anterior communicating artery. The coexistence of these two rare variants forms a peculiar arterial pattern. Interestingly, the AICA origin from the PTA is a scarce variation. This case highlights the importance of detailed vascular imaging for identifying atypical configurations, which may influence surgical approaches and risk assessment in cerebrovascular procedures.
在放射学和神经外科实践中,脑动脉圈表现出相当大的变异性。其最罕见的变体是持续性胚胎动脉,特别是持续性三叉动脉(PTA)。我们提出一个独特的情况下,通过磁共振血管造影(MRA)确定在一个39岁的女性,显示PTA产生小脑前下动脉(AICA)。一副大脑前动脉(aACA)从前交通动脉出现。这两种罕见变体的共存形成了一种特殊的动脉模式。有趣的是,来自PTA的AICA起源是一个罕见的变异。该病例强调了详细的血管成像对于识别非典型构型的重要性,这可能会影响脑血管手术入路和风险评估。
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引用次数: 0
Historic specimen of calvaria showing late-stage syphilitic involvement from the Vernon-Roberts Museum of The University of Adelaide (Australia) 澳大利亚阿德莱德大学弗农-罗伯茨博物馆的历史标本显示晚期梅毒。
Q3 Medicine Pub Date : 2025-07-26 DOI: 10.1016/j.morpho.2025.101058
A. Saniotis , M. Henneberg , F.M. Galassi
In this case study, we discuss a rare specimen of syphilis from the Vernon-Roberts Museum of The University of Adelaide. The anatomical specimen has historical and medical implications of syphilis in Australia during the 19th and early 20th centuries. Given the lack of preserved clinical information, the case study underscores the importance of integrating paleopathological evidence with social and historical contexts in understanding disease expression and progression in past populations.
在这个案例研究中,我们讨论了一个来自阿德莱德大学弗农-罗伯茨博物馆的罕见梅毒标本。该解剖标本具有19世纪和20世纪初澳大利亚梅毒的历史和医学意义。鉴于缺乏保存完好的临床信息,该病例研究强调了将古病理证据与社会和历史背景结合起来理解过去人群疾病表达和进展的重要性。
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引用次数: 0
The mental ossicles: A narrative review 心理听骨:叙述性回顾
Q3 Medicine Pub Date : 2025-07-19 DOI: 10.1016/j.morpho.2025.101057
S.K. Htike , N. Kitagawa , K. Fukino , S. Ishii , N. Komune , J.R. Sañudo , R.S. Tubbs , J. Iwanaga
The mental ossicles, or the ossicula mentalia, are small anatomical structures located at the midline between the left and right mandibular halves in infants. They appear between 6 and 7 weeks of gestational age and disappear before or shortly after birth. Although they play a crucial role in shaping the human chin in the developmental stage, the mental ossicles are rarely described in the scientific literature. In this paper, we searched the available literature on “PubMed” and “Google Scholar” databases. Search terms such as “mental ossicles”, “ossicula mentalia”, and “mental bones” were used, followed by backward citation tracking to do a full-text review. The objective of this narrative review is to discuss the mental ossicles and their occurrence, anatomical characteristics, embryological and histological findings. Understanding the mental ossicles in a human fetus play a critical role in the proper mandibular development and craniofacial symmetry.
小听骨,或小听骨,是位于婴幼儿左右下颌骨中线的小解剖结构。它们出现在6至7周孕龄之间,在出生前或出后不久消失。尽管它们在发育阶段对人类下巴的形成起着至关重要的作用,但在科学文献中很少有对精神小骨的描述。在本文中,我们检索了“PubMed”和“谷歌Scholar”数据库中的现有文献。使用诸如“精神小骨”、“精神小骨”和“精神骨骼”等搜索词,然后进行反向引文跟踪以进行全文审查。本文的目的是讨论精神小骨及其发生、解剖特征、胚胎学和组织学的发现。了解胎儿的精神小骨在颌骨发育和颅面对称中起着至关重要的作用。
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引用次数: 0
Sexual dimorphism assessment through morphological analysis of the sella turcica in multislice computed tomography scans 通过多层计算机断层扫描的蝶鞍形态学分析评估性别二型性
Q3 Medicine Pub Date : 2025-07-11 DOI: 10.1016/j.morpho.2025.101056
E. Carneiro Ribeiro , V. Lima Cordeiro , F. Sampaio Neves , F. Mesquita Tuji , M. Lima Gurgel , C.M. Chaves Junior , L.H. Soares Cevidanes , E.F.E. Maferano , D.S. de Mendonça , P.G. de Barros Silva , A.S.W. de Aguiar , F.W.G. Costa
The sella turcica (ST) is a depression located within the sphenoid bone in the middle cranial fossa. It houses the pituitary gland and serves as a crucial cephalometric landmark for craniofacial growth assessment. Given that several studies have analyzed its dimensions using imaging, some researchers have proposed evaluating its morphology in relation to sex, considering it a potential structure for human identification in forensic anthropology. This study aimed to assess sexual dimorphism through morphological evaluation of the ST in multislice computed tomography (MSCT) scans of individuals from Northern and Northeastern Brazil. A cross-sectional observational study was conducted using 200 MSCT scans equally distributed between sexes, from individuals aged 18 to 49 years. Sagittal sections were analyzed using RadiAnt software, based on morphological classifications proposed by Axelsson (normal, oblique anterior wall, pyramidal, double contour, bridging, and dorsum irregularity) and Yasa (oval, round, and flat). Descriptive analyses of qualitative data and correlations between ST morphology and sex were performed. Morphological correlations showed that the normal form was significantly more frequent in males (80%) than females aged 18–29 years (P = 0.005). Conversely, the oblique anterior wall was more prevalent in females (23.1%) within the same age range (P = 0.002). The round shape was significantly more common in young males (43.1%) compared to females (P = 0.026), while the flat shape was more frequent in young females (61.5%) (P = 0.023). Other morphological types showed no significant sex differences across age groups. Based on this study, morphological features such as the normal shape, oblique anterior wall, round, and flat types serve as predictors of sexual dimorphism in individuals under 30 years of age.
蝶鞍(ST)是位于中颅窝蝶骨内的凹陷。它容纳脑垂体,并作为颅面生长评估的重要头侧测量标志。鉴于有几项研究使用成像技术分析了它的尺寸,一些研究人员建议评估它的形态与性别的关系,认为它是法医人类学中人类识别的潜在结构。本研究旨在通过多层计算机断层扫描(MSCT)对巴西北部和东北部个体ST的形态学评估来评估性别二态性。一项横断面观察性研究使用200个性别平均分布的MSCT扫描,从18岁到49岁的个体。根据Axelsson(正常、斜前壁、锥体、双轮廓、桥接和背不规则)和Yasa(椭圆形、圆形和扁平)提出的形态学分类,使用RadiAnt软件对矢状面切片进行分析。描述性分析定性数据和ST形态和性别之间的相关性进行。形态学相关性显示,18-29岁男性的正常形态发生率(80%)明显高于女性(P = 0.005)。相反,在相同年龄范围内,斜前壁在女性中更为普遍(23.1%)(P = 0.002)。青年男性以圆形多见(43.1%)(P = 0.026),而青年女性以扁平多见(61.5%)(P = 0.023)。其他形态类型在不同年龄组间无显著的性别差异。基于这项研究,形态学特征,如正常形状、斜前壁、圆形和扁平型可作为30岁以下个体性别二态性的预测因子。
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