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CRANIAL VAULT LINES

CRANIOMETRIC POINTS

- PTERION - POINT OF ENCOUNTER OF GREAT WING SPHENOID,FRONTAL, PARIETAL  AND TEMPORAL 
- ASTHERION - WHERE THE STREETS HAVE NO NAME - NOT RELIABLE  ( UNION OF LAMBDOID,OCCIPTOMASTOID AND PARIETOMASTOID)
- VERTIX (THE HIMALAIA OF SKULL) HIGHER POINT OF SKULL
- LAMBDA - UNION OF SAGITAL SUTURE AND LAMBDOID (POSTERIOR POINT)
-STEPHANION - UNION OF CORONAL SUTURE AND SUPERIOR TEMPORAL LINE
-OPISTHION - POSTERIOR MARGIN OF MAGNUM FORAMEN ON THE MIDLINE
--BASION   - THE MIDLINE POINT OF ANTERIOR MARGIN OF MAGNUM FORAME.
-SAGITAL SUTURE  - !!!! SSS LIES AT RIGHT TO SSS - > 11 MM.   
SKULL LAND MARKS.
   'MACRAE´s line' is a radiographic line drawn on a lateral skull radiograph or midsagittal section of CT or MRI                     joining the basion and opisthion.
  • Normal position of the tip of dens is 5mm below this line
  • If the tip of the dens migrates above this line it indicates the presence of basilar invagination (atlanto-axial impaction).
 Chamberlain line is a line joining the back of hard palate with the opisthion on a lateral view of the craniocervical junction.

Significance It helps to recognise basilar invagination which is said to be present if the tip of the dens is >3 mm above this line. McGregor developed a modification of the Chamberlain line for when the opisthion could not be identified on plain radiographs

Various lines and measurements using the basion are made in the diagnosis of  atlanto-occipital dissociation (AOD) injuries, platybasia and basilar invagination: basion-dens interval (BDI) basion-axial interval (BAI) Powers ratio Boogards angle McRae line

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