Anatomic Position of the Asterion and Implication for Neurosurgical Procedure

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Wimon Wirakiat; Anukoon Kaewborisutsakul & Wilairat Kankuan Kaewborisutsakul


The asterion is the joining of the lambdoid, parietomastoid, and occipitomastoid sutures. It is classified into two types, type I shows small bones or woven bones, while in type II, woven bones are non-existent. In this study, forty cadavers were conducted and observed the asterion on both sides of skulls showing the approximate ratio of type II and type I was 3:2. The asterion was located by measuring the distances from the asterion to skull landmarks, including inion, the root of zygoma, and mastoid tip. The mean distance between asterion and inion was 62.9 ± 6.0 mm. The mean distance between asterion and the root of zygomatic arch was 58.3 ± 6.1 mm, whereas the mean distance between asterion and mastoid tip was 51.1 ± 5.3 mm. The most common location related to the asterion was the dural venous sinuses on 65 % of tested sides, followed by infratentorial dura and supratentorial dura (25 % and 10 %, respectively). However, the authors found no differences between sexes, sides, and types in any underlying structures.

KEY WORDS: Asterion; Skull; Dural venous sinus; Cadave; Thais.

How to cite this article

WIRAKIAT, W.; KAEWBORISUTSAKUL, A. & KANKUAN, K. W. Anatomic position of the asterion and implication for neurosurgical procedure. Int. J. Morphol., 39(5):1429-1435, 2021.