Foramen lacerum

Medically Reviewed by Anatomy Team

The foramen lacerum is a small opening in the skull that is located between the sphenoid and temporal bones. It is an important structure in the anatomy of the head and neck, as it allows for the passage of several vital nerves and blood vessels.

Structure

The foramen lacerum is a small, oval-shaped opening that is located in the base of the skull. It is formed by the sphenoid bone in the front and the temporal bone in the back. The foramen lacerum is surrounded by a number of other important structures, including the pterygoid processes, the sphenopalatine foramen, and the foramen spinosum.

It is divided into two parts: the anterior portion and the posterior portion. The anterior portion is formed by the sphenoid bone and is known as the sphenoidal part of the foramen lacerum. The posterior portion is formed by the temporal bone and is known as the temporal part of the foramen lacerum.

Location

The foramen lacerum is located in the base of the skull, between the sphenoid and temporal bones. It is situated behind the maxilla and in front of the jugular foramen. The foramen lacerum is located at the level of the sphenoid sinus and the carotid canal.

Function

The foramen lacerum serves as an important passageway for several vital structures in the head and neck. The following structures pass through the foramen lacerum:

  • The internal carotid artery: The internal carotid artery is a major blood vessel that supplies blood to the brain. It passes through the foramen lacerum on its way to the brain.
  • The sympathetic plexus: The sympathetic plexus is a network of nerves that is responsible for controlling the body’s responses to stress and other stimuli. It passes through the foramen lacerum on its way to the head and neck.
  • The lesser petrosal nerve: The lesser petrosal nerve is a small nerve that is responsible for carrying sensory information from the taste buds in the mouth to the brain. It passes through the foramen lacerum on its way to the brain.

Clinical Significance

The foramen lacerum is an important structure in the anatomy of the head and neck, and any abnormalities or injuries to this area can have serious consequences. Here are a few examples of how the foramen lacerum can be clinically significant:

Tumors

Tumors can sometimes form in the area around the foramen lacerum. These tumors can press on the structures passing through the foramen lacerum, leading to a range of symptoms including headache, visual disturbances, and difficulty speaking.

Trauma

Traumatic injuries to the head and neck can sometimes result in damage to the foramen lacerum and the structures passing through it. This can lead to serious complications such as stroke or brain injury.

Infections

Infections in the area around the foramen lacerum can lead to inflammation and swelling, which can compress the structures passing through the foramen lacerum. This can cause a range of symptoms including headache, visual disturbances, and difficulty speaking.

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