Metopic skull with occipitalisation of the atlas.

In this study we report a combination of anatomic variations in the neurocranium of an adult male skull. The skull is scanned using an industrial µCT system Nikon XT H 225. The cranial vault shows a persistent metopic suture, a remnant from the mendosal suture and supernumerary bones. Cranial base inspection reveals atlas occipitalisation (AO), basilar kyphosis, unusually shaped dorsum sellae and bilateral interclinoid bridging. AO is extensive without signs of atlantooccipital articulation. The anterior and posterior arches of the atlas and the right transverse process are fussed to the occipital bone above. The complete fusion of the posterior arch causes a formation of bone canals for the vertebral arteries passage into the cranium. AO in this case is not related to a reduction of the foramen magnum dimensions and clivus length.

Facial soft tissue thicknesses in Bulgarian adults: relation to sex, body mass index and bilateral asymmetry.

BACKGROUND: The aim of the study is to measure the facial soft tissue thicknesses (STTs) in Bulgarians, to evaluate the relation of the STTs to the nutritional status, sex and bilateral asymmetry, and to examine the correlations between the separate STTs as well as between the STTs and body weight, height, and body mass index (BMI). In the present study, the facial STTs were measured on computed tomography scans of the head of Bulgarian adults. MATERIALS AND METHODS: The STTs were measured at 7 midline and 9 bilateral landmarks. The measurements were performed in the free software InVesalius in the axial and sagittal planes. The mean, standard deviation, minimum and maximum values, median and coefficient of variation were reported for the STT at each landmark according to the sex and BMI category. The BMI, sex and bilateral differences were assessed for statistical significance. Pearson correlation analysis was applied to assess the strength and direction of the relationships between the STTs and body height, weight and BMI, as well as between separate STTs. RESULTS AND CONCLUSIONS: The facial soft tissues in Bulgarian adults changed in accordance with the nutritional status of the individual and in both sexes all STTs augmented with the increasing BMI. For both normal and overweight BMI categories, males had more soft tissue at the majority of facial points than females, as the only exceptions were observed in the cheek zone, where STTs were thicker in females. Significant bilateral differences were observed in either sex and BMI category. Stronger correlations were established for the STTs in the jaw region and between the cheek and jaw soft tissues. Besides, the correlations between the homologous bilateral landmarks were among the strongest ones.

Variations in the squamous part of the occipital bone in medieval and contemporary cranial series from Bulgaria.

The squamous part of the occipital bone is a place of many different variations. They are a result of faulty ossification in the occipital squama or due to the presence of sutural bones in the lambda region. As their differentiation is intricate because of the various criteria used, the issue of their recognition in the adult skull still remains difficult even though they can be clearly distinguished at a younger age. The aim of the present study was to compare the frequency of interparietal, preinterparietal and sutural bones in the lambda region in medieval male and female cranial series as well as between medieval and contemporary male series from Bulgaria. We also discuss the development of the occipital squama in order to set clearer criteria for further differentiation of such variations in the adult skull. In the reviewed 3 cranial series, the variations in the squamous portion of the occipital bone were observed with a low frequency. The incidence of preinterparietal bones was more common than the interparietal ones. The sutural bones in the lambda region were numerous in the series. No statistically significant sex or intergroup differences were established. So even if these anatomical variations are relatively rare, the understanding of them is of significance for many disciplines like anthropology, comparative and developmental anatomy, clinical and forensic medicine.

Morphology of suprascapular notch in medieval skeletons from Bulgaria.

The suprascapular notch is situated in the lateral part of the superior border of the scapula, just medial to the base of the coracoid process, giving passage for the suprascapular nerve. The aim of this study is to determine the frequency of different types of suprascapular notch in male and female medieval skeletal series and to assess the sexual differences. The shape of the notch was classified into 5 types, based on the scheme given by Alekseev. A total of 102 scapulae and scapular fragments were investigated. The results show that the deep notch was the most common. In the left female scapulae the shallow notch was frequently observed as well. Three cases of suprascapular foramen, which is considered as a risk factor for suprascapular nerve neuropathy, were observed and there was a double foramen in one of them, which is a very rare case. According to the results of c2 test, there were no significant sexual differences in the distribution of notch types. Our results illustrate that there were some individuals among the investigated medieval population potentially affected by suprascapular nerve entrapment syndrome and their way of livingmay have been impacted by the symptoms accompanying this condition.