Asterion (anatomy)

Asterion
Side view of head, showing surface relations of bones. (Asterion visible at center right.)
Details
Part of	Skull
System	Skeletal
Identifiers
Latin	asterion
TA98	A02.1.00.020
TA2	422
FMA	76625
Anatomical terminology [edit on Wikidata]

The asterion is a meeting point between three sutures between bones of the skull. It is an important surgical landmark.

Structure

In human anatomy, the asterion is a visible (craniometric) point on the exposed skull. It is just posterior to the ear. It is the point where three cranial sutures meet:

• the lambdoid suture.[1]
• parietomastoid suture.[1]
• occipitomastoid suture.[1]

It is also the point where three cranial bones meet:

• the parietal bone.
• the occipital bone.
• the mastoid portion of the temporal bone.

In the adult, it lies 4 cm behind and 12 mm above the center of the entrance to the ear canal.^[citation needed] Its relation to other anatomical structures is fairly variable.[2]

Clinical significance

Neurosurgeons may use the asterion to orient themselves, in order to plan safe entry into the skull for some operations, such as when using a retro-sigmoid approach. The asterion marks the junction of the transverse and the sigmoid sinuses[1][3]

Etymology

The asterion receives its name from the Greek ἀστέριον (astērion), meaning "star" or "starry".

The Mercedes point is an alternative term for the asterion, for its resemblance to the Mercedes-Benz logo.

References

1. Ucerler, Hulya; Govsa, Figen (2006-10-01). "Asterion as a surgical landmark for lateral cranial base approaches". Journal of Cranio-Maxillofacial Surgery. 34 (7): 415–420. doi:10.1016/j.jcms.2006.05.003. ISSN 1010-5182. PMID 16963269 – via ScienceDirect.
2. Avci, Emel; Kocaogullar, Yalcin; Fossett, Damirez; Caputy, Anthony (2003-05-01). "Lateral posterior fossa venous sinus relationships to surface landmarks". Surgical Neurology. 59 (5): 392–397. doi:10.1016/S0090-3019(03)00037-5. ISSN 0090-3019. PMID 12765815 – via ScienceDirect.
3. Babacan S, Yildiz-Yilmaz M, Kafa IM, Coşkun I (2019). "The Surface and Intracranial Location of Asterion". J Craniofac Surg. 30 (8): e753 – e755. doi:10.1097/SCS.0000000000005757. PMID 31689738. S2CID 207889825.