Fact 27 – Foramen Magnum: an important hole!

What is the Foramen Magnum?

A foramen is an aperture that permits the passage of structures from one region to another and in our skull base there are various, in which the largest one is the Foramen Magnum.

Foramen Magnum (“the Great hole”) is part of the occipital bone, located within the posterior cranial fossa (the posterior area of the skull base). This aperture has got an oval shape with a large antero-posterior diameter.

Fig.1 Superior view of skull base
Fig.1 Superior view of skull base

Why is it so important?

Foramen Magnum allows the communication between the cranial cavity and the vertebral canal, or in other words, between the brain and the spinal cord.

This opening is traversed by vital structures including: lower end of medulla oblongata, meninges, the vertebral arteries, the anterior and posterior spinal arteries, the dural veins; and also the spinal roots of accessory nerves.

Fig.2 Posterior view of Skull and Cervical
Fig.2 Posterior view of Skull and Cervical

Pathologies associated with this structure:

  • Foramen magnum meningioma

  • Cerebral herniation

  • Chiari malformations

 

Interesting fact - human evolution

Some researchers believe that the location of this foramen explains why we are able to walk. Suggesting that in order to have an upright posture, the foramen magnum moved itself forward – an evolutionary process occurred over millions of years!

Fig.3 Foramen Magnum by Didier Descouens
Fig.3 Foramen Magnum by Didier Descouens

References:

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