BACKGROUND AND PURPOSE: The developing fetal skull base has previously been
studied via dissection and low-resolution CT. Most of the central skull ba
se develops from endochondral ossification through an intermediary chondroc
ranium, We traced the development of the normal fetal skull base by using p
lain radiography, MR imaging, and CT,
METHODS: Twenty-nine formalin-fixed fetal specimens ranging from 9 to 24 we
eks' gestational age were examined with mammographic plain radiography, CT,
and MR imaging. Skull base development and ossification were assessed.
RESULTS: The postsphenoid cartilages enclose the pituitary and fuse to form
the basisphenoid, from which the sella turcica and the posterior body of t
he sphenoid bone originate. The presphenoid cartilages will form the anteri
or body of the sphenoid bone. Portions of the presphenoid cartilage give ri
se to the mesethmoid cartilage, which forms the central portion of the ante
rior skull base, Ossification begins in the occipital bone (12 weeks) and p
rogresses anteriorly. The postsphenoid (14 weeks) and then the presphenoid
portion (17 weeks) of the sphenoid bone ossify, Ossification is seen latera
lly (16 weeks) in the orbitosphenoid, which contributes to the lesser wing
of the sphenoid, and the alisphenoid (15 weeks), which forms the greater wi
ng,
CONCLUSION: MR imaging can show early progressive ossification of the carti
laginous skull base and its relation to intracranial structures, The study
of fetal developmental anatomy may lead to a better understanding of abnorm
alities of the skull base.