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Neurology3 papers

Foramina of sacrum

Last edited: 4/10/2026

Overview

The foramina of the sacrum are openings within the sacral bone. Large parietal foramina, a specific type of cranial defect, can be associated with symptoms such as headaches and vomiting 1.

Diagnosis

  • Large parietal foramina can be identified using plain roentgenograms and computed tomography 1.
  • Symptoms associated with large parietal foramina may include recurrent unexplained headaches and vomiting 1.
  • Gentle pressure over the defects or combining the overlying hair can elicit local pain and severe headaches in affected individuals 1.
  • Management

  • Management strategies for symptomatic large parietal foramina are discussed, including addressing associated clinical problems 1.
  • Special Populations

  • Large parietal foramina have been observed in a mother and her two children, suggesting a potential familial component 1.
  • Bilateral defects in children may evolve from a single midline opening via median ossification 1.
  • Key Recommendations

  • Large parietal foramina can be diagnosed using plain roentgenograms and computed tomography 1. (Evidence: Weak)
  • Symptomatic large parietal foramina may present with recurrent headaches and vomiting 1. (Evidence: Weak)
  • Clinical problems associated with large parietal foramina should be addressed 1. (Evidence: Expert opinion)
  • References

    1 Pang D, Lin A. Symptomatic large parietal foramina. Neurosurgery 1982. link

    Original source

    1. [1]
      Symptomatic large parietal foramina.Pang D, Lin A Neurosurgery (1982)

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