Abstract

The temporal bone is composed of four parts: the mastoid process, the petrous pyramid, and the squamous and tympanic portions. It is variable in size, being very small in adolescence and increasing in prominence by adulthood. The bone is pnuematized with the mastoid air cells. These hollow air cells form connections with the middle ear via the mastoid antrum. Unilateral paramastiod process is very rare anomaly in craniovetebral region. The complication of mastoid disease meningitis, of greater or less degree is perhaps the most common. It is a very fatal condition if not recognized and dealt with early by efficient surgical operation. Such unilateral paramastoid process is clinically essential for neurological surgeons and for neurological manifestations.

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