Papers of the Week

Variations at the skull base can result in misinterpretation of radiological imaging and occasionally, iatrogenic injury. Here, we describe, to our knowledge, the second reported case of a duplicated foramen rotundum. The morphometrics of this finding are documented and the anatomy and potential clinical consequences of such an anatomical variation discussed. Such a finding is of archival value. Additionally, foramen rotundum duplication such as found in our case might also lead to complications while using, for example, transsphenoid approaches to the middle cranial fossa as well as various transfacial treatments for trigeminal neuralgia which rely on observing the foramina around the foramen ovale on fluoroscopy for correct positioning of needles and catheters.