Knowledge of Skull Base Anatomy and Surgical Implications of Human Sacrifice Among Pre-Columbian Mesoamerican Cultures
See the corresponding retraction, DOI: 10.3171/2018.5.FOCUS12120r, for full details. Neurosurg Focus 33 (2):E1, 2012 Knowledge of skull base anatomy and surgical implications of human sacrifice among pre-Columbian Mesoamerican cultures RAUL LOPEZ-SERNA, M.D.,1 JUAN LUIS GOMEZ-AMADOR, M.D.,1 JUAN BArgES-COLL, M.D.,1 NICASIO ArrIADA-MENDICOA, M.D.,1 SAMUEL ROMERO-VArgAS, M.D., M.SC.,2 MIGUEL RAMOS-PEEK, M.D.,1 MIGUEL ANGEL CELIS-LOPEZ, M.D.,1 ROGELIO REVUELTA-GUTIErrEZ, M.D.,1 AND LESLY PORTOCArrERO-ORTIZ, M.D., M.SC.3 1Department of Neurosurgery, Instituto Nacional de Neurologia y Neurocirugia “Manuel Velasco Suárez;” 2Department of Spine Surgery, Instituto Nacional de Rehabilitación; and 3Department of Neuroendocrinology, Instituto Nacional de Neurologia y Neurocirugia “Manuel Velasco Suárez,” Mexico City, Mexico Human sacrifice became a common cultural trait during the advanced phases of Mesoamerican civilizations. This phenomenon, influenced by complex religious beliefs, included several practices such as decapitation, cranial deformation, and the use of human cranial bones for skull mask manufacturing. Archaeological evidence suggests that all of these practices required specialized knowledge of skull base and upper cervical anatomy. The authors con- ducted a systematic search for information on skull base anatomical and surgical knowledge among Mesoamerican civilizations. A detailed exposition of these results is presented, along with some interesting information extracted from historical documents and pictorial codices to provide a better understanding of skull base surgical practices among these cultures. Paleoforensic evidence from the Great Temple of Tenochtitlan indicates that Aztec priests used a specialized decapitation technique, based on a deep anatomical knowledge.
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