CRITICAL REVIEW OF SHANKHA MARMA WITH SPECIAL REFERENCE TO PTERION

Abstract

Marma Sharira is an ancient traumatological anatomy presented by both Sushruta and Vagabhata. Though the
presentations are grossly similar, whereas Charaka given Trimarma. Shankha Marma is considered as
Sadhyapranahara Marma, injury to this area leads to sudden death which is located in head region plays a
important role in clinical aspect during the head injuries, the head injuries are considered serious part due to the
brain involvement, where in most of the head injury occurs during the road accidents, patients dies or get the
serious deformities. Here in Shankha Marma the structures like anterior branch of middle meningeal artery
which supplies to brain part, due to its injury the person may dies or may get physical deformities. The pterion
which marks the union of 4 bones of the cranium is located superior to the zygomatic arch and posterior to the
frontozygomatic suture. It is an important neurosurgical landmark for the lateral/pterional approach and has
racial differences in both its location and pattern of union of the bones. In Ayurveda also head region is
considered the Uthamanga compare to other body part. We need the detail anatomical structures of Shankha
Marma to diagnose and treat the diseases especially in surgical aspect. In our routine work specially in driving
the vehicles we can prevent from head injuries. The pterion which marks the union of 4 bones of the cranium is
located superior to the zygomatic arch and posterior to the frontozygomatic suture. It is an important
neurosurgical landmark for the lateral/pterional approach and has racial differences in both its location and
pattern of union of the bones.