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La protubérance occipitale interner répond au confluent postérieur des sinus crâniens qui se traduit souvent par une dépression au centre de la protubérance. De cette protubérance partent : 2 gouttière horizontales pour la partie occipitale des sinus pétreux supérieurs, une gouttière verticale ascendante pour le sinus longitudinal supérieur et une gouttière descendante : la crête occipital interne.

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