Anatomy of the Middle Meningeal Artery

Introduction The middle meningeal artery (MMA) is an important artery in neurosurgery. As the largest branch of the maxillary artery, it provides nutrition to the meninges and to the frontal and parietal regions. Diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm,...

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Autores principales: Marco Aurélio Ferrari Sant'Anna, Leonardo Luca Luciano, Pedro Henrique Silveira Chaves, Leticia Adrielle dos Santos, Rafaela Gonçalves Moreira, Rian Peixoto, Ronald Barcellos, Geraldo Avila Reis, Carlos Umberto Pereira, Nícollas Nunes Rabelo
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Publicado: Thieme Revinter Publicações Ltda. 2021
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Acceso en línea:https://doaj.org/article/3a20ca2331214e5c8314caa7a6e3d5e0
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spelling oai:doaj.org-article:3a20ca2331214e5c8314caa7a6e3d5e02021-11-27T00:19:21ZAnatomy of the Middle Meningeal Artery0103-53552359-592210.1055/s-0041-1733863https://doaj.org/article/3a20ca2331214e5c8314caa7a6e3d5e02021-08-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1733863https://doaj.org/toc/0103-5355https://doaj.org/toc/2359-5922Introduction The middle meningeal artery (MMA) is an important artery in neurosurgery. As the largest branch of the maxillary artery, it provides nutrition to the meninges and to the frontal and parietal regions. Diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (TAVF), Moya-Moya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine, and meningioma, may be related to the MMA. The aim of the present study is to describe the anatomy of the MMA and to correlate it with brain diseases. Methods A literature review was performed using the PubMed, Scielo, Scientific Direct, Ebsco, LILACS, TripDataBase and Cochrane databases, with the following descriptors: neurosurgery, neuroanatomy, meninges and blood supply. Discussion The MMA is embedded in a cranial groove, and traumatic or iatrogenic factors can result in MMA-associated pseudoaneurysms or arteriovenous fistulas (AVFs). In hemodynamic stress, true aneurysms can develop. Arteriovenous fistulas, pseudoaneurysms, and true aneurysms can be effectively treated by endovascular or surgical removal. In MMD, the MMA plays a role in the development and in the improvement of collateral circulation. Finally, in cases of CSDH, when standard surgery and drainage fail, MMA embolization can constitute a great alternative. Conclusion The MMA is a relevant structure for the understanding of neurosurgical diseases. In conclusion, every neurosurgeon must know the anatomy of the MMA sufficiently to correlate it with the diagnosed pathology, thus obtaining treatment effectiveness and preventing brain lesion.Marco Aurélio Ferrari Sant'AnnaLeonardo Luca LucianoPedro Henrique Silveira ChavesLeticia Adrielle dos SantosRafaela Gonçalves MoreiraRian PeixotoRonald BarcellosGeraldo Avila ReisCarlos Umberto PereiraNícollas Nunes RabeloThieme Revinter Publicações Ltda.articleneurosurgeryneuroanatomymiddle meningeal arterymeningeal arteryMedicineRSurgeryRD1-811ENBrazilian Neurosurgery, Vol 40, Iss 04, Pp e339-e348 (2021)
institution DOAJ
collection DOAJ
language EN
topic neurosurgery
neuroanatomy
middle meningeal artery
meningeal artery
Medicine
R
Surgery
RD1-811
spellingShingle neurosurgery
neuroanatomy
middle meningeal artery
meningeal artery
Medicine
R
Surgery
RD1-811
Marco Aurélio Ferrari Sant'Anna
Leonardo Luca Luciano
Pedro Henrique Silveira Chaves
Leticia Adrielle dos Santos
Rafaela Gonçalves Moreira
Rian Peixoto
Ronald Barcellos
Geraldo Avila Reis
Carlos Umberto Pereira
Nícollas Nunes Rabelo
Anatomy of the Middle Meningeal Artery
description Introduction The middle meningeal artery (MMA) is an important artery in neurosurgery. As the largest branch of the maxillary artery, it provides nutrition to the meninges and to the frontal and parietal regions. Diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (TAVF), Moya-Moya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine, and meningioma, may be related to the MMA. The aim of the present study is to describe the anatomy of the MMA and to correlate it with brain diseases. Methods A literature review was performed using the PubMed, Scielo, Scientific Direct, Ebsco, LILACS, TripDataBase and Cochrane databases, with the following descriptors: neurosurgery, neuroanatomy, meninges and blood supply. Discussion The MMA is embedded in a cranial groove, and traumatic or iatrogenic factors can result in MMA-associated pseudoaneurysms or arteriovenous fistulas (AVFs). In hemodynamic stress, true aneurysms can develop. Arteriovenous fistulas, pseudoaneurysms, and true aneurysms can be effectively treated by endovascular or surgical removal. In MMD, the MMA plays a role in the development and in the improvement of collateral circulation. Finally, in cases of CSDH, when standard surgery and drainage fail, MMA embolization can constitute a great alternative. Conclusion The MMA is a relevant structure for the understanding of neurosurgical diseases. In conclusion, every neurosurgeon must know the anatomy of the MMA sufficiently to correlate it with the diagnosed pathology, thus obtaining treatment effectiveness and preventing brain lesion.
format article
author Marco Aurélio Ferrari Sant'Anna
Leonardo Luca Luciano
Pedro Henrique Silveira Chaves
Leticia Adrielle dos Santos
Rafaela Gonçalves Moreira
Rian Peixoto
Ronald Barcellos
Geraldo Avila Reis
Carlos Umberto Pereira
Nícollas Nunes Rabelo
author_facet Marco Aurélio Ferrari Sant'Anna
Leonardo Luca Luciano
Pedro Henrique Silveira Chaves
Leticia Adrielle dos Santos
Rafaela Gonçalves Moreira
Rian Peixoto
Ronald Barcellos
Geraldo Avila Reis
Carlos Umberto Pereira
Nícollas Nunes Rabelo
author_sort Marco Aurélio Ferrari Sant'Anna
title Anatomy of the Middle Meningeal Artery
title_short Anatomy of the Middle Meningeal Artery
title_full Anatomy of the Middle Meningeal Artery
title_fullStr Anatomy of the Middle Meningeal Artery
title_full_unstemmed Anatomy of the Middle Meningeal Artery
title_sort anatomy of the middle meningeal artery
publisher Thieme Revinter Publicações Ltda.
publishDate 2021
url https://doaj.org/article/3a20ca2331214e5c8314caa7a6e3d5e0
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