Anatomy of the Middle Meningeal Artery
Arq. bras. neurocir
; 40(4): 339-348, 26/11/2021.
Artigo
em Inglês
| LILACS
| ID: biblio-1362079
Biblioteca responsável:
BR1.1
ABSTRACT
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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Traumatismos Craniocerebrais
/
Artérias Meníngeas
Idioma:
Inglês
Revista:
Arq. bras. neurocir
Assunto da revista:
Cirurgia
/
Neurocirurgia
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
2School of Medicine, Universidade Federal de Alfenas, MG/BR
/
4Universidade Federal do Sergipe, Aracaju, SE, Brazil/BR
/
Centro Universitário Atenas, Paracatu, MG/BR
/
Faculdade Atenas, Passos, MG, Brazil/BR
/
Hospital Celso Pierro, Pontifícia Universidade Católica de Campinas/BR
/
Neurosurgery Department of the Fundação de Beneficência Hospital de Cirurgia/BR
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Neurosurgery Department of the Hospital de Urgência de Sergipe Governador João Alves Filho/BR
/
Neurosurgery Department, Neurosurgery Service of HGUSE and the Benefit Foundation Hospital of Surgery/BR
/
School of Medicine, Faculdade Santa Marcelina, São Paulo, SP, Brazil/BR