Angioarchitecture of the middle meningeal artery in human skulls
a morphometric study
DOI:
https://doi.org/10.56102/afmo.2024.311Keywords:
Anatomy, Cerebral arteries, Clinical relevanceAbstract
Introduction: The middle meningeal artery (MMA) is clinically and surgically relevant, and knowledge regarding its angioarchitecture is essential in various procedures. However, literature lacks studies exploring its morphometric aspects. Objectives: This study aimed to analyze the MMA sulci morphometry using a digital approach. Method: Thirty-five skulls with a complete visualization of the MMA sulcus were selected. From this, the length of the main trunk and parietal and frontal branches, the inter-branch angle, and the diameter of the foramen spinosum were measured bilaterally using the ImageJ® software. Results: Morphometric data showed no differences in the morphometry of the main trunk and parietal branch according to laterality. On the other hand, the length of the frontal branch was higher on the right side of the skulls. No differences were observed in the measurements of the foramen spinosum and the inter-branch angle. Conclusion: Digital methods for morphometric analysis of the MMA offer advantages in terms of precision and speed in obtaining data. Also, the MMA exhibits few bilateral morphometric variations that should be considered for planning surgical procedures and as a basis for future analyses.
References
Bonasia S, Smajda S, Ciccio G, Robert T. Middle meningeal artery: Anatomy and variations. Vol. 41, Am J Neuroradiol.; 2020. p. 1777–85. doi: https://doi.org/10.3174/ajnr.A6739
Fantoni M, Eliezer M, Serrano F, et al. High frequency of ophthalmic origin of the middle meningeal artery in chronic subdural hematoma. Neuroradiology. 2020 May 1;62(5):639–44. doi: https://doi.org/10.1007/s00234-020-02363-6
Navarro-Orozco D, Sánchez-Manso JC. Neuroanatomy, Middle Cerebral Artery. 2023 Jul 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 30252258.
Honnegowda TM, Dineshan V, Kumar A. Morphometry of organization of middle meningeal artery through the analysis of bony canal in human’s skull: A clinico-anatomical and embryological insight. J Craniovertebr Junction Spine. 2019 Apr-Jun;10(2):127-130. doi: https://doi.org/10.4103/jcvjs.JCVJS_45_19.
Sant’Anna MAF, Luciano LL, Chaves PHS, et al. Anatomy of the Middle Meningeal Artery. Arq Bras Neurocir: Brazilian Neurosurgery. 2021 Dec 3;40(04):e339–48. doi: https://doi.org/10.1055/s-0041-1733863
da Silva TH, Ellwanger JH, da Rosa Silva HT, et al. Morphometric Analysis of the Middle Meningeal Artery Organization in Humans—Embryological Considerations. J Neurol Surg B Skull Base. 2013 Jan 22;74(02):108–12. doi: https://doi.org/10.1055/s-0033-1333615
Gijsen FJH, Vis B, Barrett HE, et al. Morphometric and Mechanical Analyses of Calcifications and Fibrous Plaque Tissue in Carotid Arteries for Plaque Rupture Risk Assessment. IEEE Trans Biomed Eng. 2021 Apr;68(4):1429–38. doi: https://doi.org/10.1109/TBME.2020.3038038
Yagoub SME, Taib AA, Mansouri MY, Elfakhri A, Abdalla MA. Anatomical Variations, Parameters, and Morphometric Evaluation of Renal Arteries by Using Computerized Tomography Angiography. Int. J. Clin. Ski. 2022 Oct 29;16(10):265. doi: https://doi.org/10.37532/1753-0431.2022.16(10).265
Aragón-Sánchez J, Quintana-Marrero Y, Aragón-Hernández C, Hernández-Herero MJ. ImageJ: A Free, Easy, and Reliable Method to Measure Leg Ulcers Using Digital Pictures. Int J Low Extrem Wounds 2017;16(4):269-273. doi: https://doi.org/10.1177/1534734617744951
Tobin CA, Wang Z, Zhang LL, et al. A new computerized morphometric analysis for peripheral nerve study. J Reconstr Microsurg. 2014;30(2):75-82. doi: https://doi.org/10.1055/s-0033-1354738
Standring S, Ellis H, Healy JC, Johnson D. Gray’s anatomy. 39th ed. London: Elsevier Churchill Livingstone; 2005. p. 442p.
Biloria E Silva Y, Hirota VB, Augusto V, et al. Contribuição ao estudo morfológico dos sulcos da artéria meníngea média em crânios humanos cadavéricos. RMS. 2023;5(1):20–31.
Maina R, Ducati A, Lanzino G. The middle cranial fossa: Morphometric study and surgical considerations. Skull Base. 2007 Nov;17(6):395–404. doi: https://doi.org/10.1055/s-2007-991117
Galvão IFG, Pacífico FA. Angioarquitetura da artéria meníngea média. Anais da Faculdade de Medicina de Olinda. 2022 Dec 22;1(7):34–41. doi: https://doi.org/10.56102/afmo.2022.178
Pallavi., Priyanka R, Sinha BK. A Morphometric Assessment of the Anatomical Variations in Branching Pattern of Middle Cerebral Artery: An Observational Study. International Journal of Toxicological and Pharmacological Research [Internet]. 2022;12(6):138–42.
Natali AL, Reddy V, Leo JT. Neuroanatomy, Middle Meningeal Arteries. In: StatPearls. Treasure Island (FL): StatPearls Publishing; October 24, 2022. PMID: 30137830
Kumar S, Mishra NK. Middle meningeal artery arising from the basilar artery: report of a case and its probable embryological mechanism. J Neurointerv Surg. 2012;4(1):43-44. doi: https://doi.org/10.1136/jnis.2010.004465
Eisová S, Píšová H, Velemínský P, Bruner E. Normal craniovascular variation in two modern European adult populations. J Anat. 2019;235(4):765-782. doi: https://doi.org/10.1111/joa.13019
Saban R. Image of the human fossil brain: endocranial casts and meningeal vessels in young and adult subjects . In: Jean-Pierre Changeux, Jean Chavaillon, editors. Origins of the human brain. Oxford: Clarendon Press.; 1995. p. 11–38. doi: https://doi.org/10.1093/acprof:o-so/9780198523901.001.0001
Ellwanger J, Campos D. Abnormality of the Foramen Spinosum due to a Variation in the Trajectory of the Middle Meningeal Artery: A Case Report in Human. J Neurol Surg Rep. 2013 May 23;74(02):073–6. doi: https://doi.org/10.1055/s-0033-1347901
Ye J, Zheng P, Hassan M, et al. Relationship of the angle between the A1 and A2 segments of the anterior cerebral artery with formation and rupture of anterior communicating artery aneurysm. J Neurol Sci. 2017;375:170-174. doi:10.1016/j.jns.2017.01.062
Ji T, Hou K, Li C, Yu J. Imaging features of internal maxillary artery and extracranial middle meningeal artery and their relationships on head CTA. Neuroradiol J. 2021 Dec 27;34(6):629–41. doi: https://doi.org/10.1177/19714009211019380
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Copyright (c) 2024 Ismael Felipe Gonçalves Galvão, Fernando Augusto Pacífico, Bruna Laryssa Santos Borges Machado, Isabella Cristina Oliveira Pacheco, Luciana Larissa Rodrigues dos Santos de Queiroz, Renata Cristinny de Farias Campina, Olávio Campos Júnior
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