Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review
BackgroundAnomalous origin of the middle meningeal artery (MMA) from the basilar artery is a rare congenital neurological variant that has been detected in both children and adults with diagnoses ranging from intracranial haemorrhage to ependymoma. This review aims to investigate the anatomical cour...
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1301426/full |
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| author | Maryam A. Salman Saad I. Mallah Faris Soloman Almadi Talal Almayman Martin Corbally Martin Corbally |
| author_facet | Maryam A. Salman Saad I. Mallah Faris Soloman Almadi Talal Almayman Martin Corbally Martin Corbally |
| author_sort | Maryam A. Salman |
| collection | DOAJ |
| description | BackgroundAnomalous origin of the middle meningeal artery (MMA) from the basilar artery is a rare congenital neurological variant that has been detected in both children and adults with diagnoses ranging from intracranial haemorrhage to ependymoma. This review aims to investigate the anatomical course of an anomalous basilar-middle meningeal artery and its clinical presentation.MethodsA systematic search was performed in PubMed using the keywords (middle meningeal artery) and (basilar artery). Ninety-four papers were identified, of which seven were included. One paper was further identified through cross-referencing.ResultsThe average age of presentation was 43 years with a male predominance (7/9). In most cases, the MMA arose between the superior cerebellar artery and the anterior inferior cerebellar artery (8/9) (versus 1 case between the anterior inferior cerebellar artery and the posterior inferior cerebellar artery). The anomaly mostly presented on the left side (6/11), but was bilateral in one case. Most of the cases showed a pontine artery branching from the basilar artery arising 5 mm to 10 mm proximal to the superior cerebellar artery, which would then assume the trajectory of the MMA. In three cases, the vessel increased in calibre near the trigeminal ganglion. Foramen spinosum absence in the anomalous side was noted in 3/6 of the patients.ConclusionTo avoid unexpected complications during neurosurgical and neuroradiointerventional procedures, it is essential to have a clear understanding of the anomalous routes of the MMA. This is especially important when it proves to be the only available route for embolization. |
| first_indexed | 2024-03-08T12:07:43Z |
| format | Article |
| id | doaj.art-68223b64a728426d895c35cfb4cc08bd |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-08T12:07:43Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-68223b64a728426d895c35cfb4cc08bd2024-01-23T04:21:24ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-01-011410.3389/fneur.2023.13014261301426Anomalous branching of the middle meningeal artery from the basilar artery: a systematic reviewMaryam A. Salman0Saad I. Mallah1Faris Soloman Almadi2Talal Almayman3Martin Corbally4Martin Corbally5Leeds Teaching Hospitals NHS Trust, Leeds, United KingdomBarking, Havering and Redbridge University Hospitals NHS Trust, Romford, United KingdomRoyal College of Surgeons in Ireland (Bahrain), Al Muharraq, BahrainKing Hamad University Hospital, Al Muharraq, BahrainRoyal College of Surgeons in Ireland (Bahrain), Al Muharraq, BahrainKing Hamad University Hospital, Al Muharraq, BahrainBackgroundAnomalous origin of the middle meningeal artery (MMA) from the basilar artery is a rare congenital neurological variant that has been detected in both children and adults with diagnoses ranging from intracranial haemorrhage to ependymoma. This review aims to investigate the anatomical course of an anomalous basilar-middle meningeal artery and its clinical presentation.MethodsA systematic search was performed in PubMed using the keywords (middle meningeal artery) and (basilar artery). Ninety-four papers were identified, of which seven were included. One paper was further identified through cross-referencing.ResultsThe average age of presentation was 43 years with a male predominance (7/9). In most cases, the MMA arose between the superior cerebellar artery and the anterior inferior cerebellar artery (8/9) (versus 1 case between the anterior inferior cerebellar artery and the posterior inferior cerebellar artery). The anomaly mostly presented on the left side (6/11), but was bilateral in one case. Most of the cases showed a pontine artery branching from the basilar artery arising 5 mm to 10 mm proximal to the superior cerebellar artery, which would then assume the trajectory of the MMA. In three cases, the vessel increased in calibre near the trigeminal ganglion. Foramen spinosum absence in the anomalous side was noted in 3/6 of the patients.ConclusionTo avoid unexpected complications during neurosurgical and neuroradiointerventional procedures, it is essential to have a clear understanding of the anomalous routes of the MMA. This is especially important when it proves to be the only available route for embolization.https://www.frontiersin.org/articles/10.3389/fneur.2023.1301426/fullanatomyanomalous middle meningeal arterybasilar arterymiddle meningeal arteryneuroanatomyneurosurgery |
| spellingShingle | Maryam A. Salman Saad I. Mallah Faris Soloman Almadi Talal Almayman Martin Corbally Martin Corbally Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review Frontiers in Neurology anatomy anomalous middle meningeal artery basilar artery middle meningeal artery neuroanatomy neurosurgery |
| title | Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review |
| title_full | Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review |
| title_fullStr | Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review |
| title_full_unstemmed | Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review |
| title_short | Anomalous branching of the middle meningeal artery from the basilar artery: a systematic review |
| title_sort | anomalous branching of the middle meningeal artery from the basilar artery a systematic review |
| topic | anatomy anomalous middle meningeal artery basilar artery middle meningeal artery neuroanatomy neurosurgery |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1301426/full |
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