OBJECTIVE: Headache and postcraniotomy pain can be disabling. In addition, generation of pain on manipulation of dural membranes during. Activation of dural sensory fibers is regarded as pivotal for the generation of While there is still debate over the initiating events in migraine, it is widely The innervation of the cranial dura mater has been investigated with a. Dura mater, or dura, is a thick membrane made of dense irregular connective tissue that When it covers the spinal cord it is known as the dural sac or thecal sac. The innervation for the infratentorial dura mater are via upper cervical nerves. explain manipulation’s efficacy in the treatment of cervicogenic headache.

Author: Mazusho Tagal
Country: Sao Tome and Principe
Language: English (Spanish)
Genre: Environment
Published (Last): 6 November 2011
Pages: 78
PDF File Size: 8.58 Mb
ePub File Size: 1.6 Mb
ISBN: 930-5-16773-699-8
Downloads: 47645
Price: Free* [*Free Regsitration Required]
Uploader: Mezizil

In addition, a comparatively sparse parasympathetic innervation was described predominantly arising from the ipsilateral sphenopalatine ganglion 34. SP acting at the neurokinin-1 receptor level appears to be responsible for extravasation, whereas CGRP mediates neurogenic vasodilation.

Dura mater – Wikipedia

Certainly the release is likely to be local since exogenous CGRP only markedly alters cerebral blood flow after blood-brain barrier disruption. Statistical comparisons were performed using standard software version headavhe Within the dura mater this receptor type is mainly distributed at locations where the superior cerebral veins empty into the sinus, and at the confluences of sinuses.

However, basal release of PGE2 was enhanced by norepinephrine, and this enhancement was reduced by serotonin through 5-HT 1D receptors. Anatomy and physiology of abd pain. Anatomical terminology [ edit on Wikidata ].

Bull Exp Biol Med. Procedures for harvesting the cranial dura mater covering the middle meningeal fossa.

Innervation of the meninges | Radiology Reference Article |

The pterion in Turkish male skulls. An epidural hematoma is a collection of blood between the dura and the inner surface of the skull, and is usually due to arterial bleeding. The Duea generally travels alongside the course of frontal branches of the MMA at a certain distance from the wall of the artery, and terminates in the vicinity of the pterion.

During endovascular Onyx embolization for intracranial dural arteriovenous fistula, a trigemino-cardiac reflex has been observed 12.


Sign in to make a comment Sign in to your personal account. It is likely that the neuropeptide measurements represent local overflow from trigeminal nerves innervating the cerebral and extracerebral circulation. From Wikipedia, the free encyclopedia. These findings indicate that the NS generally travels alongside the course of the frontal branches of the MMA and terminates in the vicinity of the pterion.

Falx cerebri Tentorium dhral Falx cerebelli Diaphragma sellae Trigeminal cave. This proposal would further explain manipulation’s efficacy in the treatment of cervicogenic headache.

PubMed Abstract Google Scholar. This study also andd a colocalization of NPY and norepinephrine in some nerve fibers. In addition, generation of pain on manipulation of dural membranes during an awake craniotomy can limit the mapping procedure and create significant discomfort for the patient. Spontaneous cerebrospinal fluid leak is the fluid and pressure loss of spinal fluid due to holes in the dura mater. The A11 nucleus, located in the posterior hypothalamus, provides the only known source of descending dopaminergic innervation for the spinal gray matter.

Schematics of the dominant distribution of the NS. These conditions are sometimes found in conjunction with Arnold—Chiari malformation.

Login using

Clinical importance of the middle meningeal artery. Types of stimuli of dural primary afferent neurons To identify the types of stimuli capable of activating meningeal sensory fibers, electrophysiologic recording studies in animals have examined the response properties of primary afferent neurons innervating the cranial dura mater 7.

You can login by using one of your existing accounts. Some specimens showed ambiguous dominant bundles of the NS Figures 5B,C or a nonvascular trajectory of nerve fibers to the dural connective tissue Figure 5D. This article has been cited by other articles in PMC. These findings suggest that dural stimulation may lead to a central sensitization of nociceptive convergent second-order neurons with an increased responsiveness to stimulation of cervical afferents.

Retrieved from ” https: The duration of maceration varied depending on the degree of blood congestion in the venous sinus in order to prevent laceration of the dura mater. There are two main dural reflections:. Knowledge of the nerves that supply the dura mater of the skull and their pathways is important to the clinician who treats headache and to the neurosurgeon who operates in this region.


Arachnoid granulation Arachnoid trabeculae.

Interactions between autonomic and nociceptive fibers have been investigated by measuring release of CGRP and prostaglandin E2 PGE2 from the dura mater in vitro. The pathogenesis of migraine is generally explained by activation of meningeal nociceptors followed the stimulation of the meningeal artery or venous sinuses Liu et al. The sensory innervation of the meninges is primarily by meningeal branches of both the trigeminal and vagus nerves with a smaller contribution from the upper cervical spinal nerves 1,2.

To the best of our knowledge, this characteristic of the NS trajectory has not been reported previously, which might be due to previous descriptions of the morphology of the NS being spatially restricted to nearby the TG or covering only small areas of the MMA microscopically. Overall, the nervus spinosus NS from either the maxillary or mandibular trigeminal divisions ran along the lateral wall of the middle meningeal vein rather than that of the MMA.

A The projection of the NS was usually adjacent to the wall of the middle meningeal vein box at a certain distance from the wall of the MMA. They can be traced within the densely packed collagenous fiber bundles they innervate.

Myelinated and unmyelinated nerve fibers may traverse midline structures and terminate opposite to their origin 4. Pioneering researches using retrograde neural tracing support the presence of a connection between the intracranial NS and extracranial nociceptive fibers via calvarial sutures Schueler et al.

Many of the neurons exhibit mechanosensitive receptive fields on the dura from which they can be activated by punctuate probing, stroking or traction. There is controversy regarding the distribution of innervation of the cranial dura mater.

A review of the literature regarding the nerves thought to innervate the cranial dura mater was performed.