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.

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Rexed laminae Central gelatinous substance Gray commissure. Spinoreticular tract Spino-olivary tract. Meningeal sensory fibers can be stimulated to release neuropeptides from their peripheral endings in the meninges, where they can evoke components of neurogenic inflammation, including dural plasma extravasation, as well as dural and pial vasodilation.


This study was undertaken in accordance with the principles outlined in the Declaration of Helsinki. The dura mater is the outmost layer of the intracranial meninges that consist of inner meningeal and external periosteal layers Kemp et al. In addition, neurons were excited by chemical stimuli, such as hypertonic saline applied either topically to the dura or by intravascular infusion into the superior sagittal sinus SSS.

It is illustrated by clinical cases which cast light on dural sensitivity and on the radical treatment of falcial cicatrix, migraine and other forms of headache. In other projects Wikimedia Commons. For the supratentorial part the main nerve supply stems from all three branches of the trigeminal nerve.

Summary The trigemino-cardiac reflex during Onyx embolization for dural arteriovenous fistula may be caused by mechanical or chemical stimulus to the terminals of the unencapsulated Ruffini-like receptors stemming from A-axons in the dural connective tissue at sites of dural arteries and sinuses. Besides activating the neurons, the inflammatory mediators produced a sensitization, or enhancement, of responses to mechanical stimuli. Stimulation of dural afferent C-fibers and greater occipital nerve GON increased the background activity, extended the size of cutaneous trigeminal and cervical receptive fields, and decreased the thresholds to mechanical dural stimulation 24 A basement lamella may be completely absent around the axonal terminals.


An immunocytochemical electron microscopy study found different unmyelinated axons in one Schwann cell may contain nerve fibers with VIP, Substance P and NPY immunoreactivity.

Interactions between autonomic and nociceptive fibers have been investigated by measuring release of CGRP and prostaglandin E2 PGE2 from the dura mater in vitro. 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.

Dural ectasia is the enlargement of the dura and is common in connective tissue disorders, such as Marfan syndrome and Ehlers—Danlos syndrome. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Suggest a Research Topic. ACF, anterior cranial fossa; MMA, middle meningeal artery; PB, petrous body; TC, tentorium cerebelli; blue triangles, sphenopalatine sinus; dotted lines, territory of the middle cranial fossa; red triangles, grooves for the MMA.

The frontal branches of the MMA that crossed the floor of the skull base passed through the lateral margin of the sphenoparietal sinus, and were directed laterally to supply the dhral mater of the frontotemporal region. B—D Magnified views of the regions of a,b and c lined boxes. Central projections of the sensory innervation of the rat middle meningeal artery. The present inndrvation has revealed the macroscopic courses of the NS in the human dura mater. Depending on the application site of Cholera toxin subunit b CTb or wheat germ agglutinin-horseradish peroxidase conjugate WGA-HRP to the adventitia of the MMA, labeled neurons were predominantly found ipsilaterally in the lateral part of the spinal dorsal horn of segments C1-C3 and in the caudal and interpolar parts of the spinal trigeminal nucleus The unmyelinated branches of the A-fibers have a larger diameter than the C-fibers.

Innervation of the meninges | Radiology Reference Article |

In the event that there is a dural deficiency, a dural substitute may be used to replace this membrane. Articles containing Arabic-language text All articles with unsourced statements Articles with unsourced statements from January Commons category link is on Wikidata Wikipedia articles with TA98 identifiers. In lf same way, CGRP is preferentially released in subarachnoid hemorrhage. You can login by using one of your existing accounts.


The terminal axons are swollen and filled with mitochondria and vesicles.

Post lumbar puncture headache: Nerve bundles of the NS terminated at a confluence of the middle meningeal vein and the sphenoparietal sinus, and did not reach the region of the anterior cranial fossa ACF and distal frontal branches of the MMA in matfr temporal region Figure 2.

Support Center Support Center. In contrast, few studies have macroscopically investigated the trajectory of nerve fibers over long distances of the human cranial dura.

Dura mater – Wikipedia

A Flattened dura mater with broad areas containing the MMA A, anterior; L, lateral; M, medial; P, posterior; black arrows, parietal branch of the MMA; blue triangles, sphenopalatine sinus; red arrows, the frontal heaadache of the MMA; yellow arrows, distal parts of the frontal branches of the MMA in the temporal region.

Consistent with findings in experimental animals, the present study found that the nerve bundles of the NS in humans usually coursed alongside the MMA. This study reviews the literature with a focus on the cerebral dura mater innervations.

Bruni JE, Montemurro D. Levy D, Strassman AM. Ann R Coll Surg Engl.

Innervation of the Cerebral Dura Mater

Sign in to access your subscriptions Sign in to your personal account. Reappraising the surface anatomy of the pterion and its relationship to the middle meningeal artery.

Dura mater Meninges of the CNS. New concepts of vascular headache. Diagrammatic transverse section of the medulla spinalis and inneravtion membranes. Central projections of sensory innervation of the rat superior sagittal sinus. Direct stimulation of the nasociliary nerve, the cerebrovascular branch of the ophthalmic division of the trigeminal nerve, leads to a cerebral vasodilator effect that is inhibited by the CGRP antagonist CGRP.

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.