Clinical importance of the middle meningeal artery: A review of the literature

被引:55
|
作者
Yu, Jinlu [1 ]
Guo, Yunbao [1 ]
Xu, Baofeng [1 ]
Xu, Kan [1 ]
机构
[1] Jilin Univ, Hosp 1, Dept Neurosurg, 71 Xinmin Ave, Changchun 130021, Peoples R China
来源
INTERNATIONAL JOURNAL OF MEDICAL SCIENCES | 2016年 / 13卷 / 10期
关键词
Middle meningeal artery; Clinical importance; Review; CHRONIC SUBDURAL-HEMATOMA; DURAL ARTERIOVENOUS-FISTULAS; SUPERIOR CEREBELLAR ARTERY; MOYAMOYA-DISEASE; ENDOVASCULAR TREATMENT; INTRACEREBRAL HEMORRHAGE; OPHTHALMIC ARTERY; ONYX EMBOLIZATION; REVASCULARIZATION SURGERY; PREOPERATIVE EMBOLIZATION;
D O I
10.7150/ijms.16489
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The middle meningeal artery (MMA) is a very important artery in neurosurgery. Many diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (AVF), moyamoya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine and meningioma, can involve the MMA. In these diseases, the lesions occur in either the MMA itself and treatment is necessary, or the MMA is used as the pathway to treat the lesions; therefore, the MMA is very important to the development and treatment of a variety of neurosurgical diseases. However, no systematic review describing the importance of MMA has been published. In this study, we used the PUBMED database to perform a review of the literature on the MMA to increase our understanding of its role in neurosurgery. After performing this review, we found that the MMA was commonly used to access DAVFs and meningiomas. Pseudoaneurysms and true aneurysms in the MMA can be effectively treated via endovascular or surgical removal. In MMD, the MMA plays a very important role in the development of collateral circulation and indirect revascularization. For recurrent CDSHs, after burr hole irrigation and drainage have failed, MMA embolization may be attempted. The MMA can also contribute to the occurrence and treatment of migraines. Because the ophthalmic artery can ectopically originate from the MMA, caution must be taken to avoid causing damage to the MMA during operations.
引用
收藏
页码:790 / 799
页数:10
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