129 lines
No EOL
29 KiB
XML
129 lines
No EOL
29 KiB
XML
<?xml version="1.0" encoding="utf-8"?>
|
|
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
|
|
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
|
|
|
|
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
|
|
<!-- AppResources meta begin -->
|
|
<meta name="paf-app-resources" content="" />
|
|
<script type="text/javascript">var ncbi_startTime = new Date();</script>
|
|
|
|
<!-- AppResources meta end -->
|
|
|
|
<!-- TemplateResources meta begin -->
|
|
<meta name="paf_template" content="" />
|
|
|
|
<!-- TemplateResources meta end -->
|
|
|
|
<!-- Logger begin -->
|
|
<meta name="ncbi_db" content="books" /><meta name="ncbi_pdid" content="book-part" /><meta name="ncbi_acc" content="NBK545301" /><meta name="ncbi_domain" content="statpearls" /><meta name="ncbi_report" content="printable" /><meta name="ncbi_type" content="fulltext" /><meta name="ncbi_objectid" content="" /><meta name="ncbi_pcid" content="/NBK545301/?report=printable" /><meta name="ncbi_app" content="bookshelf" />
|
|
<!-- Logger end -->
|
|
|
|
<title>Anatomy, Head and Neck, Dura Mater - StatPearls - NCBI Bookshelf</title>
|
|
|
|
<!-- AppResources external_resources begin -->
|
|
<link rel="stylesheet" href="/core/jig/1.15.2/css/jig.min.css" /><script type="text/javascript" src="/core/jig/1.15.2/js/jig.min.js"></script>
|
|
|
|
<!-- AppResources external_resources end -->
|
|
|
|
<!-- Page meta begin -->
|
|
<meta name="robots" content="INDEX,FOLLOW,NOARCHIVE" /><meta name="citation_inbook_title" content="StatPearls [Internet]" /><meta name="citation_title" content="Anatomy, Head and Neck, Dura Mater" /><meta name="citation_publisher" content="StatPearls Publishing" /><meta name="citation_date" content="2023/07/24" /><meta name="citation_author" content="Victor Kekere" /><meta name="citation_author" content="Khalid Alsayouri" /><meta name="citation_pmid" content="31424885" /><meta name="citation_fulltext_html_url" content="https://www.ncbi.nlm.nih.gov/books/NBK545301/" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="Anatomy, Head and Neck, Dura Mater" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="StatPearls Publishing" /><meta name="DC.Contributor" content="Victor Kekere" /><meta name="DC.Contributor" content="Khalid Alsayouri" /><meta name="DC.Date" content="2023/07/24" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK545301/" /><meta name="description" content="The dura mater often gets referred to as merely the dura. It is one of the layers of connective tissue that make up the meninges of the brain (pia, arachnoid, and dura, from inside to outside). It is the outermost layer of the three meninges that surround and protect the brain and spinal cord. The dura mater is made up of fibroblasts and large amounts of extracellular collagen.[1]" /><meta name="og:title" content="Anatomy, Head and Neck, Dura Mater" /><meta name="og:type" content="book" /><meta name="og:description" content="The dura mater often gets referred to as merely the dura. It is one of the layers of connective tissue that make up the meninges of the brain (pia, arachnoid, and dura, from inside to outside). It is the outermost layer of the three meninges that surround and protect the brain and spinal cord. The dura mater is made up of fibroblasts and large amounts of extracellular collagen.[1]" /><meta name="og:url" content="https://www.ncbi.nlm.nih.gov/books/NBK545301/" /><meta name="og:site_name" content="NCBI Bookshelf" /><meta name="og:image" content="https://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-statpearls-lrg.png" /><meta name="twitter:card" content="summary" /><meta name="twitter:site" content="@ncbibooks" /><meta name="bk-non-canon-loc" content="/books/n/statpearls/article-32160/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK545301/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript">window.name="mainwindow";</script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script>
|
|
|
|
<!-- Page meta end -->
|
|
<link rel="shortcut icon" href="//www.ncbi.nlm.nih.gov/favicon.ico" /><meta name="ncbi_phid" content="CE8B965A7D8676B10000000000300025.m_5" />
|
|
<meta name='referrer' content='origin-when-cross-origin'/><link type="text/css" rel="stylesheet" href="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/css/3852956/3985586/3808861/4121862/3974050/3917732/251717/4216701/14534/45193/4113719/3849091/3984811/3751656/4033350/3840896/3577051/3852958/3984801/12930/3964959.css" /><link type="text/css" rel="stylesheet" href="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/css/3411343/3882866.css" media="print" /></head>
|
|
<body class="book-part">
|
|
<div class="grid no_max_width">
|
|
<div class="col twelve_col nomargin shadow">
|
|
<!-- System messages like service outage or JS required; this is handled by the TemplateResources portlet -->
|
|
<div class="sysmessages">
|
|
<noscript>
|
|
<p class="nojs">
|
|
<strong>Warning:</strong>
|
|
The NCBI web site requires JavaScript to function.
|
|
<a href="/guide/browsers/#enablejs" title="Learn how to enable JavaScript" target="_blank">more...</a>
|
|
</p>
|
|
</noscript>
|
|
</div>
|
|
<!--/.sysmessage-->
|
|
<div class="wrap">
|
|
<div class="page">
|
|
<div class="top">
|
|
|
|
<div class="header">
|
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
<!--<component id="Page" label="headcontent"/>-->
|
|
|
|
</div>
|
|
<div class="content">
|
|
<!-- site messages -->
|
|
<div class="container content">
|
|
<div class="document">
|
|
<div class="pre-content"><div><div class="bk_prnt"><p class="small">NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.</p><p>StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. </p></div></div></div>
|
|
<div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/CreativeWork"><div class="meta-content fm-sec"><h1 id="_NBK545301_"><span class="title" itemprop="name">Anatomy, Head and Neck, Dura Mater</span></h1><p class="contrib-group"><h4>Authors</h4><span itemprop="author">Victor Kekere</span>; <span itemprop="author">Khalid Alsayouri</span><sup>1</sup>.</p><h4>Affiliations</h4><div class="affiliation"><sup>1</sup> Mayo Clinic</div><p class="small">Last Update: <span itemprop="dateModified">July 24, 2023</span>.</p></div><div class="body-content whole_rhythm" itemprop="text"><div id="article-32160.s1"><h2 id="_article-32160_s1_">Introduction</h2><p>The dura mater often gets referred to as merely the dura. It is one of the layers of connective tissue that make up the meninges of the brain (pia, arachnoid, and dura, from inside to outside). It is the outermost layer of the three meninges that surround and protect the brain and spinal cord. The dura mater is made up of fibroblasts and large amounts of extracellular collagen.<a class="bk_pop" href="#article-32160.r1">[1]</a></p><p>The dura mater is composed of two layers: the periosteal/endosteal layer and the meningeal layer. The dural venous sinuses are between these two layers. The dura folds to form septa that create the falx cerebri, tentorium cerebelli, falx cerebelli, and diaphragma sellae.</p></div><div id="article-32160.s2"><h2 id="_article-32160_s2_">Structure and Function</h2><p>The periosteal or endosteal layer of the dura mater is simply a layer of periosteum that covers the inner surface of the skull. The layer does not extend beyond the foramen magnum to become contiguous with the dura mater of the spinal cord. The spinal cord dura mater has no periosteal layer.</p><p>In the brain, the periosteal layer provides a tubular sheath-like covering for the cranial nerves as they pass through the different foramina of the skull. As soon as the cranial nerves exit the foramen, the periosteal layer fuses with the epineurium of nerves.</p><p>The meningeal layer of the dura mater is a durable, dense fibrous membrane that passes through the foramen magnum and is continuous with the dura mater of the spinal cord. The meningeal layer of the dura mater creates several dural folds that divide the cranial cavity into freely communicating spaces. The function of the dural folds is to limit the rotational displacement of the brain.</p><p>The folds include the following:</p><ul><li class="half_rhythm"><div>The falx cerebri is a meningeal projection of dura in the brain. It is a sickle-shaped fold of dura mater located at the midline between the two cerebral hemispheres. Being a dural structure, the falx is stiffer than surrounding tissue and plays a vital role in supporting the brain by dampening brain motion inside the skull.<a class="bk_pop" href="#article-32160.r2">[2]</a></div></li><li class="half_rhythm"><div>Falx cerebelli is a vertical fold that separates the two cerebellar hemispheres and lies inferior to the tentorium cerebelli.</div></li><li class="half_rhythm"><div>Tentorium cerebelli is a crescent-shaped fold of the dura mater and forms a roof over the posterior cranial fossa. It shields the superior surface of the cerebellum and supports the occipital lobes of the cerebral hemispheres.</div></li><li class="half_rhythm"><div>Diaphragma sellae is a small circular fold of dura that forms the roof of the sella turcica. The diaphragma sellae has a tiny opening in the middle segment that allows the passage of the stalk of the pituitary gland.</div></li></ul><p>
|
|
<b>Potential Spaces</b>
|
|
</p><ul><li class="half_rhythm"><div>Epidural space: The epidural space is a possible space between the dura mater and skull containing fat and blood vessels. Damage to these blood vessels leads to the rapid accumulation of blood in the epidural space forming an epidural hematoma.<a class="bk_pop" href="#article-32160.r3">[3]</a></div></li><li class="half_rhythm"><div>Subdural space: Recent studies have questioned the idea of the subdural space as a potential space and suggest that it does not exist. The subdural space can be opened by tearing the subdural compartment between neurothelial cells alongside the collagen fibers of the dura mater.<a class="bk_pop" href="#article-32160.r4">[4]</a> Damage to the subdural veins which drain to the dural venous sinuses leads to a gradual accumulation of blood in the subdural space forming a subdural hematoma.</div></li></ul><p>The dura mater serves the following function:<a class="bk_pop" href="#article-32160.r5">[5]</a></p><ul><li class="half_rhythm"><div>Envelops and protect the brain and spinal cord</div></li><li class="half_rhythm"><div>Regulate the generation and migration of neural progenitors</div></li><li class="half_rhythm"><div>Limit the rotational displacement of the brain</div></li><li class="half_rhythm"><div>Regulate survival and proliferation of radial glial</div></li><li class="half_rhythm"><div>Regulate axon behavior at central nervous system-peripheral nervous system (CNS-PNS) interface</div></li></ul></div><div id="article-32160.s3"><h2 id="_article-32160_s3_">Embryology</h2><p>The dural mater originates from the somitic mesoderm, which condenses around the neural tube shortly after the neural tube closes at the embryonic day 9, while the pia and arachnoid (leptomeninges) originate from the neural crest.<a class="bk_pop" href="#article-32160.r5">[5]</a><a class="bk_pop" href="#article-32160.r6">[6]</a></p><p>The dura, forms between the arachnoid mater and the calvarial mesenchyme, which ultimately forms the calvarial bones.<a class="bk_pop" href="#article-32160.r7">[7]</a></p><p>The first of the dural processes to develop is the tentorium cerebelli.<a class="bk_pop" href="#article-32160.r6">[6]</a></p><p>Research has shown that fetal meninges play an essential role during brain development. The dura mater influences the proliferation and migration of neural progenitors cells and neurons in the prosencephalon (forebrain) and rhombencephalon (hindbrain).<a class="bk_pop" href="#article-32160.r7">[7]</a></p></div><div id="article-32160.s4"><h2 id="_article-32160_s4_">Blood Supply and Lymphatics</h2><p>The dura mater receives vascular supply from the following branches:</p><ul><li class="half_rhythm"><div>Internal carotid artery</div></li><li class="half_rhythm"><div>Maxillary artery</div></li><li class="half_rhythm"><div>Ascending pharyngeal artery</div></li><li class="half_rhythm"><div>Occipital artery</div></li><li class="half_rhythm"><div>Vertebral artery</div></li></ul><p>Venous drainage of the dura matter is via the meningeal veins that are present in the periosteal layer. These veins follow the branches of the middle meningeal artery and drain into the sphenopalatine sinus or the pterygoid venous plexus. The dural venous sinuses are between the periosteal and meningeal layers. These sinuses are responsible for the venous vasculature of the cranium. The sinuses converge and drain into the internal jugular vein.<a class="bk_pop" href="#article-32160.r8">[8]</a></p></div><div id="article-32160.s5"><h2 id="_article-32160_s5_">Nerves</h2><p>The dura mater receives nerve supply from branches of the trigeminal (CN V), vagus (CN X), sympathetic nervous system, and the first three cervical nerves (C1-C3).</p></div><div id="article-32160.s6"><h2 id="_article-32160_s6_">Surgical Considerations</h2><p>The dura mater is very important to the clinician because it is a barrier to the internal environment of the brain, and surgically, the neurosurgeon and clinician who interpret imaging should understand its anatomy.<a class="bk_pop" href="#article-32160.r9">[9]</a></p><p>Dural tears are a frequent complication of lumbar spine surgery.<a class="bk_pop" href="#article-32160.r10">[10]</a></p><p>
|
|
<b>Lumbar Puncture</b>
|
|
</p><p>Diagnostic lumbar puncture is one of the most commonly performed invasive tests in clinical medicine.<a class="bk_pop" href="#article-32160.r11">[11]</a> Some common indications for lumbar puncture include evaluation of inflammatory or infectious disease of the nervous system (viral, bacterial, tuberculous, or fungal meningitis) and acute headache.</p><p>Knowledge of the anatomy of the lumbar spine is essential for anyone performing a lumbar puncture. The lumbar puncture needle transverses the following structures in order: skin, subcutaneous tissue, supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space, dura mater, arachnoid mater, and lastly the subarachnoid space where cerebrospinal fluid (CSF) is stored.<a class="bk_pop" href="#article-32160.r11">[11]</a></p></div><div id="article-32160.s7"><h2 id="_article-32160_s7_">Clinical Significance</h2><p>After head trauma, a patient may develop an epidural (extradural) or subdural hematoma. The hematoma can lead to a rapid rise in intracranial pressure, and death can result if not treated.</p><p>
|
|
<b>Epidural Hematoma</b>
|
|
</p><p>In an epidural hematoma, the arterial blood collects between the endosteal layer of the dura and the skull. The vessel frequently involved is the middle meningeal artery (MMA), which may be ruptured or torn as a result of blunt or penetrating brain trauma.<a class="bk_pop" href="#article-32160.r12">[12]</a><a class="bk_pop" href="#article-32160.r3">[3]</a> The middle meningeal artery is a tributary of the maxillary artery, and the maxillary artery is one of the terminal branches of the external carotid artery.</p><p>
|
|
<b>Subdural Hematoma</b>
|
|
</p><p>In a subdural hematoma, there is a collection of venous blood between the dura and the arachnoid mater. The hematoma frequently is due to injury or rupture of the subdural veins as they empty into the dural venous sinuses. Subdural hematoma arises from the rupture of bridging veins, usually from head trauma. Because the venous pressure in the veins is low, the hematoma is not typically large, and progression is not rapid. An increase in intracranial pressure can increase the rate of bleeding from the ruptured bridging veins.<a class="bk_pop" href="#article-32160.r13">[13]</a> The anatomy of the bridging vein makes it susceptible to tearing within the border cell layer of the dura mater.<a class="bk_pop" href="#article-32160.r13">[13]</a></p><p>Subdural bleeding (SDB) in infants is considered an essential symptom of nonaccidental head injury.<a class="bk_pop" href="#article-32160.r14">[14]</a></p><p>
|
|
<b>The Sensitivity of the Dural Mater</b>
|
|
</p><p>The dura mater is very sensitive to stretch. Any irritation of the dura often causes a sensation of a headache, e.g., meningitis, hematoma.</p></div><div id="article-32160.s8"><h2 id="_article-32160_s8_">Review Questions</h2><ul><li class="half_rhythm"><div>
|
|
<a href="https://www.statpearls.com/account/trialuserreg/?articleid=32160&utm_source=pubmed&utm_campaign=reviews&utm_content=32160" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Access free multiple choice questions on this topic.</a>
|
|
</div></li><li class="half_rhythm"><div>
|
|
<a href="https://www.statpearls.com/articlelibrary/commentarticle/32160/?utm_source=pubmed&utm_campaign=comments&utm_content=32160" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Comment on this article.</a>
|
|
</div></li></ul></div><div class="floats-group" id="article-32160.s9"></div><div id="article-32160.s10"><h2 id="_article-32160_s10_">References</h2><dl class="temp-labeled-list"><dt>1.</dt><dd><div class="bk_ref" id="article-32160.r1">Haines DE. On the question of a subdural space. <span><span class="ref-journal">Anat Rec. </span>1991 May;<span class="ref-vol">230</span>(1):3-21.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/2064027" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 2064027</span></a>]</div></dd><dt>2.</dt><dd><div class="bk_ref" id="article-32160.r2">Glaister J, Carass A, Pham DL, Butman JA, Prince JL. Falx Cerebri Segmentation via Multi-atlas Boundary Fusion. <span><span class="ref-journal">Med Image Comput Comput Assist Interv. </span>2017 Sep;<span class="ref-vol">10433</span>:92-99.</span> [<a href="/pmc/articles/PMC5607028/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC5607028</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/28944346" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 28944346</span></a>]</div></dd><dt>3.</dt><dd><div class="bk_ref" id="article-32160.r3">Chmielewski P, Skrzat J, Walocha J. Clinical importance of the middle meningeal artery. <span><span class="ref-journal">Folia Med Cracov. </span>2013;<span class="ref-vol">53</span>(1):41-6.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/24858329" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24858329</span></a>]</div></dd><dt>4.</dt><dd><div class="bk_ref" id="article-32160.r4">Reina MA, López García A, de Andrés JA, Villanueva MC, Cortés L. [Does the subdural space exist?]. <span><span class="ref-journal">Rev Esp Anestesiol Reanim. </span>1998 Nov;<span class="ref-vol">45</span>(9):367-76.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/9847654" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 9847654</span></a>]</div></dd><dt>5.</dt><dd><div class="bk_ref" id="article-32160.r5">Suter TACS, DeLoughery ZJ, Jaworski A. Meninges-derived cues control axon guidance. <span><span class="ref-journal">Dev Biol. </span>2017 Oct 01;<span class="ref-vol">430</span>(1):1-10.</span> [<a href="/pmc/articles/PMC5594918/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC5594918</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/28784295" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 28784295</span></a>]</div></dd><dt>6.</dt><dd><div class="bk_ref" id="article-32160.r6">O'Rahilly R, Müller F. The meninges in human development. <span><span class="ref-journal">J Neuropathol Exp Neurol. </span>1986 Sep;<span class="ref-vol">45</span>(5):588-608.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/3746345" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 3746345</span></a>]</div></dd><dt>7.</dt><dd><div class="bk_ref" id="article-32160.r7">Siegenthaler JA, Pleasure SJ. We have got you 'covered': how the meninges control brain development. <span><span class="ref-journal">Curr Opin Genet Dev. </span>2011 Jun;<span class="ref-vol">21</span>(3):249-55.</span> [<a href="/pmc/articles/PMC3105186/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC3105186</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/21251809" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 21251809</span></a>]</div></dd><dt>8.</dt><dd><div class="bk_ref" id="article-32160.r8">Kiliç T, Akakin A. Anatomy of cerebral veins and sinuses. <span><span class="ref-journal">Front Neurol Neurosci. </span>2008;<span class="ref-vol">23</span>:4-15.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/18004050" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 18004050</span></a>]</div></dd><dt>9.</dt><dd><div class="bk_ref" id="article-32160.r9">Adeeb N, Mortazavi MM, Tubbs RS, Cohen-Gadol AA. The cranial dura mater: a review of its history, embryology, and anatomy. <span><span class="ref-journal">Childs Nerv Syst. </span>2012 Jun;<span class="ref-vol">28</span>(6):827-37.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/22526439" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 22526439</span></a>]</div></dd><dt>10.</dt><dd><div class="bk_ref" id="article-32160.r10">Mullen E, Caridi J, Steinberge JR, Shrivastava R. A Better Method for Repairing Lumbar Dural Tears? A Review of the Literature. <span><span class="ref-journal">Surg Technol Int. </span>2017 Dec 22;<span class="ref-vol">31</span>:403-406.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/29313554" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 29313554</span></a>]</div></dd><dt>11.</dt><dd><div class="bk_ref" id="article-32160.r11">Doherty CM, Forbes RB. Diagnostic Lumbar Puncture. <span><span class="ref-journal">Ulster Med J. </span>2014 May;<span class="ref-vol">83</span>(2):93-102.</span> [<a href="/pmc/articles/PMC4113153/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC4113153</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/25075138" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 25075138</span></a>]</div></dd><dt>12.</dt><dd><div class="bk_ref" id="article-32160.r12">Bruner E, Sherkat S. The middle meningeal artery: from clinics to fossils. <span><span class="ref-journal">Childs Nerv Syst. </span>2008 Nov;<span class="ref-vol">24</span>(11):1289-98.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/18685853" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 18685853</span></a>]</div></dd><dt>13.</dt><dd><div class="bk_ref" id="article-32160.r13">Miller JD, Nader R. Acute subdural hematoma from bridging vein rupture: a potential mechanism for growth. <span><span class="ref-journal">J Neurosurg. </span>2014 Jun;<span class="ref-vol">120</span>(6):1378-84.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/24313607" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24313607</span></a>]</div></dd><dt>14.</dt><dd><div class="bk_ref" id="article-32160.r14">Matschke J, Voss J, Obi N, Görndt J, Sperhake JP, Püschel K, Glatzel M. Nonaccidental head injury is the most common cause of subdural bleeding in infants <1 year of age. <span><span class="ref-journal">Pediatrics. </span>2009 Dec;<span class="ref-vol">124</span>(6):1587-94.</span> [<a href="https://pubmed.ncbi.nlm.nih.gov/19948629" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 19948629</span></a>]</div></dd></dl></div><div><dl class="temp-labeled-list small"><dt></dt><dd><div><p class="no_top_margin">
|
|
<b>Disclosure: </b>Victor Kekere declares no relevant financial relationships with ineligible companies.</p></div></dd><dt></dt><dd><div><p class="no_top_margin">
|
|
<b>Disclosure: </b>Khalid Alsayouri declares no relevant financial relationships with ineligible companies.</p></div></dd></dl></div><div class="bk_prnt_sctn"><h2>Figures</h2><div class="whole_rhythm bk_prnt_obj bk_first_prnt_obj"><div id="article-32160.image.f1" class="figure bk_fig"><div class="graphic"><img src="/books/NBK545301/bin/Gray769.jpg" alt="Image Gray769" /></div><div class="caption"><p>Diagrammatic Cross Section the top of the skull, showing the membranes of the brain, Meningeal vein, Diploic vein, Venous lacuna, Emissary vein, Cerebral vein, Superior sagittal sinus, Arachnoid granulation, Subdural cavity, Subarachnoid cavity, Falx cerebri, Pia mater, Dura mater, Arachnoid, Cerebral cortex Henry Vandyke Carter, Public Domain, via Wikimedia Commons</p></div></div></div></div></div></div>
|
|
<div class="post-content"><div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright</a> © 2025, StatPearls Publishing LLC.<p class="small">
|
|
This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
|
|
(<a href="https://creativecommons.org/licenses/by-nc-nd/4.0/" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=uri">
|
|
http://creativecommons.org/licenses/by-nc-nd/4.0/
|
|
</a>), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.
|
|
</p></div><div class="small"><span class="label">Bookshelf ID: NBK545301</span><span class="label">PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/31424885" title="PubMed record of this page" ref="pagearea=meta&targetsite=entrez&targetcat=link&targettype=pubmed">31424885</a></span></div></div></div>
|
|
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<div class="bottom">
|
|
|
|
<div id="NCBIFooter_dynamic">
|
|
<!--<component id="Breadcrumbs" label="breadcrumbs"/>
|
|
<component id="Breadcrumbs" label="helpdesk"/>-->
|
|
|
|
</div>
|
|
|
|
<script type="text/javascript" src="/portal/portal3rc.fcgi/rlib/js/InstrumentNCBIBaseJS/InstrumentPageStarterJS.js"> </script>
|
|
</div>
|
|
</div>
|
|
<!--/.page-->
|
|
</div>
|
|
<!--/.wrap-->
|
|
</div><!-- /.twelve_col -->
|
|
</div>
|
|
<!-- /.grid -->
|
|
|
|
<span class="PAFAppResources"></span>
|
|
|
|
<!-- BESelector tab -->
|
|
|
|
|
|
|
|
<noscript><img alt="statistics" src="/stat?jsdisabled=true&ncbi_db=books&ncbi_pdid=book-part&ncbi_acc=NBK545301&ncbi_domain=statpearls&ncbi_report=printable&ncbi_type=fulltext&ncbi_objectid=&ncbi_pcid=/NBK545301/?report=printable&ncbi_app=bookshelf" /></noscript>
|
|
|
|
|
|
<!-- usually for JS scripts at page bottom -->
|
|
<!--<component id="PageFixtures" label="styles"></component>-->
|
|
|
|
|
|
<!-- CE8B5AF87C7FFCB1_0191SID /projects/books/PBooks@9.11 portal104 v4.1.r689238 Tue, Oct 22 2024 16:10:51 -->
|
|
<span id="portal-csrf-token" style="display:none" data-token="CE8B5AF87C7FFCB1_0191SID"></span>
|
|
|
|
<script type="text/javascript" src="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/js/3879255/4121861/3501987/4008961/3893018/3821238/3400083/3426610.js" snapshot="books"></script></body>
|
|
</html> |