Possibility of Middle Meningeal Artery-to-Petrous Internal Carotid Artery Bypass: An Anatomic Study

Deviations from normal embryologic development can manifest in different anatomical variants of the ophthalmic artery. We present a case of an infant treated for a high-flow dural arteriovenous fistula of the superior sagittal sinus, in whom an arterial circle involving the ophthalmic artery, the middle meningeal artery, the inferolateral trunk and a hypoplastic segment of the internal carotid artery was found. The embryologic development is briefly reviewed with emphasis on the possible genesis of this interesting constellation.

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Calvarial hemangioma with blood supply from branches of the internal carotid artery

Journal of Neurosurgery ◽

10.3171/jns.1971.34.6.0823 ◽

1971 ◽

Vol 34 (6) ◽

pp. 823-826 ◽

Cited By ~ 1

Author(s):

Naim K. Atallah ◽

Sami I. Nassar

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Blood Supply ◽

Carotid Arteries ◽

Internal Carotid ◽

Middle Meningeal Artery ◽

Content Type ◽

Internal Carotid Arteries ◽

Meningeal Artery ◽

Fine Print

✓ The sources of blood supply of calvarial hemangiomas are not well established angiographically but have been reported to derive from the middle meningeal artery. A case is presented in which both the external and the internal carotid arteries supplied the hemangioma. The protean arteriographic picture is explained in terms of the various tissues the tumor involves (galea, calvarium, or meninges).

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Bilateral anomalous origin of ophthalmic artery from middle meningeal artery and coincidence of bilateral carotid artery aneurysm: Case report and literature review

Interventional Neuroradiology ◽

10.1177/1591019919899846 ◽

2020 ◽

Vol 26 (3) ◽

pp. 354-357

Author(s):

Ajit Mishra ◽

Subhas K Konar ◽

Dhananjaya I Bhat ◽

S Nishant ◽

B Indira Devi

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Ophthalmic Artery ◽

Internal Carotid ◽

Artery Aneurysm ◽

Middle Meningeal Artery ◽

Anomalous Origin ◽

Carotid Artery Aneurysm ◽

Bilateral Carotid ◽

Meningeal Artery

Ophthalmic artery (OA) is known for anomalous origin and aberrant course probably attributable to its complex embryology. Anomalous origin of OA can be associated with intracranial aneurysm. Anomalous origins have been reported from middle meningeal artery (MMA), cavernous carotid, posterior communicating, anterior cerebral and basilar artery. Even though bilateral anomalous origin of OA from MMA is a rare finding, to the author’s best knowledge, association of above condition with bilateral internal carotid artery aneurysms has not been described in the literature. We present a case of such anomalous bilateral OA originating from MMA and associated with bilateral internal carotid artery aneurysms. We have also reviewed the pertinent literature regarding anomalous OA origin.

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Surgical importance of distance from mandibular condyle to carotid canal and foramen spinosum: an anatomical study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195547 ◽

2019 ◽

Vol 7 (12) ◽

pp. 4733

Author(s):

Sangeetha Arumugam ◽

Nandha Kumar Subbiah

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Mandibular Condyle ◽

Anatomical Study ◽

Middle Meningeal Artery ◽

Medial Margin ◽

Carotid Canal ◽

The Mean ◽

Meningeal Artery

Background: The objective of this study was to compare the distance from mandibular condyle to internal carotid artery and middle meningeal artery.Methods: In this study 20 skulls obtained from the Department of Anatomy were utilized for the study. The following two parameters were measured using Vernier Caliper (digital). 1. Distance from Mandibular condyle to carotid canal 2. Distance from medial margin of Mandibular condyle to Foramen spinosum. All the measurements were taken thrice to minimize errors. Photograph of the skull base showing the measurements done was captured.Results: A total of 40 sides, 20 right and 20 left sides were studied. The mean distance between medial margin of mandibular condyle to carotid canal was 11.2 mm±0.6 on right side and 11.6mm±0.8 on left side. The mean distance from the medial margin of mandibular condyle to Foramen spinosum (middle meningeal artery) was 9.3 mm±1.1 on right side and 9.8mm±0.9 on left side. Conclusions: The distance between mandibular condyle to Middle meningeal artery is less compared to the distance between Mandibular condyle to carotid artery. The current study concludes that MMA is comparatively at high risk for damage compared to internal carotid artery.

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The Pharyngo-Tympano-Stapedial Variant of the Middle Meningeal Artery

Interventional Neuroradiology ◽

10.1177/159101991201800302 ◽

2012 ◽

Vol 18 (3) ◽

pp. 255-258

Author(s):

G. Baltsavias ◽

R. Kumar ◽

A. Valavanis

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Young Patient ◽

Internal Carotid ◽

Middle Meningeal Artery ◽

Proximal Segment ◽

Angiographic Finding ◽

Meningeal Artery ◽

Cervical Internal Carotid Artery

Atypical origin of the middle meningeal artery from the cervical internal carotid artery is a rare angiographic finding. We describe a case of the pharyngo-tympano-stapedial variant of the middle meningeal artery in a young patient. In this vascular variation the proximal segment of the middle meningeal artery, corresponding to an annexed inferior tympanic artery, originates from the cervical carotid artery. Then over the promontory it unites with the superior tympanic artery and continues with its intracranial course via the petrous branch.

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Anomalous Origin of the Middle Meningeal Artery from the Petrous Segment of the Internal Carotid Artery Associated with Multiple Cerebrovascular Abnormalities

The Internet Journal of Radiology ◽

10.5580/721 ◽

2006 ◽

Vol 4 (2) ◽

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Middle Meningeal Artery ◽

Anomalous Origin ◽

Meningeal Artery

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Bony Dehiscence of the Horizontal Petrous Internal Carotid Artery Canal: An Anatomic Study with Surgical Implications

World Neurosurgery ◽

10.1016/j.wneu.2018.03.172 ◽

2018 ◽

Vol 114 ◽

pp. e1174-e1179 ◽

Cited By ~ 3

Author(s):

Alexander Spiessberger ◽

Fabian Baumann ◽

Karl Friedrich Kothbauer ◽

Mohammed Aref ◽

Serge Marbacher ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Anatomic Study

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Blister Aneurysms of the Internal Carotid Artery: Microsurgical Results and Management Strategy

Neurosurgery ◽

10.1227/neu.0000000000001259 ◽

2017 ◽

Vol 80 (2) ◽

pp. 235-247 ◽

Cited By ~ 27

Author(s):

Christopher M. Owen ◽

Nicola Montemurro ◽

Michael T. Lawton

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Middle Cerebral Artery ◽

Cerebral Artery ◽

Treatment Strategy ◽

Internal Carotid ◽

Artery Bypass ◽

External Carotid ◽

Parent Artery ◽

Intraoperative Rupture

Abstract BACKGROUND: Blister aneurysms of the supraclinoid internal carotid artery (ICA) are challenging lesions with high intraoperative rupture rates and significant morbidity. An optimal treatment strategy for these aneurysms has not been established. OBJECTIVE: To analyze treatment strategy, operative techniques, and outcomes in a consecutive 17-year series of ICA blister aneurysms treated microsurgically. METHODS: Seventeen patients underwent blister aneurysm treatment with direct clipping, bypass and trapping, or clip-reinforced wrapping. RESULTS: Twelve aneurysms (71%) were treated with direct surgical clipping. Three patients required bypass: 1 superficial temporal artery to middle cerebral artery bypass, 1 external carotid artery to middle cerebral artery bypass, and 1 ICA to middle cerebral artery bypass. One patient was treated with clip-reinforced wrapping. Initial treatment strategy was enacted 71% of the time. Intraoperative rupture occurred in 7 patients (41%), doubling the rate of a poor outcome (57% vs 30% for patients with and without intraoperative rupture, respectively). Severe vasospasm developed in 9 of 16 patients (56%). Twelve patients (65%) were improved or unchanged after treatment, and 10 patients (59%) had good outcomes (modified Rankin Scale scores of 1 or 2). CONCLUSION: ICA blister aneurysms can be cautiously explored and treated with direct clipping as the first-line technique in the majority of cases. Complete trapping of the parent artery with temporary clips and placing permanent clip blades along normal arterial walls enables clipping that avoids intraoperative aneurysm rupture. Trapping/bypass is used as the second-line treatment, maintaining a low threshold for bypass with extensive or friable pathology of the carotid wall and in patients with incomplete circles of Willis.

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