Middle meningeal artery

Synonyms
MMA, Middle meningeal artery

The middle meningeal artery (Middle meningeal artery, MMA) arises from the Arteria carotis externa via the Arteria maxillaris. It enters the skull through the Foramen spinosum and supplies large portions of the Dura mater via an anterior ramus and a posterior ramus.

Clinical relevance

Injury to the middle meningeal artery can lead to an Epidural hematoma. Coagulation of the middle meningeal artery can generally be performed intraoperatively without further consequences.

Imaging

Middle meningeal artery on angiography
Selective angiography of the external carotid artery with identification (red arrow) of the middle meningeal artery.

Embolization of the middle meningeal artery

In some hospitals, endovascular embolization of the middle meningeal artery is used as a treatment for recurrent chronic subdural hematomas[^1].

Embolization of the middle meningeal artery
Patient with endovascular embolization of the middle meningeal artery using Squid12.

Accessory meningeal artery

The accessory meningeal artery is a vascular branch that usually arises from the maxillary artery and passes intracranially through the Foramen ovale, where it supplies the dura mater as well as the trigeminal ganglion. However, the accessory meningeal artery may also arise from the middle meningeal artery.

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