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The Arterial Supply of the of the Rhesus Monkey ’

WALTER A. CASTELLI AND DONALD F. HUELKE Department of Anatomy, The University of Michigan, Ann Arbor, Michigan

ABSTRACT A study of the dural blood supply in 20 specimens by , cor- rosion preparations and cleared specimens indicates that the dural are similar to those of man yet significant differences were noted. The anterior is supplied by small twigs which spread through the dura of the floor. The larger branch, the anterior meningeal , perforates the lateral orbital wall and supplies the lateral wall of anterior and middle cranial fossae. The , of the , divides into two branches in the floor of the middle fossa. The anterior or frontal branch always anastomoses with the anterior meningeal artery. Sometimes it also continues upward to the lateral wall of the mid- dle fossa to supply it. The posterior middle meningeal branch passes backward to supply the parietal area. The posterior meningeal artery, of the , enters the near the beginning of the sigmoid sinus and follows the general course of the lambdoidal suture.

The arterial supply of the dura mater in . In this way all the super- the Rhesus monkey is similar to that of ficial arteries were removed and only those man, yet several characteristics are worthy arteries of the dura mater would appear in of note. Because of the importance of the the radiographs. The calvariae of the dural blood supply in certain experimental specimens injected with Teichmann’s paste neurological and surgical studies, we felt were separated from the facial structures that a description of the arterial supply of and all soft tissues removed from the the dura mater in the Rhesus monkey calvariae except for the dura mater. The would be of value. Our interest in this specimens were then decalcified and problem was initiated through studies of cleared (Teichmann, ’52). the anatomy of the Rhesus monkey The embalmed material was injected (Schwartz and Huelke, ’63; CastelIi and with red latex, the heads cut sagittally, and Huelke, ’65). the dura mater carefully dissected in order to determine the vascular pathways of the MATERIALS AND METHODS meningeal arteries. All arteries were fol- In this study 20 young Rhesus monkeys, lowed from their point of origin. Sketches typical of those used in neurological experi- of the arterial patterns were made, and the ments, were used. Twelve of the specimens pathways of the vessels were illustrated were unembalmed. All animals were in- with reference to certain cranial land- jected through the common carotid arter- marks. ies; red latex, Teichmann’s paste (Teich- mann, ’52), or a modified Schlessinger’s RESULTS AND DISCUSSION radiopaque media (Reiner and Rodriguez, Anterior meningeal artery. In the ’57) was used. Rhesus monkey the anterior meningeal The 12 unembalmed specimens were in- artery arises from the jected with Teichmann’s paste and with within the orbit and perforates the orbit at the radiopaque material. The heads were the junction of the superior and lateral cut sagittally and fixed in 10% formalin orbital walls; it then follows the curvature solution. The brains of those injected with of the lesser wing of the sphenoid (fig. 1). the radiopaque media and the soft tissues Commonly this vessel is very large and was covering the skull were removed. The tem- IThis investigation was supported, in part, by poralis muscle was detached from its origin USPHS research grant DE-00895 from the National Institute of Dental Research, National Institutes of and cut transversely at the level of the Health.

ANAT. REC.,152: 155-160. 155 156 WALTER A. CASTELLI AND DONALD F. IIUELKE

Fig. 1 The dural arteries of the right side as found in 52% of the sides. The anterior branch of the middle meningeal artery is reduced to only a small anastomotic connection which joins the anterior meningeal artery of the ophthalmic artery. present in 80% of the material. The ward toward the petrotympanic fissure. artery anastomoses with the frontal or Near the base of the skull the artery di- anterior branch of the middle meningeal vides into its two main branches. The artery and then continues by dividing into tympanic artery passes posteriorly into the two or three smaller branches which dis- petrotympanic fissure. The middle menin- tribute to the lateral wall of the anterior geal artery passes through the lateral end and middle cranial fossae. In addition, of the foramen ovale to enter the middle the floor of the anterior cranial fossa is cranial fossa. It grooves the inner table of supplied by very small arterial branches bone at the base of the middle cranial which pass through foramina adjacent to fossa immediately above the glenoid cav- the cribiform plate. These vessels arise ity as it passes toward the lateral wall. from the internal nasal artery, a branch Here the artery divides into two main of the ophthalmic artery. branches which course anteriorly and pos- Middle meningeal artery. The middle teriorly. The anterior or frontal branch meningeal artery most often arises in com- passes on the inner aspect of the squam- mon with the tympanic artery. This com- ous portion of the towards mon trunk originates from the first portion the tip of the lesser wing of the sphenoid of the maxillary artery, medial to the neck where it always anastomoses with the an- of the condyle. This common trunk passes terior meningeal branch of the ophthalmic beneath the inferior border of the lateral artery when this artery is present. The pterygoid muscle and passes medially up- posterior or parietal branch passes back- ARTERIES OF THE DURA 157 ward above the level of the external acous- the parietal branch of the middle menin- tic meatus to anastomose with the poste- geal artery. rior meningeal artery. This anastomosis The meningeal arteries of one side ana- is, however, quite small. Through this stomose with each other and with those of branching pattern, then, the middle me- the opposite side by means of short trans- ningeal artery supplies the base of the verse communications which pass across and part of the lat- the midline above the superior sagittal eral wall, as well as most of the area be- sinus. hind and above the petrous bone. Three main patterns of arterial distribu- Posterior meningeal artery. The poste- tion were found. The most common vas- rior meningeal artery is a branch of the cular arrangement was noted in 52% of occipital artery which penetrates the skull the specimens. Here the anterior menin- through a foramen at the occipitomastoid geal artery is very well developed and dis- suture. Upon entrance into the skull it is tributed to most of the lateral wall of the located at the beginning of the sigmoid anterior and middle cranial fossa. In sinus. The artery has a tortuous course, these specimens the anterior branch of the passing backwards between the bone and middle meningeal artery is reduced to a the lateral dural venous sinus. It distri- very small anastomotic arch which passes butes to the dura mater of the posterior forward to join the anterior meningeal fossa, falx cerebelli and the tentorium artery (fig. 1). The posterior or parietal cerebelli. Small branches anastomose with branch of the middle meningeal is much

Fig. 2 Dural arteries found in 28% of sides. Anterior branch of the middle meningeal artery sup- plies the side of the skull above the middle cranial fossa along with the anterior meningeal artery by separate branches from the parent stem. 158 WALTER A. CASTELLI AND DONALD F. HUELKE

Fig. 3 Variation of the pattern seen in figure 2. The dura above the middle cranial fossa is sup- plied by a common stem which is formed by the anterior meningeal artery and the anterior branch of the middle meningeal artery. larger and supplies the posterior part of 3). In these cases the posterior branch of the middle cranial fossa and the area be- the middle meningeal artery and the poste- hind and above the petrous temporal bone. rior meningeal artery have the usual course The posterior meningeal is found in its and distribution as previously described. usual location and distribution in the poste- The third pattern of meningeal vascu- rior fossa. The posterior meningeal artery lature was seen in 20% of the specimens. is the most stable of all of the meningeal Here there is a predominance of the mid- arteries in that no variations of significance dle meningeal artery over the others. The were found. middle meningeal artery distributes to most The second most common vascular ar- of the anterior and middle cranial fossae rangement occurs in 28% of the sides. with the anterior meningeal artery being Here the anterior branch of the middle me- very small or absent. Only small arterial ningeal artery is much larger and, together vessels from the internal nasal artery were with the anterior meningeal artery, par- present in the dura mater of the floor of ticipates in the supply of the dura mater the anterior cranial fossa (fig. 4). of the anterior and middle cranial fossae. The projection of the meningeal arteries The vessels may remain separate, joining on the outer surface of the cranial vault one another by only short anastomotic indicates that the main meningeal trunks channels (fig. 2), or they may unite to form are located at the base of the cranium a common trunk which is then distributed and cannot be visualized in lateral view. to the area of the middle cranial fossa (fig. In profile view the anterior meningeal ar- ARTERIES OF THE DURA 159

Fig. 4 Radiograph of the right side showing the distribution of the middle meningeal artery. The arterial stem on the near the midline is the .

tery is located almost at the tip of the The posterior meningeal artery passes greater wing of the ; the backward slightly below the lambdoidal middle meningeal artery just above the suture. glenoid fossa and external acoustic meatus; The arrangement of the meningeal ves- the posterior meningeal artery at the area sels also leaves areas of decreased vascular of the junction of the lateral and sigmoid density. In these areas no major dural sinuses approximately 2 cm behind the arterial stems or branches are found. external acoustic meatus. As indicated in These are located mainly near the midline, figure 5 the distribution of the meningeal and in the lateral part of the branches shows an area of concentration approximately 3 cm above the external of arteries about the junction of the fron- acoustic meatus, and at the frontal area tal, parietal, and sphenoid bones (ptery- on either side of the midline above the gon). This is located approximately 1 cm orbits. In the occipital region there are behind the zygomaticofrontal suture. The but small areas just lateral to the confluens posterior branch of the middle meningeal of sinuses above and below the lateral artery is located in lateral view passing on dural sinuses which correspond to the a 45" angle upward and backward from in cerebral and cerebellar fossae of the occipi- front of the external acoustic meatus. tal bone. 160 WALTER A. CASTELLI AND DONALD F. HUELKE

Fig. 5 The arteries of the dura mater as seen in lateral view.

LITERATURE CITED Schwartz, D. J., and D. F. Huelke 1963 The Castelli, W. A., and D. F. Huelke 1965 The morphology of the head and neck of the arterial system of the head and neck of the Macaca monkey: the Rhesus monkey with emphasis on the external and the mandibular division of the trigeminal carotid system. Am. J. of Anat., 116: 149-170. nerve. J. Dent. R~~.,42: 1222-1233, Reiner, L., and F. Rodriguez 1957 An injec- tion of maximal radiopacity for post- Teichmann, L. 1952 Cited by Schwering; Ana- mortem angiography. J. Mount Sinai Hospital, tomische Trochen-feucht und Knochenprapar- 24: 1139-1145. ate. Springer Verlag, Berlin, p. 79.