Download PDF
Open Access
CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0045-1813021
Clinical Images

Middle Meningeal Artery Originating from the Basilar Artery: Neuroimage

Authors

  • Lívio Pereira de Macêdo 

    1   Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil
    2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Pernambuco, Brazil
    3   Department of Neurointerventional Radiology, ANGIORAD, Recife-PE, Brazil

  • Pedro Sobral Barbosa da Silva 

    4   Faculdade Pernambucana de Saúde, Recife, Pernambuco, Brazil

  • Francisco Ranilson Alves Silva 

    2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Pernambuco, Brazil

  • Ítalo Emmanuel Lima Ferreira 

    2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Pernambuco, Brazil

  • Marcos Antônio Barbosa da Silva 

    2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Pernambuco, Brazil

  • Eduardo Vieira de Carvalho-Junior

    1   Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil

  • José Laércio Júnior Silva 

    1   Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil
    2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, Pernambuco, Brazil
    3   Department of Neurointerventional Radiology, ANGIORAD, Recife-PE, Brazil

  • Hildo Rocha Cirne Azevedo-Filho 

    1   Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil
Further Information
Also available at
  Permissions and Reprints

Abstract

The middle meningeal artery (MMA) supplies over two-thirds of the cranial dura mater, making its anatomical knowledge crucial for surgery. Rarely, the MMA may originate from the basilar artery. Typically, it arises between the superior cerebellar artery and anterior inferior cerebellar artery, following a course near the trigeminal nerve to reach the petrous branch of the MMA. An embryological origin involves anastomosis between persistent stapedial and trigeminal arteries. The image illustrates an unusual case of a patient with right MMA originating from the posterior circulation via the basilar artery.

Keywords

angiogram - medial meningeal artery - neurosurgery - neurovascular anatomy variation - vascular anatomy


Publication History

Article published online:
19 December 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India