Middle Meningeal Artery - Clinical Relevance

Clinical Relevance

An injured middle meningeal artery is the cause of an epidural hematoma. A head injury (e.g. from a road traffic accident or sports injury) is required to rupture the artery. Emergency treatment requires decompression of the haematoma, usually by craniotomy. Subdural bleeding is usually venous in nature, rather than arterial.

The middle meningeal artery runs in a groove on the inside of the cranium. This can clearly be seen on a lateral skull X-ray, where it may be mistaken for a fracture of the skull. On a dry specimen the groove is easy to see. This means that the artery is easy to study, even in specimens centuries old, and several classifications of the branches have been proposed, e.g. Adachi's classification of 1928.

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