Middle meningeal artery arising from the basilar artery: report of a case and its probable embryological mechanism

J Neurointerv Surg. 2012 Jan 1;4(1):43-4. doi: 10.1136/jnis.2010.004465. Epub 2011 Apr 19.


An extremely rare variation of the (left) middle meningeal artery (MMA) originating from the basilar artery, detected incidentally during cerebral angiography, is reported. The right MMA was normal and an accessory meningeal artery arising from the maxillary artery was present on both the sides. The foramen spinosum on the variant side was absent. This abnormal origin of the MMA can be explained by the presence of a perineural arterial network in the region of the Gasserian ganglion, formed by branches of the developing basilar and stapedial arterial systems; the middle meningeal-basilar arterial channel opening up in the absence of a normally developing MMA.

Publication types

  • Case Reports

MeSH terms

  • Basilar Artery / abnormalities*
  • Basilar Artery / embryology*
  • Basilar Artery / innervation
  • Headache / diagnostic imaging
  • Headache / embryology
  • Headache / etiology*
  • Humans
  • Incidental Findings
  • Meningeal Arteries / abnormalities*
  • Meningeal Arteries / embryology*
  • Meningeal Arteries / innervation
  • Nerve Net / abnormalities
  • Nerve Net / blood supply
  • Nerve Net / embryology
  • Radiography