Middle meningeal artery arising from the basilar artery

J Cerebrovasc Endovasc Neurosurg. 2014 Dec;16(4):364-7. doi: 10.7461/jcen.2014.16.4.364. Epub 2014 Dec 30.


Various anomalies for the origin of the middle meningeal artery (MMA) have been described in the literature. However, origin of the MMA from the basilar trunk is an extremely rare variant. We report on a 54-year-old female who presented with frequent headaches; magnetic resonance imaging showed a right parietal meningioma. The abnormal origin of the middle meningeal artery from the basilar artery was diagnosed by angiography performed for preoperative embolization of the tumor. We report on the case with a review of the embryologic basis, possible explanations for this aberrant origin, and its clinical implications.

Keywords: Aberrant origin; Anatomic variation; Basilar artery; Embryology; Endovascular; Middle meningeal artery.

Publication types

  • Case Reports