Anatomy and development of the meninges: implications for subdural collections and CSF circulation
Abstract
The dura is traditionally viewed as a supportive fibrous covering of the brain containing the dural venous sinuses but otherwise devoid of vessels and lacking any specific function. However, review of the embryology and anatomy reveals the dura to be a complex, vascularized and innervated structure, not a simple fibrous covering. The dura contains an inner vascular plexus that is larger in the infant than in the adult, and this plexus likely plays a role in CSF absorption. This role could be particularly important in the infant whose arachnoid granulations are not completely developed. Although subdural hemorrhage is frequently traumatic, there are nontraumatic conditions associated with subdural hemorrhage, and the inner dural plexus is a likely source of bleeding in these nontraumatic circumstances. This review outlines the development and age-specific vascularity of the dura and offers an alternative perspective on the role of the dura in homeostasis of the central nervous system.
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Previous anatomical reports demonstrate that parasagittal dura along middle one-third of superior sagittal sinus harbors a dense carpet of arachnoid granulations medially, in close association with an extensive network of intradural channels from 0.02 to 2.0 mm in diameter, coursing and coalescing into lateral lacunae from laterally toward the superior sagittal sinus.
“Our findings compare better with previous anatomical reports demonstrating that parasagittal dura along the middle one-third of the superior sagittal sinus harbors a dense carpet of arachnoid granulations medially, being in close association with an extensive network of intradural channels from 0.02 to 2.0 mm in diameter, coursing and coalescing into lateral lacunae from laterally toward the super”
From Cerebrospinal fluid tracer efflux to parasagittal dura in humans (2020) · cites this paper as [13]
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Cerebrospinal fluid tracer efflux to parasagittal dura in humans
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Retracted
- Authors
- Mack, J., Squier, W., & Eastman, J. T.
- Affiliations
- Pennsylvania State University (US)
- John Radcliffe Hospital (GB)
- Lancaster General Hospital (US)
- Corresponding author
- Mack, Julie
- ORCID
- Squier, Waney
- Venue
- Pediatric Radiology
- Published
- 2009-01-23
- Volume
- 39
- Issue
- 3
- Pages
- 200-210
- ISSN
- 0301-0449 (ISSN-L)
- 1432-1998
- OpenAlex
- W2110176096
- Cited by
- 233
- References
- 96
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 18 · 2023: 21 · 2022: 20 · 2021: 18 · 2020: 12 · 2019: 15 · 2018: 12 · 2017: 13 · 2016: 7 · 2015: 8 · 2014: 16 · 2013: 12 · 2012: 10
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Pediatric Radiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Neurosurgical Procedures and Complications
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
- Health Sciences › Medicine › Neurology › Cerebral Venous Sinus Thrombosis
- Keywords
- dura mater, meninges, dural venous sinuses, cerebrospinal fluid absorption, cerebrospinal fluid flow, subdural hematoma, arachnoid granulations, CNS homeostasis, infants
- MeSH terms
- Cerebrospinal Fluid, Child, Child, Preschool, Dura Mater, Hematoma, Subdural, Humans, Infant, Infant, Newborn, Meninges, Subdural Space
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