Innervation of the meninges
Last revised by Robin Yang
on 13 Aug 2020
Citation, DOI, disclosures and article data
Citation:
Maingard J, Yang R, Kang O, et al. Innervation of the meninges. Reference article, Radiopaedia.org (Accessed on 19 Mar 2025) https://doi.org/10.53347/rID-25282
rID:
25282
Article created:
17 Oct 2013,
Julian Maingard ◈
Disclosures:
At the time the article was created Julian Maingard had no recorded disclosures.
View Julian Maingard's current disclosures
Last revised:
13 Aug 2020,
Robin Yang
Disclosures:
At the time the article was last revised Robin Yang had no recorded disclosures.
View Robin Yang's current disclosures
Revisions:
11 times, by
9 contributors -
see full revision history and disclosures
Systems:
Sections:
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Synonyms:
- Meningeal innervation
The sensory innervation of the meninges is primarily by meningeal branches of both the trigeminal and vagus nerves with a smaller contribution from the upper cervical spinal nerves 1,2. The supratentorial dura mater is mainly supplied by the ophthalmic division of the trigeminal nerve 3. Like the arterial supply, innervation is dependent on the site of the dura.
Innervation
The dominant nerve supplying most of the supratentorial dura is the tentorial nerve (a branch of the ophthalmic nerve (CN Va)) which supplies the falx, calvarial dura and superior surface of the tentorium.
Anterior cranial fossa
- meningeal branches from the anterior and posterior ethmoidal nerves 1,3, off the nasociliary nerve from the ophthalmic division of the trigeminal nerve
- meningeal branches from the maxillary nerve (CN Vb)
Middle cranial fossa
- meningeal branches of ophthalmic, maxillary and mandibular divisions of trigeminal nerve 1,2
- tentorial branches of the ophthalmic and maxillary divisions of the trigeminal nerve extend posteriorly from the anterior end of the cavernous sinus to the upper surface of the tentorium cerebelli 1
- middle meningeal nerve (a branch off the maxillary nerve (CN Vb) supplies the anterior parts of the fossa
- meningeal branch of the mandibular nerve (CN Vc) supplies the posterior parts of the fossa
Posterior cranial fossa
- sensory meningeal branches from the vagus nerve (CN X) and glossopharyngeal nerve (CN IX) supply the inferior surface of the tentorium and dura of the posterior fossa
- small sensory branches of the C1 to C3 dorsal rami supply around the foramen magnum
Related pathology
- meningitis
- post lumbar puncture headache 4
References
- 1. Schuenke M, Schulte E, Schumacher U et-al. Head and Neuroanatomy - Latin Nomencl. (THIEME Atlas of Anatomy). Thieme. ISBN:1588904423. Read it at Google Books - Find it at Amazon
- 2. Bruni JE, Montemurro D. Human neuroanatomy. Oxford University Press, USA. ISBN:0195371429. Read it at Google Books - Find it at Amazon
- 3. McMinn FRCS CSS. Last's Anatomy: Regional and Applied, 12e (MRCS Study Guides). Churchill Livingstone. ISBN:0702033952. Read it at Google Books - Find it at Amazon
- 4. Ahmed SV, Jayawarna C, Jude E. Post lumbar puncture headache: diagnosis and management. Postgraduate medical journal. 82 (973): 713-6. doi:10.1136/pgmj.2006.044792 - Pubmed
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