Dura mater

Information about Dura mater

Dura mater
Meninges of the CNS
The medulla spinalis and its membranes.
subject #193 872
MeSH Dura+Mater
The dura mater (from the Latin "hard mother"), or pachymeninx, is the tough and inflexible outermost of the three layers of the meninges surrounding the brain and spinal cord. (The other two meningeal layers are the pia mater and the arachnoid mater.) The dura mater is not as tightly fitting around the spinal cord, extending past the spinal cord (at the second lumbar vertebra) to about the second sacral vertebra.

Layers and reflections

The dura mater has two layers:
  • a superficial layer, which is actually the skull's inner periosteum
  • a deep layer, the dura mater proper.
The dura separates into two layers at dural reflections, places where the inner dural layer is reflected as sheet-like protrusions into the cranial cavity. There are two main dural reflections:

Drainage

The two layers of dura mater run together throughout most of the skull. Where they separate, the gap between them is called a dural venous sinus. These sinuses drain blood and cerebrospinal fluid from the brain and empty into the internal jugular vein.

They drain via the arachnoid villi, which are outgrowths of the arachnoid mater (the middle meningeal layer) that extend into the venous sinuses. These villi act as one-way valves.

Meningeal veins, which course through the dura mater, and bridging veins, which drain the underlying neural tissue and puncture the dura mater, empty into these dural sinuses.

Clinical significance

A subdural hematoma occurs when there is an abnormal collection of blood between the dura and the arachnoid, usually as a result of torn bridging veins secondary to head trauma. An epidural hematoma is a collection of blood between the dura and the inner surface of the skull, and is usually due to arterial bleeding.

The American Red Cross and some other agencies accepting blood donations consider dura mater transplants, along with receipt of pituitary-derived growth hormone, a risk factor due to concerns about Creutzfeldt-Jakob disease.[3]

References

1. ^ Shepherd S. 2004. "Head Trauma." Emedicine.com.
2. ^ Vinas FC and Pilitsis J. 2004. "Penetrating Head Trauma." Emedicine.com.
3. ^ Red Cross: [1]

Additional images





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Diagrammatic representation of a section across the top of the skull, showing the membranes of the brain, etc.

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Diagrammatic transverse section of the medulla spinalis and its membranes.

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Upper part of medulla spinalis and hind- and mid-brains; posterior aspect, exposed in situ.

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Diagrammatic section of scalp.

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Autopsy photo from the CDC: The white "sheet" being held by the forceps is the dura mater.
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Anatomy: meninges of the brain and medulla spinalis
LayersDura mater (Falx cerebri, Tentorium cerebelli, Falx cerebelli) • Arachnoid mater (Arachnoid granulation) • Subarachnoid space • Pia mater
CisternsCisterna magna • Pontine cistern • Interpeduncular cistern • Chiasmatic • Lateral cerebral fossa • Great cerebral vein
OtherCerebrospinal fluid

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Posterior]]/PCML: Gracilis • Cuneatus
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Corticospinal]] (Lateral) • Ep (Rubrospinal, Olivospinal)
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Anterior]]: Corticospinal (Anterior) • Ep (Vestibulospinal, Tectospinal, Reticulospinal)
 • Dura mater • Subdural space • Arachnoid mater • Subarachnoid space • Pia materOther structuresDenticulate ligaments • Conus medullaris • Cauda equina • Filum terminale • Cervical enlargement • Lumbar enlargement • thumb|center
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Anterior median fissure]]
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spinal chord is a thin, tubular bundle of nerves that is an extension of the central nervous system from the brain and is enclosed in and protected by the bony vertebral column.
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Medical Subject Headings (MeSH) is a huge controlled vocabulary (or metadata system) for the purpose of indexing journal articles and books in the life sciences. Created and updated by the United States National Library of Medicine (NLM), it is used by the MEDLINE/PubMed
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The meninges (singular meninx) is the system of membranes which envelop the central nervous system. The meninges consist of three layers: the dura mater, the arachnoid mater, and the pia mater.
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In animals, the brain or encephalon (Greek for "in the skull"), is the control center of the central nervous system, responsible for behavior. The brain is located in the head, protected by the skull and close to the primary sensory apparatus of vision, hearing,
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spinal chord is a thin, tubular bundle of nerves that is an extension of the central nervous system from the brain and is enclosed in and protected by the bony vertebral column.
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The pia mater (Latin: "tender mother", itself a translation from Arabic) is the delicate innermost layer of the meninges - the membranes surrounding the brain and spinal cord.
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The arachnoid mater is one of the three meninges, the membranes that cover the brain and spinal cord. It is interposed between the two other meninges, the more superficial dura mater and the deeper pia mater, and is separated from the pia mater by the subarachnoid space.
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The Vertebral Column (singular: vertebra) are the individual irregular bones that make up the spinal column (aka ischis) — a flexuous and flexible column.
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The periosteum is a thin layer of dense, irregular connective tissue membrane that covers the outer surface of a bone in all places except at joints. (The outer surface of bone at joints is covered with "articular cartilage", a type of hyaline cartilage.
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The tentorium cerebelli or cerebellar tentorium (Latin: "tent of the cerebellum") is an extension of the dura mater that separates the cerebellum from the inferior portion of the occipital lobes.
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The cerebellum (Latin: "little brain") is a region of the brain that plays an important role in the integration of sensory perception and motor output. Many neural pathways link the cerebellum with the motor cortex—which sends information to the muscles causing them
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The brain stem is the lower part of the brain, adjoining and structurally continuous with the spinal cord. Most sources consider the pons, medulla oblongata, and midbrain all to be part of the brainstem.
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The occipital lobe is the visual processing center of the mammalian brain, containing most of the anatomical region of the visual cortex. The primary visual cortex is Brodmann area 17, commonly called V1 (visual one).
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The telencephalon (IPA: /tɛlɛnˈsɛfəlɑn/) is the name for the forebrain, a large region within the brain to which many functions are attributed.
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The falx cerebri, so named from its sickle-like form, is a strong, arched fold of dura mater which descends vertically in the longitudinal fissure between the cerebral hemispheres.
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cerebral hemisphere (hemispherium cerebrale) is defined as one of the two regions of the brain that are delineated by the body's median plane. The brain can thus be described as being divided into left and right cerebral hemispheres.
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The medial longitudinal fissure (or longitudinal cerebral fissure, or longitudinal fissure, or interhemispheric fissure) is the deep groove which separates the two hemispheres of the vertebrate brain.
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The dural venous sinuses (also called dural sinuses, cerebral sinuses, or cranial sinuses) are venous channels found between layers of dura mater in the brain.
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Cerebrospinal fluid (CSF), Liquor cerebrospinalis, is a clear bodily fluid that occupies the subarachnoid space and the ventricular system around and inside the brain.
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The internal jugular vein collects the blood from the brain, from the superficial parts of the face, and from the neck.

Path

It is directly continuous with the sigmoid sinus, and begins in the posterior compartment of the jugular foramen, at the base of the skull.
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Arachnoid granulations (or arachnoid villi) are small protrusions of the arachnoid (the thin second layer covering the brain) through the dura (the thick outer layer).
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The arachnoid mater is one of the three meninges, the membranes that cover the brain and spinal cord. It is interposed between the two other meninges, the more superficial dura mater and the deeper pia mater, and is separated from the pia mater by the subarachnoid space.
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MeSH D006408 A subdural hematoma (SDH) is a form of traumatic brain injury in which blood collects between the dura (the outer protective covering of the brain) and the arachnoid (the middle layer of the meninges).
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Extradural haemorrhage
Classification & external resources

Nontraumatic epidural hematoma in a young woman. The grey area in the top left is organizing hematoma, causing midline shift and compression of the ventricle.
ICD-10 I 62.1 , S 06.4
ICD-9 432.
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Arteries are muscular blood vessels that carry blood away from the heart.[1] All arteries, with the exception of the pulmonary and umbilical arteries, carry oxygenated blood.

The circulatory system is extremely important for sustaining life.
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MeSH D007562

Creutzfeldt-Jakob disease (CJD) is a very rare and incurable degenerative neurological disorder (brain disease) that is ultimately fatal. Among the types of transmissible spongiform encephalopathy found in humans, it is the most common.
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spinal chord is a thin, tubular bundle of nerves that is an extension of the central nervous system from the brain and is enclosed in and protected by the bony vertebral column.
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autopsy, also known as a post-mortem examination, necropsy, or obduction, is a medical procedure that consists of a thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present.
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The Centers for Disease Control and Prevention (or CDC) is an agency of the United States Department of Health and Human Services based in unincorporated DeKalb County, Georgia adjacent to the campus of Emory University and east of the city of Atlanta.
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Forceps are a handheld, hinged instrument used for grasping and holding objects. Forceps are used when fingers are too large to grasp small objects or when many objects need to be held at one time while the hands are used to perform a task.
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