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DR. MD. SUJAN SHARIF
Resident, Neurosurgery
BSMMU
 Anterior dural Branches of MMA
 Meningo orbital branches of MMA
 Posterior ethmoidal branch of ophthalmic artery
branch of ICA
 Superficial recurrent ophthalmic artery
 (11-18%)
 Prominently dural involvement (In plaque growth)
 Spheno orbital meningioma
 Subcranial extension
 Middle third (alar)
 Outer third (pterional)
B/S:
 Branches from middle cerebral artery
 Branches from middle meningeal artery
Encased vessels:
ICA
 9-18%
 Anterior and posterior ethmoidal artery
 Sphenoidal branches of middle meningeal artery
 Pial supply from anterior cerebral and anterior
communicating arteryies (when tumour large)
Encase:
 Medial orbital-frontal
Frontopolar
[Ref: Mefty/ page- 196]
 Arise from chiasmatic sulcus and tuberculum
B/S:
i. Capsular arteries br. of cav. ICA
ii. Posterior ethmoidal artery
Encase:
 ICA
 ACA
 ACOMA
i. Deep recurrent ophthalmic artery
ii. Inferolateral trunk of cav. ICA
iii. Petrosal branch of MMA
iv. Accessory meningeal artery
Encase:
i. Cavernous carotid
B/S:
i. Basal tentorial artery (artery of Bernasconi-
cassinari) br. of meningohypophysial trunk
ii. Marginal tentorial artery br. of inferolateral trunk
of the cavernous carotid
iii. Tentorial br. Arising from superior cerebellar and
posterior cerebral arteries
iv. Interdural venous sinus prominent as major
venous sinuses are occluded by tumour
v. Lateral tentorial artery br. Of cav.ICA
(al mefty)
i. Br. From meningohypoplyseal trunk br. of ICA
ii. Seebarcuate artery branch of AICA
iii. Medial clival artery br. of cavernous carotid
iv. Jugular br. of occipital artery
v. Jugular br. Of ascending pharyngeal artery
 1.8- 3.2 %
B/S
i. Branches from V3 segment (anterior meningcal
artery)
ii. If located posteriorly : Posterior meningeal artery
br. Of VA
iii. Hypoglossal br. of occipital artery
iv. Hypoglossal br. of ascending pharyngeal artery
Encase
i. VA
i. Recurrent artery of foramen lacerum and caroid
canal br. of cav. ICA
ii. Inferolateral trunk of cav carotid
iii. Anterior divisions of MMA
iv. Carotid br. of ascending pharyageal artery
i. Dorsal meningeal br. Of cav. ICA
Skull base meningioma

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Skull base meningioma

  • 1. DR. MD. SUJAN SHARIF Resident, Neurosurgery BSMMU
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  • 15.  Anterior dural Branches of MMA  Meningo orbital branches of MMA  Posterior ethmoidal branch of ophthalmic artery branch of ICA  Superficial recurrent ophthalmic artery
  • 16.  (11-18%)  Prominently dural involvement (In plaque growth)  Spheno orbital meningioma  Subcranial extension  Middle third (alar)  Outer third (pterional) B/S:  Branches from middle cerebral artery  Branches from middle meningeal artery Encased vessels: ICA
  • 17.  9-18%  Anterior and posterior ethmoidal artery  Sphenoidal branches of middle meningeal artery  Pial supply from anterior cerebral and anterior communicating arteryies (when tumour large) Encase:  Medial orbital-frontal Frontopolar [Ref: Mefty/ page- 196]
  • 18.  Arise from chiasmatic sulcus and tuberculum B/S: i. Capsular arteries br. of cav. ICA ii. Posterior ethmoidal artery Encase:  ICA  ACA  ACOMA
  • 19. i. Deep recurrent ophthalmic artery ii. Inferolateral trunk of cav. ICA iii. Petrosal branch of MMA iv. Accessory meningeal artery Encase: i. Cavernous carotid
  • 20. B/S: i. Basal tentorial artery (artery of Bernasconi- cassinari) br. of meningohypophysial trunk ii. Marginal tentorial artery br. of inferolateral trunk of the cavernous carotid iii. Tentorial br. Arising from superior cerebellar and posterior cerebral arteries iv. Interdural venous sinus prominent as major venous sinuses are occluded by tumour v. Lateral tentorial artery br. Of cav.ICA (al mefty)
  • 21. i. Br. From meningohypoplyseal trunk br. of ICA ii. Seebarcuate artery branch of AICA iii. Medial clival artery br. of cavernous carotid iv. Jugular br. of occipital artery v. Jugular br. Of ascending pharyngeal artery
  • 22.  1.8- 3.2 % B/S i. Branches from V3 segment (anterior meningcal artery) ii. If located posteriorly : Posterior meningeal artery br. Of VA iii. Hypoglossal br. of occipital artery iv. Hypoglossal br. of ascending pharyngeal artery Encase i. VA
  • 23. i. Recurrent artery of foramen lacerum and caroid canal br. of cav. ICA ii. Inferolateral trunk of cav carotid iii. Anterior divisions of MMA iv. Carotid br. of ascending pharyageal artery
  • 24. i. Dorsal meningeal br. Of cav. ICA