Abstract
The myodural bridge was first described by Hack in 1995 and was thought to be related to chronic cervicogenic headaches. For a long time, few studies revealed the patterns of the myodural bridge considering the rectus capitis posterior minor muscle. In this study, P45 plastination technology and anatomical dissection were performed on head specimens, and four different terminal region types of the rectus capitis posterior minor muscle were observed, including the posterior atlanto-occipital interspace, posterior arch of the atlas and posterior atlanto-axial interspace. We propose that the myodural complex structures in the posterior atlanto-occipital and posterior atlanto-axial interspace have cooperative effects on cerebrospinal fluid and work together. This force might be an important source for the circulation of cerebrospinal fluid.
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References
Alix ME, Bates DK (1999) A proposed etiology of cervicogenic headache: the neurophysiologic basis and anatomic relationship between the dura mater and the rectus posterior capitis minor muscle. J Manip Physiol Ther 22(8):534–539
Chang H, Gilbertson LG, Goel VK, Winterbottom JM, Clark CR, Patwardhan A (1992) Dynamic response of the occipito-atlanto-axial (C0–C1–C2) complex in right axial rotation. J Orthop Res 10(3):446–453
Dean NA, Mitchell BS (2002) Anatomic relation between the nuchal ligament (ligamentum nuchae) and the spinal dura mater in the craniocervical region. Clin Anat 15(3):182–185
Elliott JM, Galloway GJ, Jull GA, Noteboom JT, Centeno CJ, Gibbon WW (2005) Magnetic resonance imaging analysis of the upper cervical spine extensor musculature in an asymptomatic cohort: an index of fat within muscle. Clin Radiol 60(3):355–363
Elliott JM, Jull GA, Noteboom JT, Darnell R, Galloway G, Gibbon WW (2006) Fatty infiltration in the cervical extensor muscles in persistent whiplash-associated disorders: a magnetic resonance imaging analysis. Spine 31(22):E847–E855
Elliott JM, Sterling M, Noteboom JT, Darnell R, Galloway G, Jull G (2008) Fatty infiltrate in the cervical extensor muscles is not a feature of chronic, insidious-onset neck pain. Clin Radiol 63(6):681–687
Fernández-de-las-Penas C, Cuadrado ML, Arendt-Nielsen L, Ge HY, Pareia JA (2008) Association of cross-sectional area of the rectus capitis posterior minor muscle with active trigger points in chronic tension-type headache: a pilot study. Am J Phys Med Rehab 87(3):197–203
Greitz D, Franck A, Nordell B (1993) On the pulsatile nature of intracranial and spinal CSF-circulation demonstrated by MR imaging. Acta Radiol 34(4):321–328
Hack GD, Hallgren RC (2004) Chronic headache relief after section of suboccipital muscle dural connections: a case report. Headache 44(1):84–89
Hack GD, Koritzer RT, Robinson WL, Hallgren RC, Greenman PE (1995) Anatomic relation between the rectus capitis posterior minor muscle and the dura mater. Spine 20(23):2484–2485
Hiatt JL, Gartner LP (1987) Textbook of head and neck anatomy. Williams & Wilkins, Baltimore
Johnson GM, Zhang M, Jones DG (2000) The fine connective tissue architecture of the human ligamentum nuchae. Spine 25(1):5
Kontautas E, Ambrozaitis KV, Spakauskas B, Smailys A (2005) Upper cervical spine injuries and their diagnostic features. Medicina (Kaunas) 41(9):802
Kumar R, Berger RJ, Dunsker SB, Keller JT (1996) Innervation of the spinal dura: myth or reality? Spine 21(1):18–25
McPartland JM, Brodeur RR (1999) Rectus capitis posterior minor: a small but important suboccipital muscle. J Bodyw Mov Ther 3(1):30–35
McPartland JM, Brodeur RR, Hallgren RC (1997) Chronic neck pain, standing balance, and suboccipital muscle atrophy-a pilot study. J Manip Physiol Ther 20(1):24
Mitchell BS, Humphreys BK, O’Sullivan E (1998) Attachments of the ligamentum nuchae to cervical posterior spinal dura and the lateral part of the occipital bone. J Manip Physiol Ther 21(3):145
Nash L, Nicholson H, Lee AS, Johnson GM, Zhang M (2005) Configuration of the connective tissue in the posterior atlanto-occipital interspace: a sheet plastination and confocal microscopy study. Spine 30(12):1359–1366
Pontell ME, Scali F, Marshall E, Enix D (2013) The obliquus capitis inferior myodural bridge. Clin Anat 26:450–454
Tagil SM, Özçakar L, Bozkurt MC (2005) Insight into understanding the anatomical and clinical aspects of supernumerary rectus capitis posterior muscles. Clin Anat 18(5):373–375
Thompson VP (1995) Anatomical research lives. Nat Med 1(4):297–298
Zheng N, Yuan XY, Li YF et al (2014) Definition of the to be named ligament and vertebrodural ligament and their possible effects on the circulation of CSF. PLoS One 9(8):e103451
Acknowledgments
The authors thank the Department of Anatomy at Dalian Medical University for assisting with cadaveric dissections and the contributions of all the donors. They also thank Dalian Hoffen Bio-technique Co., Ltd. for support with the P45 plastination technique.
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The authors declare that they have no conflicts of interest.
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Yuan, XY., Yu, SB., Li, YF. et al. Patterns of attachment of the myodural bridge by the rectus capitis posterior minor muscle. Anat Sci Int 91, 175–179 (2016). https://doi.org/10.1007/s12565-015-0282-1
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DOI: https://doi.org/10.1007/s12565-015-0282-1