In anatomy, the meninges (; sing. meninx ; from Ancient Greek μῆνινξ (mêninx) 'membrane') are protective membranes that cover the brain and spinal cord. In mammals, three meninges have been clearly identified: the dura mater, the arachnoid mater, and the pia mater. Each layer has its own molecularly distinct type of fibroblasts. The meninges act as a physical and immunological protective barrier for the brain and spinal cord, shielding the central nervous system (CNS) from injury. They anchor and support the tissues of the CNS, and provide containment for cerebrospinal fluid (CSF) and the arteries and veins that supply blood to the brain and spinal cord. The dura mater surrounds the arachnoid mater and supports the dural sinuses, which carry blood from the brain to the heart. The area between the arachnoid and pia mater is known as the subarachnoid space. It contains cerebrospinal fluid. The arachnoid and pia maters produce prostaglandin D2 synthase, a major cerebrospinal fluid protein. The arachnoid mater provides a restrictive permeability barrier between the cerebrospinal fluid in the subarachnoid space and the circulation of blood in the dura. The pia mater is a thin sheet of connective tissue that interfaces with the glial limitans superficialis.
Structures
Dura mater
The dura mater (Latin: tough mother), is a durable, thick fibrous membrane that attaches to the inside of the skull and covers the brain and vertebrae. Its dense fibrous tissue is formed from an interlay of collagen fibers, elastin, and fibroblasts in an unformed extracellular matrix. The dura mater is itself a two layered membrane: an outer endosteal (periosteal) layer lies closest to the skull, and an inner (meningeal or dura mater proper) layer lies closer to the brain. These layers separate to surround the Dural venous sinuses. Sensory and autonomic nerves innervate the dura, and are dense near its blood vessels. The dura's inner surface is covered by flattened fibrocytes which are adhered to by the outer cells of the arachnoid mater. The dura mater surrounds the arachnoid mater and supports the dural sinuses which carry blood from the brain to the heart. The dura mater folds inwards upon itself to form four areas of infolding called dural reflections:
Falx cerebri: This sickle-shaped fold is the largest of the dural reflections. It separates the two cerebral hemispheres, and is anchored to the crista galli of the ethmoid bone and the internal occipital protuberance. Tentorium cerebelli. The second largest fold is also crescent-shaped. It separates the occipital lobes of the cerebrum from the cerebellum. The falx cerebri attaches to it to form the roof of the posterior cranial fossa, which gives it a tentlike appearance. Falx cerebelli: This vertical infolding is located inferior to the tentorium cerebelli. It partially separates the cerebellar hemispheres. Diaphragma sellae: The smallest of the infoldings, it forms a roof over the sella turcica and seals the pituitary gland from the subarachnoid space.
Arachnoid mater
The arachnoid mater, or arachnoid membrane, is the middle element of the meninges. Thin and transparent, its name reflects its resemblance to a spider web. Its fibrous tissue cushions the central nervous system. Like the pia mater, it has an outer layer of tightly packed flat cells, forming the arachnoid barrier. The arachnoid is loosely fitting and does not closely follow the ridges and grooves on the surface of the brain. A large number of fine filaments called arachnoid trabeculae pass from the arachnoid through the subarachnoid space to blend with the tissue of the pia mater. The arachnoid barrier creates a restrictive permeability barrier between the cerebrospinal fluid in the subarachnoid space and the blood circulation in the dura. The arachnoid barrier layer is characterized by a distinct continuous basal lamina on its inner surface toward the innermost collagenous portion of the arachnoid reticular layer.
Pia mater
The pia mater (Latin: tender mother) is a very delicate membrane. It is the meningeal envelope that firmly adheres to the surfaces of the brain and spinal cord, following all of the brain's contours (gyri and sulci). It is a very thin sheet of connective tissue that interfaces with the glial limitans superficialis but lacks capillaries itself.
Subarachnoidal lymphatic-like membrane
Leptomeninges The arachnoid and pia mater are sometimes together called the leptomeninges, literally "thin meninges" (Greek: λεπτός "leptos"—"thin"). Acute meningococcal meningitis can lead to an exudate within the leptomeninges along the surface of the brain. Because the arachnoid is connected to the pia by cobweb-like strands, it is structurally continuous with the pia, hence the name pia-arachnoid or leptomeninges. They are responsible for the production of beta-trace protein (prostaglandin D2 synthase), a major cerebrospinal fluid protein.
Subarachnoid space
The subarachnoid space is the space that normally exists between the arachnoid and the pia mater. It is filled with cerebrospinal fluid and continues down the spinal cord. Spaces are formed from openings at different points along the subarachnoid space; these are the subarachnoid cisterns, which are filled with cerebrospinal fluid. The dura mater is attached to the skull, whereas in the spinal cord, the dura mater is separated from the vertebrae by a space called the epidural space, which contains fat and blood vessels. The arachnoid is attached to the dura mater, while the pia mater is attached to the central nervous system tissue. If the dura mater and the arachnoid become separated due to injury or illness, the space between them is known as the subdural space. There is another potential space, the subpial space, between the pia mater and the glia limitans.
Clinical significance
Intracranial hemorrhage Three types of intracranial hemorrhage can involve the meninges: epidural, subdural, and subarachnoid.
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