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The myodural bridge, that is, skeletal muscle fibers attaching to the cervical dura mater, has been described from a variety of mammals and other amniotes. To test an earlier assumption about the presence of the myodural bridge in snakes, a comparative study was designed using a group of Colubrine snakes. Serial histological sections revealed no evidence of the myodural bridge in any of the snakes examined. Further analyses, including histology, computed tomography (CT), and micro-CT imaging of other distantly related snakes, also turned up no evidence of a myodural bridge. The close apposition of adjacent neural arches in snakes may preclude muscle tendons from passing through the intervertebral joint to reach the spinal dura. It is hypothesized that the myodural bridge functions in the clearance of the cerebrospinal fluid (CSF) by creating episodic CSF pressure pulsations, and that snakes are capable of creating equivalent CSF pressure pulsations through vertebral displacement.
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http://dx.doi.org/10.1002/jmor.21431 | DOI Listing |
Curr Opin Anaesthesiol
October 2025
Division Chief Pain Medicine, Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland, Case Western Reserve University, Cleveland, Ohio, USA.
Purpose Of Review: The purpose of this review is to provide an update on the mechanisms of cervicogenic headache and the role of the C2 dorsal root ganglion (DRG) as a central hub for cervicogenic headache.
Recent Findings: The suboccipital muscles have been implicated in the pathogenesis of cervicogenic headaches due to their connections with the dura mater. The myodural bridge (MDB) connects the suboccipital musculature to the spinal dura mater as it passed through the posterior atlanto-occipital and the atlanto-axial interspaces.
Front Cell Dev Biol
August 2025
Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, Liaoning, China.
Objective: The myodural bridge complex (MDBC) is a tendon-like structure highly conserved during vertebrate evolution, suggesting it plays an important physiological role. Substantial evidence indicates that the MDBC may contribute to cerebrospinal fluid (CSF) circulation by generating mechanical force. Studying its developmental process may offer new insights into CSF dynamics and lead to improved strategies for diagnosing and treating neurodegenerative diseases.
View Article and Find Full Text PDFPLoS One
August 2025
Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
The myodural bridge (MDB) represents specialized fibrous structures establishing connectivity between suboccipital musculature and the spinal dura mater (SDM). The suboccipital muscles, ligaments, and myodural bridge fibers together form a functional unit known as the myodural bridge complex (MDBC). Mechanical stress from suboccipital muscles may contribute to MDB maturation.
View Article and Find Full Text PDFSci Rep
March 2025
Department of Anatomy, College of Basic Medical Sciences, Dalian Medical University, 9 West Section, Lushun South Road, Dalian, 116044, China.
Chiari malformation type I (CM-I) is the most common subtype of Chiari malformation which can lead to brainstem compression and alterations in cerebrospinal fluid (CSF) flow. Common complications in patients undergoing traditional surgical approach include pseudomeningocele, CSF leak, and exacerbation of symptoms. The authors present a new minimally invasive surgery technique for protection and strengthening of the myodural bridge (MDB) in order to prevent the postoperative complications.
View Article and Find Full Text PDFSci Rep
March 2025
Department of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, No.32, West Section 2, First Ring Road, Chengdu, 610072, Sichuan, People's Republic of China.
Chiari malformation type I (CMI) typically manifests with Valsalva-induced occipital headaches and commonly co-occurs with syringomyelia. The disruption of cerebrospinal fluid (CSF) dynamics at the craniocervical junction (CCJ) is a key pathophysiological feature. The rectus capitis posterior minor (RCPmi), innervated by the C1 nerve root's posterior branch, significantly facilitates CSF flow at the CCJ, correlating closely with occipital headaches.
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