Dura mater, Pia mater. Die Geschichte zweier anatomischer Termini. Dem Andenken Hermann Lehmanns gewidmet.
Explore the source record for details and available documents.
Anatomy↗
SEARCH · Search PubMed
Results for “Pia Mater”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
[Traumatic arteriovenous fistula with feeders of the scalp, dura mater and pia mater: case report].
A very rare case of 41-year-old male with symptomatic dural arteriovenous fistula which was detected after 22 years from receiving head injury is reported. This AVF had arterial blood supply of scalp, dural and pial origins. In the literature, only two similar cases have so far been reported. The draining veins were the superior sagittal sinus and the vein of Trolard, and a large vascular sac was seen in the pial vein.
Adult↗
Mechanical properties and function of the spinal pia mater.
OBJECT: The pia mater has received little attention regarding its function in the deformation of the spinal cord under compression. In this study the mechanical properties and function of the spinal pia mater were investigated using three methods. METHODS: Spinal cord segments were excised from rabbits. The elastic modulus of the pia mater was measured by performing a tensile test using specimens with the pia mater intact and ones with the pia mater stripped off. The stiffness of the spinal cord was examined by performing a compression test with specimens containing an intact pia mater and ones with a pia mater that was incised at both sides. The cross-sectional area and circumference of the spinal cord were measured on axial views of magnetic resonance images in patients with cervical disc herniations before and after surgery. The pia mater had an elastic modulus of 2300 kPa, which was 460 times higher than that of spinal cord parenchyma. By covering the parenchyma, it tripled the overall elastic modulus of the spinal cord. The pia mater increased the stiffness of the spinal cord and enhanced its shape recovery after removal of the compression. The cross-sectional area of the spinal cord increased after surgery, whereas the circumference of the spinal cord changed little. CONCLUSIONS: The pia mater firmly covers the spinal cord and has a high elastic modulus; it therefore provides a constraint on the spinal cord surface. It prevents elongation of the circumference and produces a large strain energy that is responsible for shape restoration following decompression.
Adult↗
[Anatomical description of a natural perforation present in the human lumbar pia mater].
OBJECTIVE: The pia mater has always been considered more permeable than other meningeal membranes. Natural pia mater perforations found in some animals at-test to this membrane's permeability. Such perforations, however, have never been demonstrated in human tissue. Our objective was to study human pia mater from the dorsal lumbar region, looking for perforations that facilitate the diffusion of substances to the spinal cord following subarachnoid administration. MATERIAL AND METHOD: The specimens were removed from four human cadavers aged 70, 72, 77 and 78 years between 8 and 12 hours after death. The specimens were fixed in a phosphate glutaraldehyde buffer solution, followed by desiccation in acetone and critical point elimination of acetone, treatment with carbon and metallization with gold. RESULTS: The pia mater was composed of a smooth surfaced, thin layer of cells and underlying connective tissue formed mainly of collagen fibers and fundamental amorphous matter. The collagen fibers were oriented in various directions. Throughout the surface of the pia mater, natural circular, elliptical and ovoid perforations were distributed irregularly. Size varied. Most measured over 10 to 15 micrometers in diameter or less than 5 to 8 micrometers. Inside the openings, fibers similar to collagen fibers could be seen at the point where they would normally be found beneath the cell layer. CONCLUSION: The total thickness of the pia mater varies in different zones of the spine, as a result of variations in the thickness of the cell layer and in the underlying extracellular layer. The existence of natural fenestrations in all the analyzed specimens of human dorsal lumbar pia mater accounts for the high permeability of this membrane, which permits substances administered in spinal fluid to reach the spinal cord. These natural fenestrations are areas where the cell surface in absent, with underlying collagen fibers usually visible. The pia mater is generally believed to be composed of a complete cell layer that forms a barrier between the central nervous system and the subarachnoid space; however, the presence of fenestrations would indicate that such a barrier does not exist, the base membrane being placed under the connective fibers, the only intact structure prior to medullary glial cells.
Aged↗
Substance P-, calcitonin gene-related peptide, growth-associated protein-43, and neurotrophin receptor-like immunoreactivity associated with unmyelinated axons in feline ventral roots and pia mater.
The spinal pia mater receives a rich innervation of small sensory axons via the ventral roots. Other sensory axons enter the ventral roots but end blindly or turn abruptly in hairpin loop-like formations and continue in a distal direction. In the present study, the content of substance P (SP)-, calcitonin gene-related peptide (CGRP)-, growth-associated protein (GAP-43)-, and low-affinity neurotrophin receptor protein (p75NGFr)-like immunoreactivity (-LI) associated with these different types of sensory axons was assessed with light and electron microscopic immunohistochemical techniques. In addition, the binding of antibodies against synthetic peptides representing unique sequences of residues in the products of the trk and trkB protooncogenes was analyzed. These genes encode membrane spanning proteins, which have been shown to constitute specific high affinity binding sites for several members of the nerve growth factor family of neurotrophic factors. The results of the present study imply that the ventral root afferents comprise several different types of sensory axons, which all contain SP-, CGRP-, GAP-43-, and p75NGFr-like immunoreactivities. In addition, at least some of the presumed sensory fiber bundles in ventral roots and the pia mater were immunoreactive for the trkB gene product. Moreover, leptomeningeal cells and nonneuronal cells of the ventral roots were shown to bind antibodies to both the trk and trkB gene products. The ventral root afferents seem to share their immunohistochemical pattern with pain-transducing axons at some other locations, such as the tooth pulp. The contents of SP- and CGRP-LI in sensory axons that reach the central nervous system (CNS) through the ventral root indicate that ventral root afferents may be involved in sensory mechanisms, such as the ventral root pain reaction, as well as in the control of the pial blood vessels. The demonstration of GAP-43 and neurotrophin receptor-immunoreactivities associated with unmyelinated fibers in ventral roots and the pia mater is discussed in relation to previous reports on postnatal plasticity in these axonal populations.
Animals↗
Morphine and alfentanil permeability through the spinal dura, arachnoid, and pia mater of dogs and monkeys.
Little information exists about which spinal meninx is the principal permeability barrier between the epidural space and the spinal cord or about what physicochemical properties of drug molecules govern their meningeal permeability. To better understand these aspects of epidural pharmacokinetics, the authors measured the permeability of morphine and alfentanil through the different components of the spinal meninges-dura mater, arachnoid mater, and pia mater-of dogs and monkeys in vitro. Live meningeal tissue from either species (dura mater alone, pia mater alone, or intact dura-arachnoid-pia) was placed between two fluid reservoirs of a temperature-controlled diffusion cell. The permeability of the tissues to each opioid was determined by placing the opioid in one of the reservoirs of the diffusion cell and measuring the rate at which the drug diffused through the tissue and appeared in the second reservoir. The arachnoid mater was found to be the major meningeal diffusion barrier between the epidural space and the spinal cord. Alfentanil was 3.7 times more permeable than morphine through all three meninges, suggesting that increased lipid solubility increases meningeal permeability. However, neither lipid solubility nor molecular weight adequately explained the difference in permeability between morphine and alfentanil. The authors conclude that this in vitro model has significant utility for studies aimed at predicting in vivo meningeal permeability and hence the potency and rapidity of action of any opioid administered by the epidural route.
Alfentanil↗
Aberrant regeneration of motor axons into the pia mater after ventral root neuroma formation.
The spinal pia mater receives a rich innervation of small sensory and autonomic axons via the ventral roots. In the present study this pathway was interrupted by the transection of the L7 ventral root in young kittens. The animals were killed 12-18 months postoperatively. It was observed that the pia mater adjacent to the divided ventral root contained large numbers of myelinated axons. We suggest that these axons represent sprouts which had reached the pia mater by retrograde growth from the neuroma on the ventral root. Some of these aberrant pial axons ended blindly in the pia mater. Abnormal terminal-like swellings were observed along pial blood vessels. Fibers with diameters exceeding 11 microns were observed. Many fibers had an internodal spacing below 100 microns and the maximum value was only about 300 microns. Thus, motor axons which are forced to grow into a foreign territory show a maldevelopment which is more obvious with regard to nodal spacing than to fiber diameter.
Animals↗
Anatomical relationships of the pia mater to cerebral blood vessels in man.
Using scanning and transmission electron microscopy and light microscopy, the authors studied the human pia mater and its relationship to the entry of blood vessels into the normal cerebral cortex. The purpose of this investigation was to examine the long-established concept that the subarachnoid space communicates directly with the perivascular spaces of the cerebral cortex. Brains obtained post mortem from subjects with recent subarachnoid hemorrhage (SAH) and purulent leptomeningitis were studied by light microscopy to determine the permeability of the pia mater to red blood cells and inflammatory cells. Scanning electron microscopy showed that the normal pia mater is a flat sheet of cells that is reflected from the surface of the brain to form the outer coating of the meningeal vessels in the subarachnoid space. Transmission electron microscopy confirmed that the cells of the pia mater are joined by junctional complexes and form a continuous sheet that separates the subarachnoid space on one side from the subpial and perivascular spaces on the other. Thus, neither the pia mater nor the subarachnoid space extends into the brain beside blood vessels as they enter the cerebral cortex. The perivascular spaces were, in fact, found to be confluent with the subpial space and not with the subarachnoid space. In cases of recent SAH, red blood cells did not enter the perivascular spaces from the subarachnoid space; neither did India ink injected post mortem into the subarachnoid space pass into the perivascular spaces. The results of these crude tracer studies suggest that the pia mater is an effective barrier to the passage of particulate matter. Histological examination of brains of patients who had died with purulent leptomeningitis showed that inflammatory cells were present in the cortical perivascular spaces and in the contiguous subpial spaces. The presence of a large number of inflammatory cells in the subarachnoid space suggests that inflammatory cells readily penetrate the pia mater that separates the perivascular spaces from the subarachnoid space. The permeability of the pia mater to small molecular weight substances is briefly discussed.
Adult↗
Ultrastructural findings in human spinal pia mater in relation to subarachnoid anesthesia.
UNLABELLED: We examined ultrastructural details such as the cellular component and membrane thickness of human spinal pia mater with the aim of determining whether fenestrations are present. We hypothesized that pia mater is not a continuous membrane but, instead, that there are fenestrations across the pial cellular membrane. The lumbar dural sac from 7 fresh human cadavers was removed, and samples from lumbar spinal pia mater were studied by special staining techniques, immunohistochemistry, and transmission and scanning electron microscopy. A pial layer made by flat overlapping cells and subpial tissue was identified. We found fenestrations in samples from human spinal pia mater at the thoracic-lumbar junction, conus medullaris, and nerve root levels, but these fenestrations did not appear at the thoracic level. We speculate whether the presence of fenestrations in human spinal pia mater at the level of the lumbar spinal cord and at the nerve root levels has any influence on the transfer of local anesthetics across this membrane. IMPLICATIONS: The ultrastructural anatomy of the human pia mater, such as pial cells, membrane thickness, and subpial tissue at different levels of the thoracic and lumbar spinal cord and nerve roots, was studied by special staining techniques, immunohistochemistry, and transmission and scanning electron microscopy. Fenestrations were found in samples at the thoracic-lumbar junction, conus medullaris, and nerve root levels. No fenestrations were found in samples at the thoracic level. At present, we cannot determine the significance of these findings.
Aged↗
Tensile strength of cranial pia mater: preliminary results.
OBJECT: The goal of this study was to determine the tensile strength of cranial pia mater. METHODS: Samples of isolated bovine cranial pia mater were subjected to quasistatic traction to evaluate its tensile strength. The experimental curves of physiological deformation that were obtained can be subdivided into three parts that represent different mechanical properties: the nonlinear initial part of the curve demonstrates increasing stiffness, followed by a quasilinear pattern of elastic behavior, and finally a negative relationship (slope) between force and elongation, which characterizes a progressive deterioration. These three steps precede final sample rupture. The stiffness of the pia mater was calculated for both the initial and the linear (elastic) parts of the mean curve. The initial part and the elastic part of the curve show a typical stiffness value of 0.024 N/mm and 0.19 N/mm, respectively. The maximal mean force and corresponding maximal deformation that were attained were 1.1 N and 0.19, respectively. CONCLUSIONS: Although very thin and apparently fragile, pia mater exhibits an unexpectedly high level of stiffness and should have a significant influence on total brain mechanical properties in response to loading.
Animals↗
The cranial arachnoid and pia mater in man: anatomical and ultrastructural observations.
The objects of the present study were: (1) to define the relationships of the arachnoid mater to blood vessels in the subarachnoid space; (2) to establish the structure of leptomeningeal trabeculae and their relationships to the pia mater; and (3) to investigate the fine structure of the human pia mater. Intracranial portions of vertebral artery were taken at post mortem, and normal cerebral cortex and overlying leptomeninges were obtained from surgical lobectomies. Tissue from these specimens was examined by scanning and transmission electron microscopy, by light microscopy and by immunocytochemistry for the presence of basement membrane, desmosomal proteins and vimentin. Results of the study showed that as the vertebral artery pierced the posterior atlanto-occipital membrane and entered the subarachnoid space, it acquired a leptomeningeal coat as the arachnoid was reflected on to it. It has been demonstrated previously that as vessels enter the brain, the leptomeningeal coat is reflected on to the surface of the cortex as the pia mater. The arachnoid mater was seen to consist of a subdural mesothelial layer and a compact central layer as previously reported. From the inner layer of the arachnoid, collagen bundles coated by leptomeningeal cells extended as trabeculae across the subarachnoid space to fuse with the pia mater. The pia itself was composed of a delicate but apparently continuous layer of cells joined by desmosomes and gap junctions but no tight junctions were observed. It was possible to detect pia mater cells in the perivascular spaces of the brain by immunocytochemical techniques using light microscopy. The significance of the observed anatomical arrangement for cerebrospinal fluid physiology is discussed.
Adult↗
Increased expression of endothelial and neuronal nitric oxide synthase in dura and pia mater after air stress.
Stress is the leading precipitating factor for migraine attacks but the underlying mechanism is currently unknown. Nitric oxide (NO) has been implicated in migraine pathogenesis based on the ability of NO donors to induce migraine attacks. In the present study, we investigated in Wistar rats the effect of air stress on nitric oxide synthase (NOS) mRNA and protein expression in dura and pia mater using real-time polymerase chain reaction and Western blotting, respectively. Endothelial (e)NOS protein expression was significantly increased in dura and pia mater after air stress. Significantly augmented neuronal (n)NOS protein expression was detected in pia mater after air stress but not in dura mater. Inducible NOS mRNA and protein expression levels in dura and pia mater were unaffected by stress. The increased expression of eNOS in dura mater and eNOS and nNOS in pia mater seen after stress could not be antagonized by treatment with the migraine drug sumatriptan. These findings point towards the involvement of increased NO concentrations in dura and pia mater in response to air stress. However, the role of these findings in relation to migraine pathophysiology remains unclear.
Air Movements↗
Electron microscopic and immunohistochemical evidence that unmyelinated ventral root axons make u-turns or enter the spinal pia mater.
The occurrence of unmyelinated and small myelinated axons and of nerve fibres with a substance P-like immunoreactivity was studied in juxtamedullary L7 ventral root fascicles and surrounding pia mater of kittens and cats. Electron microscopic analysis of thin transverse serial sections from this region in adult cats showed that the number of unmyelinated axon profiles decreases rapidly as the CNS is approached, reaching zero near or at the CNS/PNS border. No unmyelinated axons were found to enter the CNS through this root. At least to some extent, the disappearance of unmyelinated ventral root axons from the juxtamedullary root fascicles was due to presence of intrafascicular axonal hairpin loops and to a shift of axons from ventral root fascicles to the pia mater. It was also found that, in the L7 ventral root, the content of unmyelinated axons in the pia mater is lower in kittens than in cats. Fluorescence microscopic examination of specimens incubated with substance P antiserum showed that some looping axons and ventral root-pia mater axons were substance P immunoreactive. These observations suggest the hypothesis that sensory unmyelinated axons might grow through the L7 ventral root and enter the pia mater during postnatal development. Moreover they show that the occurrence of sensory unmyelinated axons in ventral roots does not necessarily contradict the law of Magendie .
Age Factors↗
Interrelationships of the pia mater and the perivascular (Virchow-Robin) spaces in the human cerebrum.
Biopsies of histologically normal adult human cerebral cortex, underlying white matter and overlying leptomeninges were taken from frontal and temporal lobectomy specimens excised during the removal of cerebral tumours. Multiple blocks from 6 patients (aged 18-53 years) were examined by light and transmission electron microscopy. A thin sheath of pia mater cells was found to surround completely arterioles and arteries in the brain, in the subpial space and in the subarachnoid space. Pia mater cells, forming the perivascular sheath, were identified by the presence of desmosomes or small nexus junctions and by continuity with the pia mater itself. The presence of the pial sheath suggests that the perivascular spaces around intracerebral arteries are in direct continuity with the perivascular spaces around subarachnoid arteries. No similar pial sheath was observed around intracerebral or subpial venules. The role of the periarterial spaces, enclosed by the pial sheath, is discussed in relation to the results of physiological experiments suggesting drainage of interstitial fluid from brain tissue into the perivascular pathways along major cerebral arteries in the subarachnoid space. As arterioles in the brain become smaller and lose their smooth muscle coats, the pial sheath becomes incomplete. The anatomical relationships between the pia mater and blood vessels in the human cerebrum is summarised diagrammatically, and a possible role for pial cells as an enzymic barrier protecting the brain from exogenous catecholamines is discussed.
Adolescent↗
Neuropeptide Y-like immunoreactivity in the lumbosacral pia mater in normal cats and after sciatic neuroma formation.
An indirect immunohistochemical technique was used to identify neuropeptide Y (NPY)-immunoreactive nerve fibers in the lumbosacral pia mater of normal cats and in kittens previously subjected to sciatic nerve resection. It was shown that NPY-positive fibers both associated with blood vessels and lacking vascular relation occur in the pia mater of normal cats. After nerve lesion some fibers which were not associated with blood vessels ramified extensively in the pia mater and formed thin beaded branches which ended blindly.
Amputation Stumps↗
[M. A. Baron's concept of subarachnoid communications of the pia mater of the cerebral hemispheres].
In the pia mater of the human cerebral hemisphere certain specific structures named subarachnoid alveoli have been revealed. The best method for their revealing is the method of volumetric microscopy--tracheoscopy--but they can be detected in histological sections, as well. The subarachnoid alveoli are situated in the subarachnoid space between liquor canals. By their form they resemble honeycombs. Their walls have a carcass consisting of argyrophile and collagenous fibres to give the alveoli a definite form. The carcass is lined with arachnoid-endothelial cells. The alveoli are connected with the liquor canals by means of holes in the walls of the canals. The subarachnoid alveoli are connected with each other by means of holes in their walls. The arachnoid-endothelial cells of the subarachnoid alveoli are capable to accumulate colloid substances from the spinal liquor. The walls of the subarachnoid alveoli discharge macrophages into the lumen of the latter. Protective function of the subarachnoid alveoli system contributes to normalization of the spinal liquor composition both under normal and pathological conditions.
Adult↗
[K+, H+ and Ca++ concentrations in the perivascular fluid as a factor in the regulation of the lumina of the vessels of the pia mater].
The author separed the vascular vessels of pia mater with a size of 20-150 microns in cats under penthobarbital narcosis. The perivascular area of the vessels was perfused by an artificial fluid with varying concentrations of potassium, hydrogen and calcium. The local contraction of the smooth vascular musculature was induced by stimulation with rectangular impulses by means of electrodes introduced by micromanipulators in immediate vicinity of a vessel. The changes were recorded by means of microphotographic images of the vessels. It was established that the contraction of the vessels was observed when there was a lack of potassium or at concentration of 100 meq/l. There was no change at 2,5-3,0 and at 50-60 meq/l of potassium. Vasodilatation was found at 10-20 meq/l. Electrical stimulation caused stronger contraction of the vessel, when there was a lack of potassium in comparison with the norm (2,7 meq/l). The increase of potassium caused a reduction of the dimensions of the effect due to electrical stimulation. The vascular dilatation, induced by 10-20 meq/l of potassium was not affected by the increase of the calcium concentration (6-9 meq/l) in artificial fluid. The vasodilatation, induced by an increase of hydrogen, was abolished by raising the concentration of calcium in the artificial fluid. The obtained results were discussed.
Animals↗
Catecholamines and indolalkylamines of the pia mater and spinal cord in vertebrates.
Fluorimetric methods were used to determine adrenaline, dopamine, noradrenaline, serotonin and tryptamine in the pia mater of the brain and spinal cord of various vertebrates (fishes, birds, mammals) and of man. The histochemical method using glyoxylic acid showed the presence of biogenic monoamines in adrenergic nerve fibres and in the monoaminocytes. Their total amount in the pia mater is roughly the same, except in man, in whom it is significantly lower. From the higher adrenergic axon concentration on the one hand and the lower number of monoaminocytes on the other, it can be concluded that the neuronal factor has a more important role in the regulation of brain haemodynamics in man.
Animals↗