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Table 3: Different branches of the MMA with their respective anastomosis
MMA Branches Origin from the MMA Territory (Dural and Neural) Possible Anastomosis Petrosal branch Foramen spinosum Trigeminal ganglion and nerves; posteromedial floor of the middle fossa; insertion of tentorium (medial half); superior petrosal sinus Ascending pharyngeal artery (carotid branch); medial and lateral tentorial arteries (ICA) Superior tympanic artery Petrosal branch Greater superficial petrosal nerve; geniculate ganglion; tympanic cavity (superior part) Inferior tympanic artery (ascending pharyngeal artery); caroticotympanic artery (ICA); anterior tympanic artery (IMA); stylomastoid artery (posterior auricular artery) Cavernous branch Petrosal branch Lateral wall of the cavernous sinus Accessory meningeal artery; inferolateral trunk (ICA) Anterior division or frontal branch Pterional region Frontal and anterior parietal convexity; superior sagittal sinus; anterior and middle fossa (lateral part) Anterior and posterior ethmoidal arteries (OA); contralateral MMA Falcine arteries Anterior and posterior division Falx cerebri Anterior falcine artery (OA); anterior cerebral artery; posterior meningeal artery (vertebral artery) Medial branch or sphenoidal branch Anterior division Lesser sphenoid wing; superior orbital fissure; peri-orbital (lateral) Recurrent meningeal branches (OA); inferolateral trunk (ICA) Petrosquamosal branch Posterior division Posterolateral floor of the middle fossa; insertion of tentorium (lateral half); superior petrosal sinus; transverse and sigmoid sinuses; dura of the posterior fossa (superior part) Ascending pharyngeal artery (jugular branch); lateral tentorial artery (ICA); occipital artery (mastoid branch) Parieto-occipital branch Posterior division Temporosquamous dura; parieto-occipital convexity; superior sagittal sinus Posterior meningeal artery (vertebral artery)