Ma. Reina et al., NEW PERSPECTIVES IN THE MICROSCOPIC STRUCTURE OF HUMAN DURA-MATER IN THE DORSOLUMBAR REGION, Regional anesthesia, 22(2), 1997, pp. 161-166
Background and Objectives. The object of this study was to describe th
e three-dimensional structure of the dura mater by use of scanning ele
ctron microscopy. Methods. Microscopic dissection of the dura mater fr
om four fresh cadavers (aged 70, 75, 76, and 80 years) 8-12 hours afte
r death were investigated in three different planes (longitudinal, tan
gential, and transverse). Results. The external surface of the dura ma
ter, facing the epidural space, consisted of a network of randomly ori
ented fine collagen fibers. The thicker elastic fibers (2 mu m in diam
eter) were observed on the surface of the dura. In the inner part of t
he dura mater, there were very fine lamellae of collagen fibers, which
were bundled into thicker (4-5 mu m) layers. The dura mater consisted
of 78-82 layers, each layer including 8-12 very fine lamellae. Conclu
sions. The fibers of the dura mater do not run in a longitudinal direc
tion and are not arranged in a parallel fashion. Cytoarchitecturally t
he dura mater is a laminated structure built up from well-defined laye
rs oriented concentrically around the medulla spinalis.