The posterior atlantooccipital membrane (posterior atlantooccipital ligament) is a broad but thin membrane. It is connected above to the posterior margin of the

foramen magnum The foramen magnum ( la, great hole) is a large, oval-shaped opening in the occipital bone of the skull. It is one of the several oval or circular openings (foramina) in the base of the skull. The spinal cord, an extension of the medulla oblon ...

and below to the upper border of the posterior arch of the

atlas An atlas is a collection of maps; it is typically a bundle of maps of Earth or of a region of Earth. Atlases have traditionally been bound into book form, but today many atlases are in multimedia formats. In addition to presenting geographic ...

. On each side of this membrane there is a defect above the groove for the

vertebral artery The vertebral arteries are major arteries An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry o ...

which serves as an opening for the entrance of the artery. The

suboccipital nerve The suboccipital nerve (first cervical dorsal ramus) is the dorsal primary ramus of the first cervical nerve (C1). It exits the spinal cord between the skull and the first cervical vertebra, the atlas. It lies within the suboccipital triangle ...

also passes through this defect. The free border of the membrane arches over the artery and nerve and is sometimes

ossified Ossification (also called osteogenesis or bone mineralization) in bone remodeling is the process of laying down new bone material by cells named osteoblasts. It is synonymous with bone tissue formation. There are two processes resulting in t ...

. The membrane is deep to the

Recti capitis posteriores minores The rectus capitis posterior minor (or rectus capitis posticus minor, both being Latin for ''lesser posterior straight muscle of the head'') arises by a narrow pointed tendon from the tubercle on the posterior arch of the atlas, and, widening as i ...

and

Obliqui capitis superiores The obliquus capitis superior muscle () is a small muscle in the upper back part of the neck and is one of the suboccipital muscles and part of the suboccipital triangle. It arises from the lateral mass of the atlas bone. It passes superiorly a ...

and is superficial to the dura mater of the

vertebral canal The spinal canal (or vertebral canal or spinal cavity) is the canal that contains the spinal cord within the vertebral column. The spinal canal is formed by the vertebrae through which the spinal cord passes. It is a process of the dorsal body c ...

to which it is closely associated. In 2015, Scali et al. revisited the anatomy of the posterior atlantooccipital membrane via

plastination Plastination is a technique or process used in anatomy to preserve bodies or body parts, first developed by Gunther von Hagens in 1977. The water and fat are replaced by certain plastics, yielding specimens that can be touched, do not smell or ...

. Their findings revealed that the PAO membrane superiorly consisted of periosteum of the occiput, whereas inferiorly it formed part of the dura at the cerebrospinal junction, terminating at the level of the third cervical vertebra (rather than attaching to the posterior arch of the atlas). It is believed that this anatomical arrangement permits a superiorly located anchor point for epidural bridging structures and allows dural tensile forces to act in a summated synchronized manner. The author's hypothesize that this complex area assists with outflow of

cerebrospinal fluid Cerebrospinal fluid (CSF) is a clear, colorless body fluid found within the tissue that surrounds the brain and spinal cord of all vertebrates. CSF is produced by specialised ependymal cells in the choroid plexus of the ventricles of the bra ...

Additional images

File:Gray308.png, Median sagittal section through the occipital bone and first three cervical vertebræ.

References

Human head and neck {{musculoskeletal-stub

See also

Additional images

References