Evidence map›Paper›PMID 42078436›Full record

ReviewFrontiers in medicine2026

The myodural bridge complex: a comprehensive review of morphology, physiology, developmental biology and pathology.

Lu Zhang, Xue Song, Cheng Chen, Wei Ma, Jian-Fei Zhang, Nan Zheng, Hong-Jin Sui

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lu Zhang *Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
Xue Song *Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
Cheng Chen *Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
Wei MaDepartment of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
Jian-Fei ZhangDepartment of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
Nan ZhengDepartment of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.
Hong-Jin SuiDepartment of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The myodural bridge complex (MDBC) is a phylogenetically conserved composite anatomical structure that anchors the suboccipital musculature and nuchal ligament to the spinal dura mater (SDM) at the cranio-cervical junction, with species-specific morphological adaptations across vertebrates. Physiological functions of the MDBC include hypothesized mediation of cerebrospinal fluid (CSF) circulation dynamics, stabilizing the SDM during head movements to prevent dural folding, and transmitting proprioceptive signals from suboccipital musculature to the central nervous system. Clinical evidence increasingly links MDBC pathological alterations to a spectrum of cranio-cervical disorders, such as chronic cervicogenic headaches, Chiari malformation Type I, cervicogenic dizziness, and Ehlers-Danlos syndrome-associated symptoms. A comprehensive understanding of MDBC structure and function is critical to unraveling its putative mechanistic role in CSF homeostasis and cranio-cervical biomechanics, thereby providing novel insights for the diagnosis and management of related neurological conditions. This review systematically summarizes current knowledge of the MDBC in terms of its morphology, physiology, developmental biology and pathology.

Indexed as

biomechanicscerebrospinal fluid circulationcomparative anatomycraniocervical junction disordersdevelopmental biologyevolutionary adaptationmyodural bridge complexsuboccipital musculature

Identifiers

PMID42078436
PMCPMC13132784

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.