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Skull Base 2000; Volume 10(Number 03): 119-124
DOI: 10.1055/s-2000-9317
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

New Proposed Magnetic Resonance Areas of the Cavernous Sinus and Their Relationship to the Neurosurgical Triangles

M. Hermann, P. Sloniewski
  • Instituto Medico Da Radiologia Clinica, Porto, Portugal (MH) and Neurosurgery Department (PS), Medical University of Gdansk, Gdansk, Poland
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

MRI appears to be the best contemporary method with which to evaluate cavernous sinus anatomy. Based on anatomic landmarks that are easily detectable in the standard MRI examination, the cavernous sinus is divided into six areas. Each of the newly defined areas corresponds to the previously described neuroanatomic triangles. Evaluation of the newly defined areas in a plane perpendicular to these triangles on a MRI scan permits expansion of these two-dimensional areas into three-dimensional spaces; thus, the neurosurgical approach can be observed and their anatomic and pathologic content examined. Radiologic and surgical evaluation of the cavernous sinus is presented.

REFERENCES

  • 1 Dolenc V. Anatomy and Surgery of the Cavernous Sinus. New York: Springer-Verlag 1989
    Google Scholar
  • 2 Kawase T, van Loveren H, Keller J T, Tew J M. Meningeal architecture of the cavernous sinus: clinical and surgical implications.  Neurosurgery . 1996;  39 527-536
    CrossrefPubMedGoogle Scholar
  • 3 Oikawa S, Kyoshima K, Kobayashi S. Surgical anatomy of the juxta-dural ring area.  J Neurosurg . 1998;  89 250-254
    CrossrefPubMedGoogle Scholar
  • 4 Seoane E, Rhoton A, de Oliveira E. Microsurgical anatomy of the dural collar (carotid collar) and rings around the clinoid segment of the internal carotid artery.  Neurosurgery . 1998;  42 869-886
    CrossrefPubMedGoogle Scholar
  • 5 Guy R L, Benn J J, Ayers A B, Bingham J B, Lowy C, Cox T C, Sonksen P H. A comparison of CT and MRI in the assessment of the pituitary and parasellar region.  Clin Radiol . 1991;  43 156-161
    CrossrefPubMedGoogle Scholar
  • 6 Demaerel P, Marchal G, Casteels I. Intracavernous aneurysm. Superior demonstration by magnetic resonance angiography.  Neuroradiology . 1990;  32 322-324
    CrossrefPubMedGoogle Scholar
  • 7 Bradac G B, Riva A, Schorner W, Stura G. Cavernous sinus meningiomas: An MRI study.  Neuroradiology . 1987;  29 578-581
    CrossrefPubMedGoogle Scholar
  • 8 Kobayashi S, Goel A, Hongo K. Neurosurgery of Complex Tumors and Vascular Lesions.  Edinburgh: Churchill Livingstone 1995
    Google Scholar
  • 9 Apuzzo M. Brain surgery: Complication avoidance and management.  Vol II. Edinburgh: Churchill Livingstone 1993
    Google Scholar
  • 10 Sekhar L N, Janecka I P. Atlas of skull base surgery.  Philadelphia: Lippincott-Raven 1993
    Google Scholar
  • 11 Torrens M, Al-Mefty O, Kobayashi S. Operative Skull Base Surgery.  New York: Churchill Livingstone 1997
    Google Scholar
  • 12 Daniels D L, Pech P, Mark L, Pojunas K, Williams A L, Haughton V M. Magnetic resonance imaging of the cavernous sinus.  AJR. 1985;  144 1009-1014
    PubMedGoogle Scholar