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Lesions affecting the cavernous sinus may affect isolated nerves or all the nerves traversing through it. The pituitary gland lies between the two paired cavernous sinuses. An abnormally growing pituitary adenoma, sitting on the bony sella turcica, will expand in the direction of least resistance and eventually invade the cavernous sinus. [4]
The superficial middle cerebral vein (superficial Sylvian vein) begins on the lateral surface of the hemisphere.It runs along the lateral sulcus [1] to empty into either the cavernous sinus, [1] [2] or sphenoparietal sinus. [1]
A sphenoparietal sinus is situated under each lesser wing of the sphenoid bone near the posterior edge of this bone, [2] between the anterior cranial fossa and middle cranial fossa. [ citation needed ] It terminates by draining into the anterior part of the cavernous sinus .
Medially to the trigeminal ganglion are the internal carotid artery, and the posterior part of the cavernous sinus. [2] The motor root of the trigeminal nerve passes beneath the trigeminal ganglion to exit the skull through the foramen ovale. [2] The greater petrosal nerve passes underneath the trigeminal ganglion to reach the foramen lacerum.
Oblique section through the cavernous sinus. The cavernous segment, or C4, of the internal carotid artery begins at the petrolingual ligament and extends to the proximal dural ring, which is formed by the medial and inferior periosteum of the anterior clinoid process. The cavernous segment is surrounded by the cavernous sinus.
lateral wall of the cavernous sinus superomedially; clivus medially; posterior petrous face inferolaterally; Within the dural confines of the trigeminal cave, there is a continuation of subarachnoid space along the posterior aspect of the cave, representing a continuation of the cerebral basal cisterns. [1]
The intercavernous sinuses are two in number, an anterior and a posterior, and connect the two cavernous sinuses [1] across the middle line.. Intercavernous sinuses. The anterior passes in front of the hypophysis cerebri (pituitary gland), the posterior behind it, and they form with the cavernous sinuses a venous circle (circular sinus) around the hypophysis.
Selective angiography of the external carotid artery showing an indirect type D right carotid cavernous fistula, filling of the cavernous sinus (arrow) and retrograde drainage into the right superior ophthalmic vein (arrowhead) [1] This is based on MRI scan, magnetic resonance angiography and CT scan.