The lateral wall of the cavernous sinus

With special reference to the nerves related to it

Felix Umansky M.D.1 and Hilel Nathan M.D.1
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  • 1 Department of Anatomy and Anthropology, Sackler School of Medicine, Tel Aviv University, Tel Aviv, and Department of Neurosurgery, Beilinson Medical Center, Petah Tikva, Israel
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✓ In a study of the cavernous sinus in 70 specimens, the lateral wall of the sinus was found to be formed by two layers: a superficial, dural layer and a deep layer. The latter was formed by the sheaths of nerves III, IV, and V1,2 plus a reticular membrane extending between the sheaths. This membrane was often incomplete, particularly beween the sheaths of nerves III and IV above, and V1 below. These findings do not conform with the descriptions of a single dural layer of the lateral wall, with nerves III, IV, and V1,2 embedded in it, nor to other descriptions showing the cavity of the sinus divided into two compartments by a septum close to the lateral wall, with nerves III, IV, and V1 located within the septum. In the present study, the superficial and the deep layers of the lateral wall were found to be loosely attached to each other and easy to separate. In no case was a superficial compartment of the sinus found to be present between the two layers, and the nerves were never found to be running embedded in the superficial layer.

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  • 1.

    Bedford MA: The “cavernous sinus.” Br J Ophthalmol 50:4146, 1966 Bedford MA: The “cavernous sinus.” Br J Ophthalmol 50:41–46, 1966

    • Search Google Scholar
    • Export Citation
  • 2.

    Bonnal J, , Thibaut A, & Brotchi J, et al: Invading meningiomas of the sphenoid ridge. J Neurosurg 53:587599, 1980 Bonnal J, Thibaut A, Brotchi J, et al: Invading meningiomas of the sphenoid ridge. J Neurosurg 53:587–599, 1980

    • Search Google Scholar
    • Export Citation
  • 3.

    Bonnet P: La loge caverneuse et les syndromes de la loge caverneuse. Arch Ophtalmol (Paris) 15:357372, 1955 Bonnet P: La loge caverneuse et les syndromes de la loge caverneuse. Arch Ophtalmol (Paris) 15:357–372, 1955

    • Search Google Scholar
    • Export Citation
  • 4.

    Butler H: The development of certain human dural venous sinuses. J Anat 91:510526, 1957 Butler H: The development of certain human dural venous sinuses. J Anat 91:510–526, 1957

    • Search Google Scholar
    • Export Citation
  • 5.

    Christensen JB, & Telford IR: Synopsis of Gross Anatomy, with Clinical Correlations, ed 3. New York: Harper and Row, 1978, p 275 Christensen JB, Telford IR: Synopsis of Gross Anatomy, with Clinical Correlations, ed 3. New York: Harper and Row, 1978, p 275

    • Search Google Scholar
    • Export Citation
  • 6.

    Clay C, , Vignaud J, & Aubin ML, et al: Phlébographie orbitaire et du sinus caverneux. Gaz Med France 80:20732086, 1973 Clay C, Vignaud J, Aubin ML, et al: Phlébographie orbitaire et du sinus caverneux. Gaz Med France 80:2073–2086, 1973

    • Search Google Scholar
    • Export Citation
  • 7.

    Crafts RD: A Textbook of Human Anatomy, ed 2. New York: John Wiley and Sons, 1979, pp 503505 Crafts RD: A Textbook of Human Anatomy, ed 2. New York: John Wiley and Sons, 1979, pp 503–505

    • Search Google Scholar
    • Export Citation
  • 8.

    DiDio LJA: Synopsis of Anatomy. St Louis: CV Mosby, 1970, p 394 DiDio LJA: Synopsis of Anatomy. St Louis: CV Mosby, 1970, p 394

  • 9.

    Gardner E, , Gray DJ, & O'Rahilly R: Anatomy. A Regional Study of Human Structure, ed 4. Philadelphia: WB Saunders, 1975, p 609 Gardner E, Gray DJ, O'Rahilly R: Anatomy. A Regional Study of Human Structure, ed 4. Philadelphia: WB Saunders, 1975, p 609

    • Search Google Scholar
    • Export Citation
  • 10.

    Harris FS, & Rhoton AL Jr: Anatomy of the cavernous sinus. A microsurgical study. J Neurosurg 45:169180, 1976 Harris FS, Rhoton AL Jr: Anatomy of the cavernous sinus. A microsurgical study. J Neurosurg 45:169–180, 1976

    • Search Google Scholar
    • Export Citation
  • 11.

    Manelfe C, , Tremoulet M, & Roulleau J: Étude artériographique des branches intracaverneuses de la carotide interne. Neurochirurgie 18:581598, 1972 Manelfe C, Tremoulet M, Roulleau J: Étude artériographique des branches intracaverneuses de la carotide interne. Neurochirurgie 18:581–598, 1972

    • Search Google Scholar
    • Export Citation
  • 12.

    McGrath P: The cavernous sinus; an anatomical survey. Aust NZ J Surg 47:601613, 1977 McGrath P: The cavernous sinus; an anatomical survey. Aust NZ J Surg 47:601–613, 1977

    • Search Google Scholar
    • Export Citation
  • 13.

    Nathan H, & Goldhammer Y: The rootlets of the trochlear nerve. Anatomical observations in human brains. Acta Anat 84:590596, 1973 Nathan H, Goldhammer Y: The rootlets of the trochlear nerve. Anatomical observations in human brains. Acta Anat 84:590–596, 1973

    • Search Google Scholar
    • Export Citation
  • 14.

    Nathan H, , Ouaknine G, & Kosary IZ: The abducens nerve. Anatomical variations in its course. J Neurosurg 41:561566, 1974 Nathan H, Ouaknine G, Kosary IZ: The abducens nerve. Anatomical variations in its course. J Neurosurg 41:561–566, 1974

    • Search Google Scholar
    • Export Citation
  • 15.

    Parkinson D: A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J Neurosurg 23:474483, 1965 Parkinson D: A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J Neurosurg 23:474–483, 1965

    • Search Google Scholar
    • Export Citation
  • 16.

    Patouillard P, & Vanneuville G: Les parois du sinus caverneux. Neurochirurgie 18:551560, 1972 Patouillard P, Vanneuville G: Les parois du sinus caverneux. Neurochirurgie 18:551–560, 1972

    • Search Google Scholar
    • Export Citation
  • 17.

    Paturet G: Traité d'Anatomie Humaine, Vol IV. Système Nerveux. Paris: Masson, 1964, pp 721722 Paturet G: Traité d'Anatomie Humaine, Vol IV. Système Nerveux. Paris: Masson, 1964, pp 721–722

    • Search Google Scholar
    • Export Citation
  • 18.

    Prives MG, , Lisenkov NK, & Bushkovich VI: Human Anatomy, ed 7. Leningrad: Izdatelstvo “Meditsina,” 1969, 815 pp Prives MG, Lisenkov NK, Bushkovich VI: Human Anatomy, ed 7. Leningrad: Izdatelstvo “Meditsina,” 1969, 815 pp

    • Search Google Scholar
    • Export Citation
  • 19.

    Quiroz-Gutiérrez F: Tratado de Anatomía Humana, Vol II. Mexico City: Editorial Porrua, 1965, pp 146389 Quiroz-Gutiérrez F: Tratado de Anatomía Humana, Vol II. Mexico City: Editorial Porrua, 1965, pp 146–389

    • Search Google Scholar
    • Export Citation
  • 20.

    Rabischong P, , Clay C, & Vignaud J, et al: Approche hémodynamique de la signification fonctionelle du sinus caverneux. Neurochirurgie 18:613622, 1972 Rabischong P, Clay C, Vignaud J, et al: Approche hémodynamique de la signification fonctionelle du sinus caverneux. Neurochirurgie 18:613–622, 1972

    • Search Google Scholar
    • Export Citation
  • 21.

    Rhoton AL Jr, , Hardy DG, & Chambers SM: Microsurgical anatomy and dissection of the sphenoid bone, cavernous sinus and sellar region. Surg Neurol 12:63104, 1979 Rhoton AL Jr, Hardy DG, Chambers SM: Microsurgical anatomy and dissection of the sphenoid bone, cavernous sinus and sellar region. Surg Neurol 12:63–104, 1979

    • Search Google Scholar
    • Export Citation
  • 22.

    Ridley H: The Anatomy of the Brain. London: Smith and Walford, 1695, p 39 (Cited in Reference 1) Ridley H: The Anatomy of the Brain. London: Smith and Walford, 1695, p 39 (Cited in Reference 1)

    • Search Google Scholar
    • Export Citation
  • 23.

    Romanes GJ: Cunningham's Textbook of Anatomy, ed 12. London: Oxford University Press, 1981, p 953 Romanes GJ: Cunningham's Textbook of Anatomy, ed 12. London: Oxford University Press, 1981, p 953

    • Search Google Scholar
    • Export Citation
  • 24.

    Rouvière H: Anatomie Humaine. Descriptive et Topographique, ed 10. Paris: Masson, 1970, Vol III, p 678 Rouvière H: Anatomie Humaine. Descriptive et Topographique, ed 10. Paris: Masson, 1970, Vol III, p 678

    • Search Google Scholar
    • Export Citation
  • 25.

    Sinelnikov PD: Atlas of Human Anatomy. Moscow: Izdatelstvo “Meditsina,” 1958, Vol 2, p 154 Sinelnikov PD: Atlas of Human Anatomy. Moscow: Izdatelstvo “Meditsina,” 1958, Vol 2, p 154

    • Search Google Scholar
    • Export Citation
  • 26.

    Snell RS: Clinical Anatomy for Students, ed 2. Boston: Little, Brown and Co., 1981, Fig 43 Snell RS: Clinical Anatomy for Students, ed 2. Boston: Little, Brown and Co., 1981, Fig 43

    • Search Google Scholar
    • Export Citation
  • 27.

    Testut L, & Latarjet A: Tratado de Anatomía Humana, Vol II. Angiología-Sistema Nervioso Central. Barcelona: Salvat Editores, 1974, p 441 Testut L, Latarjet A: Tratado de Anatomía Humana, Vol II. Angiología-Sistema Nervioso Central. Barcelona: Salvat Editores, 1974, p 441

    • Search Google Scholar
    • Export Citation
  • 28.

    Theron J: Les affluents du plexus caverneux. Neurochirurgie 18:623638, 1972 Theron J: Les affluents du plexus caverneux. Neurochirurgie 18:623–638, 1972

    • Search Google Scholar
    • Export Citation
  • 29.

    Thompson JS: Core Textbook of Anatomy. Philadelphia: JB Lippincott, 1977, pp 204206 Thompson JS: Core Textbook of Anatomy. Philadelphia: JB Lippincott, 1977, pp 204–206

    • Search Google Scholar
    • Export Citation
  • 30.

    Thorek P: Anatomy in Surgery. Philadelphia: JB Lippincott, 1951, p 58 Thorek P: Anatomy in Surgery. Philadelphia: JB Lippincott, 1951, p 58

    • Search Google Scholar
    • Export Citation
  • 31.

    Vignaud J, , Clay C, & Aubin ML, et al: Opacification du sinus caverneux. Intérêt de la tomographie simultanée. J Radiol Electrol Med Nucl 53:5153, 1972 Vignaud J, Clay C, Aubin ML, et al: Opacification du sinus caverneux. Intérêt de la tomographie simultanée. J Radiol Electrol Med Nucl 53:51–53, 1972

    • Search Google Scholar
    • Export Citation
  • 32.

    Vignaud J, , Clay C, & Kujas A, et al: Phlébo-tomographies simultanées du sinus caverneux. Neurochirurgie 18:665675, 1972 Vignaud J, Clay C, Kujas A, et al: Phlébo-tomographies simultanées du sinus caverneux. Neurochirurgie 18:665–675, 1972

    • Search Google Scholar
    • Export Citation
  • 33.

    Vignaud J, , Doyon D, & Aubin ML, et al: Opacification du sinus caverneux par voix postérieure. Neurochirurgie 18:649664, 1972 Vignaud J, Doyon D, Aubin ML, et al: Opacification du sinus caverneux par voix postérieure. Neurochirurgie 18:649–664, 1972

    • Search Google Scholar
    • Export Citation
  • 34.

    Warwick R, & Williams PL (eds): Gray's Anatomy, ed 35. Edinburgh: Longman, 1973, p 695 Warwick R, Williams PL (eds): Gray's Anatomy, ed 35. Edinburgh: Longman, 1973, p 695

    • Search Google Scholar
    • Export Citation
  • 35.

    Weinberger LM, , Adler FH, & Grant FC: Primary pituitary adenoma and the syndrome of the cavernous sinus. A clinical and anatomic study. Arch Ophthalmol 24 (NS): 11961236, 1940 Weinberger LM, Adler FH, Grant FC: Primary pituitary adenoma and the syndrome of the cavernous sinus. A clinical and anatomic study. Arch Ophthalmol 24 (NS):1196–1236, 1940

    • Search Google Scholar
    • Export Citation
  • 36.

    Weizenhoffer A: Contralateral cavernous sinus thrombosis. NY State J Med 32:139142, 1932 Weizenhoffer A: Contralateral cavernous sinus thrombosis. NY State J Med 32:139–142, 1932

    • Search Google Scholar
    • Export Citation
  • 37.

    Winslow JB: Exposition anatomique de la structure du corps humain. London: Prevost, 1732, Vol 2, p 31 (Cited in Reference 1) Winslow JB: Exposition anatomique de la structure du corps humain. London: Prevost, 1732, Vol 2, p 31 (Cited in Reference 1)

    • Search Google Scholar
    • Export Citation
  • 38.

    Zozulia YA, , Romodanov SA, & Patsko YV: Diagnosis and surgical treatment of benign craniobasal tumours involving the cavernous sinus. Acta Neurochir Suppl 28:387390, 1979 Zozulia YA, Romodanov SA, Patsko YV: Diagnosis and surgical treatment of benign craniobasal tumours involving the cavernous sinus. Acta Neurochir Suppl 28:387–390, 1979

    • Search Google Scholar
    • Export Citation

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