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Surgical and Radiologic Anatomy

, Volume 30, Issue 1, pp 37–40 | Cite as

Does the maxillary division of the trigeminal nerve traverse the cavernous sinus? An anatomical study and review of the literature

  • R. Shane Tubbs
  • Mark Hill
  • William R. May
  • Erik Middlebrooks
  • Selma Z. Kominek
  • Nick Marchase
  • Mohammadali M. Shoja
  • Marios Loukas
  • W. Jerry Oakes
Original Article

Abstract

Aim

Many authors have included the V2 segment of the trigeminal nerve as a component of the cavernous sinus. However, many authorities have stated that this part of the fifth cranial nerve is not within this intracranial venous sinus.

Materials and methods

To further elucidate this potentially important relationship, 10 fresh cadaveric heads underwent injection of the cavernous sinus with blue latex or a cresyl-violet solution. Subsequent sectioning in the coronal plane in 1 cm sections from the level of the trigeminal ganglia anteriorly to the level of the superior orbital fissure was made. Observations were then made between the relationships of the cavernous sinus and the V2 nerve.

Results

On all 20 sides, the V2 segment of the trigeminal nerve did not have filling of latex or cresyl-violet mixture lateral to it thus implying that this part of the trigeminal nerve is not found within the cavernous sinus. Two sides did demonstrate an emissary vein that traveled with the V2 part of the trigeminal nerve through the foramen rotundum toward the cavernous sinus.

Conclusions

Based on our findings, the V2 part of the trigeminal nerve is not found bathed with venous blood within the cavernous sinus. Reports that state the contrary may have confused laterally positioned emissary veins as being part of the cavernous sinus and therefore erroneously concluded that V2 was within this cranial venous sinus. These data may prove useful to neurosurgeons that operate in the region of the cavernous sinus or to radiologists who interpret imaging of this area.

Keywords

Anatomy Cranium Trigeminal nerve V2 Venous sinus Cavernous sinus 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • R. Shane Tubbs
    • 1
    • 2
    • 3
  • Mark Hill
    • 4
  • William R. May
    • 4
  • Erik Middlebrooks
    • 4
  • Selma Z. Kominek
    • 4
  • Nick Marchase
    • 4
  • Mohammadali M. Shoja
    • 5
  • Marios Loukas
    • 6
  • W. Jerry Oakes
    • 2
  1. 1.Department of Cell BiologyUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Division of NeurosurgeryUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.Pediatric NeurosurgeryChildren’s HospitalBirminghamUSA
  4. 4.University of Alabama at Birmingham School of MedicineBirminghamUSA
  5. 5.Tuberculosis and Lung Disease InstituteTabriz Medical UniversityTabrizIran
  6. 6.Department of Anatomical SciencesSt. George’s UniversityGrenadaWest Indies

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