Skip to main content

Cavernous sinus surgery

Approach through the lateral wall

Summary

The cavernous sinus is divided from the surgical point of view into three parts. The middle part consists of the lateral sinus wall, the cranial nerves III, IV, V, VI and the posterior siphonknee of the internal carotid artery. Lesions of this region, vascular as well as tumorous, can be exposed by approaching the lateral sinus wall. The surgical dissection through the sinus wall is based on some important anatomical details, which are described here. As a consequence a modified transcavernous approach will be introduced and demonstrated by 35 clinical cases.

This is a preview of subscription content, access via your institution.

References

  1. Browder J (1937) Treatment of carotid artery-cavernous sinus fistula. Report of a case. Arch Ophthalmol 18: 95–102

    Google Scholar 

  2. Dolenc V (1983) Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg 58: 824–831

    PubMed  Google Scholar 

  3. Glasscock ME (1969) Exposure of the intra-petrous portion of the carotid artery. In: Hamberger CA, Wersäll J (eds) Disorders of the skull base region: Proceedings of the Tenth Nobel Symposium Stockholm. Almquist and Wiksell, Stockholm, pp 135–143

    Google Scholar 

  4. Johnston I (1979) Direct surgical treatment of bilateral intracavernous internal carotid artery aneurysms. Case report. J Neurosurg 51: 98–102

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  6. Parkinson D (1973) Carotid-cavernous fistula: direct repair with preservation of the carotid artery. Technical note. J Neurosurg 38: 99–106

    PubMed  Google Scholar 

  7. Perneczky A, Knosp E (1986) The intracavernous connective tissue cover of the internal carotid artery. Anatomy and surgery. In: Scheunemann H, Schürmann K, Helms J (eds) Tumours of the Skull Base. de Gruyter, Berlin New York, pp 171–177

    Google Scholar 

  8. Perneczky A, Knosp E, Vorkapic P, Czech TH (1985) Direct surgical approach to infraclinoidal aneurysms. Acta Neurochir (Wien) 76: 36–44

    Google Scholar 

  9. Perneczky A, Knosp E, Czech Th (1987) Para-and infraclinoidal aneurysms. Anatomy, surgical technique and report on 22 cases. In: Dolenc V (ed) The cavernous sinus. Springer, Wien New York, pp 252–271

    Google Scholar 

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

    PubMed  Google Scholar 

  11. Sekhar LN, Schramm VL Jr, Jones NF, Yonas H, Horton J, Latchaw RE, Curtin H (1986) Operative exposure and management of the petrous and upper cervical internal carotid artery. Neurosurgery 6: 967–982

    Google Scholar 

  12. Umansky F, Nathan H (1982) The lateral wall of the cavernous sinus. With special reference to the nerves related to it. J Neurosurg 56: 228–234

    PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Perneczky, A., Knosp, E. & Matula, C. Cavernous sinus surgery. Acta neurochir 92, 76–82 (1988). https://doi.org/10.1007/BF01401976

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01401976

Keywords

  • Cavernous sinus
  • skull base surgery
  • surgical anatomy
  • trigeminal nerve