The transition between the cavernous sinus and orbit

  • S. Froelich
  • K. M. Abdel Aziz
  • H. R. van Loveren
  • J. T. Keller

Abstract

In [26] presented the first accurate three-dimensional view of the junction between the cavernous sinus and orbit (Fig. 1). In subsequent anatomical treatises, this highly complex area was often represented as a two-dimensional bony opening that was composed of a wide medial portion and a lateral narrow portion; both portions were depicted as transgressed by nerves. When cranial base surgeons initially focused on the cavernous sinus, relatively little interest was accorded its communication with the orbit [6, 7, 14, 18, 21, 22]. [11] and [12] more recently presented detailed descriptions of the surgical anatomy of the superior orbital fissure (SOF). [19] emphasized the continuity between the cavernous sinus and the orbit by describing the orbital venous drainage into the cavernous sinus via the SOF.

Keywords

Cavernous Sinus Rectus Muscle Lateral Rectus Optic Nerve Sheath Medial Rectus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bisaria KK, Kumar N, Prakesh M, Sharma PK, Agarwal PP, Bisaria SD, Lakhtakia PK, Premesagar IC (1996) The lateral rectus spine of the superior orbital fissure. J Anat 189: 243–245PubMedGoogle Scholar
  2. 2.
    Brismar J (1974) Orbital phlebography III. Topography of intraorbital veins. Acta Radiol Diagn (Stockh) 15: 577–594Google Scholar
  3. 3.
    Dutton JJ (1994) Atlas of clinical and surgical orbital anatomy. W.B. Sanders Co., PhiladelphiaGoogle Scholar
  4. 4.
    Govsa F, Kayalioglu G, Erturk M, Ozgur T (1999) The superior orbital fissure and its contents. Surg Radiol Anat 21: 181–185PubMedCrossRefGoogle Scholar
  5. 5.
    Hovelacque A (1927) Anatomie des nerfs crâniens et rachidiens et du système grand sympathique. Doin et Cie, ParisGoogle Scholar
  6. 6.
    Inoue T, Rhoton AL, Theele D, Barry ME (1990) Surgical approaches to the cavernous sinus: a microsurgical study. Neurosurgery 26: 903–932PubMedCrossRefGoogle Scholar
  7. 7.
    Kawase T, van Loveren HR, Keller JT, Tew JM Jr (1996) Meningeal architecture of the cavernous sinus: clinical and surgical implications. Neurosurgery 39: 527–536PubMedCrossRefGoogle Scholar
  8. 8.
    Keller JT, Leach JL, van Loveren HR, Abdel Aziz KM, Froelich S (2008) Venous anatomy of the lateral sellar compartment. In: Dolenc VV, Rogers L (eds) Cavernous sinus. Springer, Wien New York, pp 35–51Google Scholar
  9. 9.
    Koorneef L (1977) The architecture of the musculofibrous apparatus in the human orbit. Acta Morphol Neerl Scand 15: 35–64Google Scholar
  10. 10.
    Lockwood CB (1886) The anatomy of the muscles, ligaments, fascia of the orbit, including an account of the capsule of Tenon, the check ligaments of the recti, and of the suspensory ligament of the eye. Anat Physiol 20: 1–25Google Scholar
  11. 11.
    Morard M, Tcherekayev V, de Tribolet N (1994) The superior orbital fissure: a microanatomical study. Neurosurgery 35: 1087–1093PubMedCrossRefGoogle Scholar
  12. 12.
    Natori Y, Rhoton AL (1995) Microsurgical anatomy of the superior orbital fissure. Neurosurgery 36: 762–775PubMedCrossRefGoogle Scholar
  13. 13.
    Parkinson D (2000) Extradural neural axis compartment. J Neurosurg 92: 585–588PubMedCrossRefGoogle Scholar
  14. 14.
    Parkinson D (1990) Surgical anatomy of the lateral sellar compartment (cavernous sinus). Clin Neurosurg 36: 219–239PubMedGoogle Scholar
  15. 15.
    Parkinson D (1996) Lateral sellar compartment O.T. (Cavernous sinus): history, anatomy, terminology. Anat Rec 251: 486–490CrossRefGoogle Scholar
  16. 16.
    Ray CD (1995) Configuration and lateral closure of the superior orbital fissure. Am J Phys Anthropol 13:309–321CrossRefGoogle Scholar
  17. 17.
    Rouvière H (1981) Anatomie humaine. Tome I, 11ème ed, Masson, ParisGoogle Scholar
  18. 18.
    Sekhar LN, Burgess J, Akin O (1987) Anatomical study of the cavernous sinus emphasizing operative approaches and related vascular and neural reconstruction. Neurosurgery 21: 806–816PubMedCrossRefGoogle Scholar
  19. 19.
    Spektor S, Piontek E, Umansky F (1997) Orbital venous drainage into the anterior cavernous sinus space: microanatomic relationships. Neurosurgery 40: 532–540PubMedCrossRefGoogle Scholar
  20. 21.
    Testut L, Latarjet A (1949) Traité d’anatomie humaine. 9ème éd, G. Doin et Cie, ParisGoogle Scholar
  21. 22.
    Umansky F, Nathan H (1982) The lateral wall of the cavernous sinus. With special reference to the nerves related to it. J Neurosurg 56: 228–234PubMedCrossRefGoogle Scholar
  22. 23.
    Weninger WJ, Pramhas D (2000) Compartments of the adult parasellar region. J Anat 197: 681–686PubMedCrossRefGoogle Scholar
  23. 24.
    Weninger WJ, Steicher J, Müller GB (1997) Anatomical compartments of the parasellar region: adipose tissue bodies represent intracranial continuations of extracranial spaces. J Anat 191: 269–275PubMedCrossRefGoogle Scholar
  24. 25.
    Wolff E (1940) The anatomy of the eye and orbit, 2nd ed. The Blakiston Company, PhiladelphiaGoogle Scholar
  25. 26.
    Zinn JG (1755) Descriptio anatomica oculi humani. Veuve A. Vandenhoeck, GöttingenGoogle Scholar

Copyright information

© Springer-Verlag/Wien 2009

Authors and Affiliations

  • S. Froelich
    • 1
  • K. M. Abdel Aziz
    • 2
  • H. R. van Loveren
    • 3
  • J. T. Keller
    • 4
  1. 1.Department of NeurosurgeryStrasbourg UniversityCHU de HautepierreFrance
  2. 2.Department of NeurosurgeryAllegheny General HospitalPittsburghUSA
  3. 3.Department of NeurosurgeryUniversity of South FloridaTampaUSA
  4. 4.The Neuroscience Institute, Department of NeurosurgeryUniversity of Cincinnati College of Medicine, and Mayfield ClinicCincinnatiUSA

Personalised recommendations