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Cavernous Sinus

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121. Paranasal Sinus and Nasal Cavity Cancer Treatment (Adult) (PDQ®): Health Professional Version

radiation therapy for head and neck cancer suggested a significant loss of local control when the administration of radiation therapy was prolonged; therefore, lengthening of standard treatment schedules should be avoided whenever possible.[ ] Surgery Surgical exploration may be required to determine operability. Destruction of the base of the skull (i.e., anterior cranial fossa), cavernous sinus, or the pterygoid process; infiltration of the mucous membranes of the nasopharynx; or nonresectable lymph (...) Paranasal Sinus and Nasal Cavity Cancer Treatment (Adult) (PDQ®): Health Professional Version Paranasal Sinus and Nasal Cavity Cancer Treatment (Adult) (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002

2018 PDQ - NCI's Comprehensive Cancer Database

122. Atypical teratoid rhabdoid tumor in the cavernous sinus of a toddler presenting with oculomotor nerve palsy Full Text available with Trip Pro

Atypical teratoid rhabdoid tumor in the cavernous sinus of a toddler presenting with oculomotor nerve palsy Atypical teratoid rhabdoid tumor (ATRT) is a rare, highly malignant, and aggressive tumor of infancy. Although the prognosis of ATRT has been extremely poor, recently, the first prospective study for ATRT demonstrated improvement of prognosis. On the other hands, oculomotor nerve palsy is rare in children and the most frequent etiology is congenital. To our knowledge, only a few ATRT (...) cases presenting with oculomotor nerve palsy have been reported, but ATRT originating from the cavernous sinus (CS) has not yet been reported.An 18-month-old girl with right oculomotor nerve palsy was admitted, and a small mass in the right CS was detected with brain MRI. Although she received steroid pulse therapy and antimicrobial therapy, the mass continued to enlarge. One month after admission, the mass was partially resected and diagnosed as ATRT. Multimodal therapy including anthracycline

2014 Child's Nervous System

123. Anatomical variations in termination of the uncal vein and its clinical implications in cavernous sinus dural arteriovenous fistulas Full Text available with Trip Pro

Anatomical variations in termination of the uncal vein and its clinical implications in cavernous sinus dural arteriovenous fistulas The aim of the study was to investigate the variations in the uncal vein (UV) termination and its clinical implication in cavernous sinus dural arteriovenous fistulas (CSDAVFs).Biplane cerebral angiography in 80 patients (160 sides) with normal cerebral venous return (normal group) was reviewed with special interest in the termination of the UV. Frequency (...) and types of uncal venous drainage from CSDAVFs in consecutive 26 patients were also analyzed.In the normal group, the UV was identified in 118 sides (74 %). The UV terminated into cavernous sinus (CS) in 41 sides (34 %), the superficial middle cerebral vein (SMCV) in 58 sides (48 %), the laterocavernous sinus (LCS) in 15 sides (13 %), and the paracavernous sinus (PCS) in 4 sides (3 %). Cerebral venous blood via the UV draining into the CS directly (n=41) or through the SMCV and/or the LCS (n=45

2014 Neuroradiology

124. Aggressive transsphenoidal resection of tumors invading the cavernous sinus in patients with acromegaly: predictive factors, strategies, and outcomes. Full Text available with Trip Pro

Aggressive transsphenoidal resection of tumors invading the cavernous sinus in patients with acromegaly: predictive factors, strategies, and outcomes. Cavernous sinus (CS) invasion is the most important preoperative predictor of remission in the surgical treatment of growth hormone-producing pituitary adenomas. The purpose of this study was to evaluate the effectiveness of an aggressive technique for removal of tumors invading the CS in patients with acromegaly.The authors retrospectively (...) reviewed the cases of 150 consecutive patients with acromegaly who underwent primary transsphenoidal surgery in 2010 and 2011. The authors reviewed preoperative Knosp grade, intraoperative findings, histology of the medial wall of the CS, and surgical outcome according to the current consensus criteria for acromegaly.Cavernous sinus invasion was identified in 55 patients (36.7%): definite CS involvement by the tumor was observed under direct vision in 41 patients (74.5%), while invasion

2014 Journal of Neurosurgery

125. Pearls & Oy-sters: Bilateral cavernous sinus syndrome as presenting manifestation of nasopharyngeal carcinoma. Full Text available with Trip Pro

Pearls & Oy-sters: Bilateral cavernous sinus syndrome as presenting manifestation of nasopharyngeal carcinoma. 24514015 2014 04 01 2014 02 11 1526-632X 82 6 2014 Feb 11 Neurology Neurology Pearls & Oy-sters: bilateral cavernous sinus syndrome as presenting manifestation of nasopharyngeal carcinoma. e51-4 10.1212/WNL.0000000000000103 Kumari Bhawana B From the Department of Neurology, Post Graduate Institute of Medical Education and Research Centre, Chandigarh, India. Goyal Manoj K MK Lal Vivek V (...) eng Case Reports Journal Article United States Neurology 0401060 0028-3878 AIM IM Abducens Nerve Diseases etiology Carcinoma, Squamous Cell complications diagnosis Cavernous Sinus Cranial Nerve Diseases etiology Hearing Loss, Conductive Humans Male Middle Aged Nasopharyngeal Neoplasms complications diagnosis Oculomotor Nerve Diseases etiology Syndrome Trochlear Nerve Diseases etiology 2014 2 12 6 0 2014 2 12 6 0 2014 4 2 6 0 ppublish 24514015 82/6/e51 10.1212/WNL.0000000000000103

2014 Neurology

126. Surgical outcomes using a medial-to-lateral endonasal endoscopic approach to pituitary adenomas invading the cavernous sinus. Full Text available with Trip Pro

Surgical outcomes using a medial-to-lateral endonasal endoscopic approach to pituitary adenomas invading the cavernous sinus. This study details the extent of resection and complications associated with endonasal endoscopic surgery for pituitary tumors invading the cavernous sinus (CS) using a moderately aggressive approach to maximize extent of resection through the medial CS wall while minimizing the risk of cranial neuropathy and blood loss. Tumor in the medial CS was aggressively pursued

2014 Journal of Neurosurgery

127. Endoscopic palliative decompression of the cavernous sinus in a rare case of a metastatic renal cell carcinoma to the clivus. (Abstract)

Endoscopic palliative decompression of the cavernous sinus in a rare case of a metastatic renal cell carcinoma to the clivus. We present a rare case of acute cavernous sinus syndrome due to a renal cell carcinoma metastasis to the clivus. This case highlights the role of palliative endoscopic endonasal decompression of the cavernous sinus to relieve cranial neuropathies, obtain tissue diagnosis, and for cytoreduction in preparation for additional adjuvant therapy.

2014 British Journal of Neurosurgery

128. Endoscopic endonasal anatomical study of the cavernous sinus segment of the ophthalmic nerve. Full Text available with Trip Pro

Endoscopic endonasal anatomical study of the cavernous sinus segment of the ophthalmic nerve. This cadaveric study analyzes the endoscopic endonasal anatomy of the ophthalmic division of the trigeminal nerve (V1 ), from the middle fossa to its orbital entry via the superior orbital fissure. Anatomical relationships with the surrounding cranial nerves and blood vessels are described, with emphasis on their clinical correlation during surgery in this region. Our objective was to describe (...) is the most superior trigeminal branch and runs upward and obliquely, along the middle portion of the lateral wall of the cavernous sinus. The V1 nerve joins the oculomotor and trochlear nerves to exit the cavernous sinus and enter the orbit through the SOF. Ten percent of the specimens displayed the trochlear nerve running along as a mate of the V1 nerve. The V1 nerve borders two key triangles in the lateral wall of the cavernous sinus, and the Parkinson's and anteromedial triangles.In this study, the V1

2014 Laryngoscope

129. A Case Report of Cavernous Sinus Syndrome in a Patient With Takayasu's Arteritis. (Abstract)

A Case Report of Cavernous Sinus Syndrome in a Patient With Takayasu's Arteritis. Neurologists must entertain a broad differential diagnosis when considering a patient with cavernous sinus syndrome, including neoplasm, trauma, vascular causes, inflammatory processes, and infections. We report the case of a 37-year-old woman initially diagnosed with cavernous sinus syndrome, where subsequent investigations revealed findings of Takayasu's arteritis, a large vessel vasculitis. The patient also (...) tested positive for perinuclear antineutrophil cytoplasmic antibodies, suggesting the possibility of a vasculitic spectrum disorder although no clinical features of Wegener's granulomatosis were present. Criteria for Takayasu's arteritis and its protean neurologic manifestations are reviewed. This case highlights the spectrum of vasculitic conditions that may be associated with cavernous sinus inflammation. © 2014 American Headache Society.

2014 Headache

130. Furuncle of the Right Nasal Vestibule; Septic Thrombosis of the Cavernous Sinus; Lepto-Meningitis; Death; Autopsy. (With Microscopic Examination of the Orbits, Cavernous Blood Sinuses, Meninges, Ethmoidal and Sphenoidal Air Sinuses) Full Text available with Trip Pro

Furuncle of the Right Nasal Vestibule; Septic Thrombosis of the Cavernous Sinus; Lepto-Meningitis; Death; Autopsy. (With Microscopic Examination of the Orbits, Cavernous Blood Sinuses, Meninges, Ethmoidal and Sphenoidal Air Sinuses) 19984997 2010 06 24 2010 06 24 0035-9157 19 Laryngol Sect 1926 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Furuncle of the Right Nasal Vestibule; Septic Thrombosis of the Cavernous Sinus; Lepto-Meningitis; Death; Autopsy. (With Microscopic (...) Examination of the Orbits, Cavernous Blood Sinuses, Meninges, Ethmoidal and Sphenoidal Air Sinuses). 10 Turner A L AL Reynolds F E FE eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1926 1 1 0 0 1926 1 1 0 1 ppublish 19984997 PMC1948626

1926 Proceedings of the Royal Society of Medicine

131. Nasal Cavity and Paranasal Sinus Cancers

extend to involve the adjacent maxillary sinus. The sphenoid sinus is a midline structure and cancers arising here often extend laterally to involve the adjacent cavernous sinus or orbital apex. The occult nature of these tumors often results in intracranial extension. The frontal sinus resides within the anterior skull and is bounded by the anterior cranial fossa and the tissues of the forehead. The pneumatization pattern is quite variable, even side-to-side in the same patient, and may extend (...) Nasal Cavity and Paranasal Sinus Cancers Date of origin: 2016 ACR Appropriateness Criteria ® 1 Nasal Cavity and Paranasal Sinus Cancers American College of Radiology ACR Appropriateness Criteria ® NASAL CAVITY AND PARANASAL SINUS CANCERS Expert Panel on Radiation Oncology–Head & Neck Cancer: Farzan Siddiqui, MD, PhD 1 ; Richard V. Smith, MD 2 ; Sue S. Yom, MD, PhD 3 ; Jonathan J. Beitler, MD, MBA 4 ; Paul M. Busse, MD, PhD 5 ; Jay S. Cooper, MD 6 ; Ehab Y. Hanna, MD 7 ; Christopher U. Jones, MD

2016 American College of Radiology

132. Transvenous Aneurysm Sac and Rupture Point Coil Embolization of Direct Carotid Cavernous Fistula after Pipeline Embolization Full Text available with Trip Pro

-year-old woman suffered from dCCF after PED embolization. A microcatheter was advanced through the transvenous approach into the cavernous sinus (CS) and further inserted into the aneurysm sac via the rupture point. Coil embolization of both the aneurysm sac and a small part of the CS adjacent to the fistulous site could achieve not only the immediate aneurysm occlusion but also the rupture point obliteration with a small amount of coil mass in the CS. (...) Transvenous Aneurysm Sac and Rupture Point Coil Embolization of Direct Carotid Cavernous Fistula after Pipeline Embolization A delayed aneurysm rupture after flow diverter therapy is a rare but serious complication. Due to the anatomical specificity, a delayed rupture of a carotid cavernous aneurysm may cause a direct carotid cavernous fistula (dCCF). We present a novel therapeutic approach for treatment of dCCF after flow diverter therapy using the Pipeline embolization device (PED). An 86

2017 NMC Case Report Journal

133. Carotid cavernous fistula after percutaneous balloon compression for trigeminal neuralgia: Endovascular treatment with coils Full Text available with Trip Pro

predispose those complications.A young woman diagnosed with trigeminal neuralgia during 11 years was submitted to a balloon rhizotomy by percutaneous approach to the trigeminal ganglion, with severe intraoperative bleeding. Cavernous syndrome developed few hours later. Magnetic resonance imaging and digital subtraction angiography confirmed an indirect carotid cavernous sinus fistula, which was treated by one session of endovascular procedure using coils, achieving total occlusion of the fistula (...) Carotid cavernous fistula after percutaneous balloon compression for trigeminal neuralgia: Endovascular treatment with coils Percutaneous ganglyolysis treatment of trigeminal neuralgia is rarely associated with vascular complications, such as hematoma, subarachnoid hemorrhage, and stroke. Internal carotid artery injury may also occur after misguided needle placement, particularly far posteriorly or medially, resulting in carotid cavernous fistula. Anatomical variations of the foramen ovale can

2017 Surgical neurology international

134. Carotid cavernous fistula masquerading as delayed suprachoroidal hemorrhage after trabeculectomy Full Text available with Trip Pro

Carotid cavernous fistula masquerading as delayed suprachoroidal hemorrhage after trabeculectomy Objective: Carotid cavernous fistulae (CCFs) are abnormal communications between the cavernous sinus and the carotid arterial system. Based on the etiology, CCFs can be traumatic, spontaneous and rarely iatrogenic. We report an interesting case of new onset CCF associated with shallow choroidal detachment after trabeculectomy surgery. Method: Observational case report Result: A 69-year-old male

2017 GMS Ophthalmology Cases

135. Superior Ophthalmic Vein Access for Embolization of an Indirect Carotid Cavernous Fistula Full Text available with Trip Pro

Superior Ophthalmic Vein Access for Embolization of an Indirect Carotid Cavernous Fistula Carotid cavernous fistulae (CCF) are defined as abnormal connections between the carotid circulation and cavernous sinus. CCFs can be categorized as being direct or indirect. Direct CCFs are usually associated with trauma, whereas indirect CCFs are associated with revascularization following cavernous sinus thrombosis. We present a case of a 53-year-old male who presented with tinnitus, proptosis (...) with a micropuncture needle and was used to successfully gain access to the cavernous sinus. Multiple coils were placed in the posterior aspect of the sinus until there was complete occlusion of venous flow. Coils were packed up to the posterior aspect of the orbit near the junction of the cavernous sinus with the SOV, and the embolization was successful. Indirect CCFs have gradual onset and are usually low-flow. Low-flow CCFs might improve with medical management.Some CCFs may cause ocular manifestations and can

2017 Cureus

136. Treatment of Barrow type ‘B’ carotid cavernous fistulas with flow diverter stent (Pipeline) Full Text available with Trip Pro

Treatment of Barrow type ‘B’ carotid cavernous fistulas with flow diverter stent (Pipeline) Background Carotid cavernous fistulas (CCFs) Barrow type 'B' are dural shunts between the meningeal branches of the internal carotid artery and the cavernous sinus. The symptoms include vision deterioration, ophthalmoplegia with diplopia, exophthalmos, conjunctival injection, chemosis, ocular bruit, seizures, or neurological deficit. Endovascular treatment remains the gold standard for treatment (...) through the transvenous or transarterial routes. The transvenous approaches have been proved to be the first option. Endovascular access through the superior ophthalmic vein (SOV) or inferior petrosal sinus have been widely used. The problem arises when there is no vascular access. For these cases, different approaches have been described, such as: direct access to the SOV; combining direct access to the SOV along with blind probing of the proximal occluded SOV; and a direct puncture of the cavernous

2017 The neuroradiology journal

137. Transorbital Approach for Endovascular Occlusion of Carotid-Cavernous Fistulas: Technical Note and Review of the Literature Full Text available with Trip Pro

Transorbital Approach for Endovascular Occlusion of Carotid-Cavernous Fistulas: Technical Note and Review of the Literature Carotid-cavernous fistulas (CCFs) pose an anatomically and physiologically challenging problem for clinicians. The most common method of treatment for these lesions is transvenous endovascular embolization via the inferior petrosal sinus or the facial vein. When transvenous access is not possible, an alternate approach must be devised. We describe a case example

2017 Cureus

138. A case of diffuse cavernous hemangioma of the appendix: laparoscopic surgery can facilitate diagnosis and treatment Full Text available with Trip Pro

were found on the mucosal surface. Hematoxylin and eosin staining indicated the presence of blood-filled sinus-like spaces largely in the subserosal layer. Immunohistochemistry analysis indicated that CD34-positive cells lined these spaces. Given these findings, we diagnosed the patient with a diffuse cavernous vascular malformation of the appendix.CHA is difficult to diagnose. A laparoscopic approach may be useful for both the diagnosis and treatment of the disease. (...) A case of diffuse cavernous hemangioma of the appendix: laparoscopic surgery can facilitate diagnosis and treatment A cavenous hemangioma of the appendix (CHA) is rare. The clinical pathophysiology and adequate management of a CHA have not been sufficiently explained since reports on CHA are scarce.A 56-year-old woman presented with chronic right lower quadrant pain. Abdominal contrast-enhanced computed tomography revealed a thickened appendix (1.5 cm in diameter) and some focal calcifications

2017 Surgical Case Reports

139. A note on the relationship of the human maxillary nerve to the cavernous sinus and to an emissary sinus passing through the foramen ovale. Full Text available with Trip Pro

A note on the relationship of the human maxillary nerve to the cavernous sinus and to an emissary sinus passing through the foramen ovale. 5969985 1967 09 02 2018 11 13 0021-8782 100 Pt 4 1966 Oct Journal of anatomy J. Anat. A note on the relationship of the human maxillary nerve to the cavernous sinus and to an emissary sinus passing through the foramen ovale. 905-8 Henderson W R WR eng Journal Article England J Anat 0137162 0021-8782 IM Cavernous Sinus anatomy & histology Cranial Sinuses

1966 Journal of anatomy

140. Cavernous Sinus Syndromes (Overview)

Cavernous Sinus Syndromes (Overview) Cavernous Sinus Syndromes: Overview, Clinical Presentation, Diagnostic Workup Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE2MTcxMC1vdmVydmlldw== processing > Cavernous (...) Sinus Syndromes Updated: Jan 16, 2019 Author: Ryszard M Pluta, MD, PhD; Chief Editor: Robert A Egan, MD Share Email Print Feedback Close Sections Sections Cavernous Sinus Syndromes Overview Overview Background Cavernous sinus syndrome describes symptoms comprising ophthalmoplegia, chemosis, proptosis, Horner syndrome, and/or trigeminal sensory loss evoked by vascular, inflammatory, traumatic, congenital, or neoplastic processes affecting the cavernous sinus near the midline of the frontotemporal

2014 eMedicine.com

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