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Cavernous Sinus

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161. Cavernous Sinus

Cavernous Sinus Cavernous Sinus Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cavernous Sinus Cavernous Sinus Aka: Cavernous Sinus (...) II. Pathophysiology Drains venous blood from the eye May act as a conduit for spreading infection intracranially from , other serious facial infections III. Anatomy: Structures within Cavernous Sinus Ophthalmic branch ry branch IV. Associated Conditions: Conditions affecting Cavernous Sinus and its contents Infection Orbital Petrous Bone ( ) Aneurysm V. References Goldberg (2014) Clinical , Medmaster, p. 6-15 Netter (1997) Atlas Human Anatomy, ICON Learning, p. 98 Images: Related links

2015 FP Notebook

162. Endoscopic endonasal approaches to the cavernous sinus. (Abstract)

Endoscopic endonasal approaches to the cavernous sinus. Surgical access to the cavernous sinus (CS) has proven a challenge for the skull base surgeon. Traditional approaches include the transcranial route, which broaches the lateral wall of the CS and has a high risk of cranial nerve weakness. A medial approach is more logical but the microscopic transsphenoidal approach has a restricted view. The endoscopic endonasal approach provides an alternative medial approach with improved visualization (...) to that provided with the microscope. We describe our results using this approach for resection of CS tumors.A retrospective chart review was performed of all patients treated surgically at a tertiary care referral center between January 2004 and February 2011 with a purely endoscopic endonasal approach to the CS.Out of 400 total endoscopic skull base cases, 41 (10.3%) involved the cavernous sinus. The most common approach was the transsphenoidal transsellar approach (31 patients, 75.6%). Other approaches

2012 International forum of allergy & rhinology

163. Intraprocedural Angiographic CT as a Valuable Tool in the Course of Endovascular Treatment of Direct Sinus Cavernous Fistulas Full Text available with Trip Pro

Intraprocedural Angiographic CT as a Valuable Tool in the Course of Endovascular Treatment of Direct Sinus Cavernous Fistulas This investigation aimed to demonstrate the potential of intraprocedural angiographic CT in monitoring complex endovascular coil embolization of direct carotid cavernous fistulas. Angiographic CT was performed as a dual rotational 5 s run with intraarterial contrast medium injection in two patients during endovascular coil embolization of direct carotid cavernous (...) conventional 2D-DSA series failed to reliably detect coil protrusion. The delineation of coil protrusion by angiographic CT allowed immediate correct coil repositioning to prevent parent artery compromising. Angiographic CT can function as a valuable intraprocedurally feasible tool during complex coil embolizations of direct carotid cavernous fistulas. It allows the precise visualization of the cerebral vasculature and any accidental coil protrusion can be determined accurately in cases where conventional

2012 Interventional Neuroradiology

164. Spontaneous Isolated Dural Arteriovenous Fistula of the Cavernous Sinus: Endovascular Approach via the Foramen Ovale: A Technical Note Full Text available with Trip Pro

Spontaneous Isolated Dural Arteriovenous Fistula of the Cavernous Sinus: Endovascular Approach via the Foramen Ovale: A Technical Note The endovascular treatment of spontaneous dural cavernous sinus fistula (DAVF) can be accomplished by arterial approach, just with symptoms relief, or by numerous venous approaches through the inferior petrosal sinus, ophthalmic vein, anterior or posterior intercavernous sinus and facial vein. Our case suggests the approach to the cavernous sinus via the foramen (...) ovale and emissary veins puncture as an alternative when there is no possibility of venous approach conventionally described. A 76-year-old woman presented with right conjunctival hyperemia, exophthalmos, intraocular pressure increasing and visual deficits in a period of six months. Angiographic diagnosis of spontaneous DAVF isolated from the cavernous sinus, Barrow Type C, with exclusive venous drainage through the superior ophthalmic vein. Endovascular treatment was performed under general

2012 Interventional Neuroradiology

165. Dermoid tumor of the lateral wall of the cavernous sinus Full Text available with Trip Pro

Dermoid tumor of the lateral wall of the cavernous sinus Congenital intracranial dermoid tumors are very rare. The location of these dermoid lesions in the cavernous sinus and the complexity of the operative procedure for these lesions have been noted by several authors. Dermoid tumors originating in the cavernous sinus are usually interdural, and thus blurred vision is an uncommon presentation.Herein we report the first incidental case of a cavernous sinus dermoid cyst in a 21-year-old woman.A (...) literature review was done and the possible treatments and approaches for this lesion are discussed. We consider that surgical treatment is indicated in most incidental cavernous sinus dermoid lesions due to the possible symptoms related to compression or rupture leading to chemical meningitis.

2012 Surgical neurology international

166. Septic thrombosis of the cavernous sinus secondary to a Streptococcus milleri oral infection Full Text available with Trip Pro

Septic thrombosis of the cavernous sinus secondary to a Streptococcus milleri oral infection Septic thrombosis of the cavernous sinus (STCS) is an uncommon and potentially lethal disease. Sphenoid and ethmoid sinusitis followed by facial cutaneous infections represents the most common aetiologies, with Staphylococcus aureus as the main responsible organism followed by the Streptococcus pneumoniae. Although all infectious foci of the head and neck area can potentially spread to the cavernous (...) sinus, STCS from oral infection is an exceptionally rare occurrence. We report the unusual case of a patient who presented with an acute STCS secondary to a generalized Streptococcus milleri periodontitis. This case highlights the importance of systematically performing a detailed examination of the oral cavity in patients presenting with intracranial infections caused by uncommon pathogens such as the Streptococcus milleri group.

2012 Dentomaxillofacial Radiology

167. Atypical Presentation of Cavernous Sinus Infection with Intracavernous ICA Aneurysm Full Text available with Trip Pro

Atypical Presentation of Cavernous Sinus Infection with Intracavernous ICA Aneurysm In a typical presentation of intracavernous internal carotid artery aneurysm and cavernous sinus infection there is involvement of 3rd, 4th and 6th cranial nerves along with 2nd and 5th cranial nerve. Here we present a case of a 32 years old male with unilateral mycotic intracavernous internal carotid artery aneurysm with a history of head injury. Atypical features in this case was involvement of distantly

2012 Indian Journal of Otolaryngology and Head & Neck Surgery

168. Clinical results of Gamma Knife surgery for cavernous sinus hemangiomas. Full Text available with Trip Pro

Clinical results of Gamma Knife surgery for cavernous sinus hemangiomas. The purpose of this study was to gain an understanding of the efficacy and safety of Gamma Knife surgery (GKS) for the treatment of cavernous sinus hemangiomas (CSHs). The authors report on 16 patients who underwent GKS as a primary or adjuvant treatment for CSH.Sixteen patients harboring CSHs (14 women and 2 men ranging in age from 21 to 65 years [mean 41.3 years]) underwent GKS at West China Hospital. In 4 patients

2012 Journal of Neurosurgery

169. Surgical cannulation of the superior ophthalmic vein for the treatment of previously embolized cavernous sinus dural arteriovenous fistulas: serial studies and angiographic follow-up. (Abstract)

Surgical cannulation of the superior ophthalmic vein for the treatment of previously embolized cavernous sinus dural arteriovenous fistulas: serial studies and angiographic follow-up. The purpose of this study was to evaluate the safety and efficacy of transorbital puncture for the retreatment of previously embolized cavernous sinus dural arteriovenous fistulas (DAVFs) via a superior ophthalmic vein (SOV) approach.During a 12-year period, 9 consecutive patients with previously embolized (...) cavernous sinus DAVFs underwent retreatment via the transorbital SOV approach.All of the nine cases of previously embolized cavernous sinus DAVFs were successfully embolized. Clinical follow-ups were conducted in all nine cases at the duration of 17-141 months (61.22 ± 39.13 months). No recanalization occurred during the follow-up period. A subtle ptosis appeared in two patients and disappeared in one of the two cases after a 4-year follow-up. One patient suffered from paroxysmal positional vertigo

2012 British Journal of Neurosurgery

170. Lemierre Syndrome Secondary to Community-acquired Methicillin-resistant Staphylococcus Aureus Infection Associated with Cavernous Sinus Thromboses. Full Text available with Trip Pro

Lemierre Syndrome Secondary to Community-acquired Methicillin-resistant Staphylococcus Aureus Infection Associated with Cavernous Sinus Thromboses. Lemierre Syndrome (LS) is a highly aggressive rare disease process with a predilection for young, healthy adolescents. Often beginning with a primary cervicofacial infection, LS rapidly progresses to thrombophlebitis of the cerebral vasculature, metastatic infection, and septicemia. Untreated LS can be rapidly fatal. Thrombus within the cerebral (...) present an atypical case of LS secondary to community-acquired methicillin-resistant Staphylococcus aureus (MRSA) infection progressing to bilateral cavernous sinus and ophthalmic vein thromboses with resultant binocular vision loss secondary to optic nerve and retinal ischemia.This case highlights the importance of early recognition of LS in the setting of a community-acquired MRSA infection as the unifying condition in a young patient with multiple acute neurologic impairments.Published by Elsevier

2012 Journal of Emergency Medicine

171. Fractionated proton radiotherapy for benign cavernous sinus meningiomas. (Abstract)

Fractionated proton radiotherapy for benign cavernous sinus meningiomas. To evaluate the efficacy of fractionated proton radiotherapy for a population of patients with benign cavernous sinus meningiomas.Between 1991 and 2002, 72 patients were treated at Loma Linda University Medical Center with proton therapy for cavernous sinus meningiomas. Fifty-one patients had biopsy or subtotal resection; 47 had World Health Organization grade 1 pathology. Twenty-one patients had no histologic verification (...) with atypical histology. All 21 patients who did not have histologic verification and 46 of 47 patients with histologic confirmation of grade 1 tumor demonstrated disease control at 5 years. Control rates for patients without previous surgery, 1 surgery, and 2 or more surgeries were 95%, 96%, and 95%, respectively.Fractionated proton radiotherapy for grade 1 cavernous sinus meningiomas achieves excellent control rates with minimal toxicities, regardless of surgical intervention or use of histologic

2012 Biology and Physics

172. Lateral orbital wall approach to the cavernous sinus. Full Text available with Trip Pro

Lateral orbital wall approach to the cavernous sinus. Lesions of the cavernous sinus remain a technical challenge. The most common surgical approaches involve some variation of the standard frontotemporal craniotomy. Here, the authors describe a surgical approach to access the cavernous sinus that involves the removal of the lateral orbital wall.To achieve exposure of the cavernous sinus, a lateral canthal incision is performed, and the lateral orbital rim and anterior lateral wall are removed (...) , for later replacement at closure. The posterior lateral orbital wall is removed to the region of the superior and inferior orbital fissures. With reflection of the dural covering of the lateral cavernous sinus and removal of the anterior clinoid process, the cavernous sinus is exposed.Exposure and details of the procedure were derived from anatomical study in cadavers. After the approach, with removal of the anterior clinoid process, the entire cavernous sinus from the superior orbital fissure

2012 Journal of Neurosurgery

173. Phase II Study to Assess the Efficacy of Hypofractionated Stereotactic Radiotherapy in Patients with Large Cavernous Sinus Hemangiomas. (Abstract)

Phase II Study to Assess the Efficacy of Hypofractionated Stereotactic Radiotherapy in Patients with Large Cavernous Sinus Hemangiomas. Cavernous sinus hemangioma is a rare vascular tumor. The direct microsurgical approach usually results in massive hemorrhage. Although radiosurgery plays an important role in managing cavernous sinus hemangiomas as a treatment alternative to microsurgery, the potential for increased toxicity with single-session treatment of large tumors is a concern (...) . The purpose of this study was to assess the efficacy of hypofractionated stereotactic radiotherapy in patients with large cavernous sinus hemangiomas.Fourteen patients with large (volume >20 cm(3)) cavernous sinus hemangiomas were enrolled in a prospective Phase II study between December 2007 and December 2010. The hypofractionated stereotactic radiotherapy dose was 21 Gy delivered in 3 fractions.After a mean follow-up of 15 months (range, 6-36 months), the magnetic resonance images showed a mean of 77

2012 Biology and Physics

174. The Cure of Cavernous Sinus Thrombophlebitis Full Text available with Trip Pro

The Cure of Cavernous Sinus Thrombophlebitis 15411487 2004 09 30 2018 12 01 0007-1161 34 4 1950 Apr The British journal of ophthalmology Br J Ophthalmol The cure of cavernous sinus thrombophlebitis. 235-41 MIKLOS A A eng Journal Article England Br J Ophthalmol 0421041 0007-1161 0 Penicillins OM Cavernous Sinus Cavernous Sinus Thrombosis Humans Penicillins Thrombosis 5019:981:47:182:243 CAVERNOUS SINUS PENICILLIN THROMBOSIS 1950 4 1 1950 4 1 0 1 1950 4 1 0 0 ppublish 15411487 PMC1323506

1950 The British journal of ophthalmology

175. CAVERNOUS SINUS THROMBOPHLEBITIS Full Text available with Trip Pro

CAVERNOUS SINUS THROMBOPHLEBITIS 18170552 2008 01 11 2018 11 13 0007-1161 34 8 1950 Aug The British journal of ophthalmology Br J Ophthalmol CAVERNOUS SINUS THROMBOPHLEBITIS. 515-6 Rosen E E eng Journal Article England Br J Ophthalmol 0421041 0007-1161 1950 8 1 0 0 1950 8 1 0 1 1950 8 1 0 0 ppublish 18170552 PMC1323621 Br J Ophthalmol. 1950 Apr;34(4):235-41 15411487

1950 The British journal of ophthalmology

176. CAVERNOUS SINUS THROMBOPHLEBITIS Full Text available with Trip Pro

CAVERNOUS SINUS THROMBOPHLEBITIS 13413138 2002 05 01 2018 12 01 0007-1161 41 4 1957 Apr The British journal of ophthalmology Br J Ophthalmol Cavernous sinus thrombophlebitis. 228-37 TAYLOR P J PJ eng Journal Article England Br J Ophthalmol 0421041 0007-1161 OM Aged Cavernous Sinus Thrombosis Eye Humans Micrococcus pathogenicity Sinus Thrombosis, Intracranial complications 5732:11055 EYE MICROCOCCAL INFECTIONS/manifestations SINUS THROMBOSIS/complications 1957 4 1 1957 4 1 0 1 1957 4 1 0 0

1957 The British journal of ophthalmology

177. Aneurysm of the Cavernous Sinus Full Text available with Trip Pro

Aneurysm of the Cavernous Sinus 19979437 2010 06 24 2010 06 24 0035-9157 9 Sect Ophthalmol 1916 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Aneurysm of the Cavernous Sinus. 25-7 Fisher J H JH eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1916 1 1 0 0 1916 1 1 0 1 ppublish 19979437 PMC2017221

1916 Proceedings of the Royal Society of Medicine

178. Cavernous Sinus Thrombosis: Notes of Four Cases Full Text available with Trip Pro

Cavernous Sinus Thrombosis: Notes of Four Cases 19981921 2010 06 24 2010 06 24 0035-9157 14 Otol Sect 1921 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Cavernous Sinus Thrombosis: Notes of Four Cases. 19-23 Rodger T R TR eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1921 1 1 0 0 1921 1 1 0 1 ppublish 19981921 PMC2152135

1921 Proceedings of the Royal Society of Medicine

179. Case of Exophthalmos probably caused by Non-suppurative Cavernous Sinus Thrombosis Full Text available with Trip Pro

Case of Exophthalmos probably caused by Non-suppurative Cavernous Sinus Thrombosis 19982791 2010 06 24 2010 06 24 0035-9157 16 Clin Sect 1923 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Case of Exophthalmos probably caused by Non-suppurative Cavernous Sinus Thrombosis. 41-3 Weber F P FP eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1923 1 1 0 0 1923 1 1 0 1 ppublish 19982791 PMC2103857

1923 Proceedings of the Royal Society of Medicine

180. Cavernous Sinus Thrombosis, with Notes of Five Cases Full Text available with Trip Pro

Cavernous Sinus Thrombosis, with Notes of Five Cases 16692452 2006 06 01 2008 11 20 0065-9533 16 1918 Transactions of the American Ophthalmological Society Trans Am Ophthalmol Soc Cavernous Sinus Thrombosis, with Notes of Five Cases. 381-95 Smith D D eng Journal Article United States Trans Am Ophthalmol Soc 7506106 0065-9533 1918 1 1 0 0 1918 1 1 0 1 1918 1 1 0 0 ppublish 16692452 PMC1318166

1918 Transactions of the American Ophthalmological Society

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