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cavernous sinus lesions

The dural sinuses are grouped into the sagittal, lateral (including the transverse, sigmoid, and petrosal sinuses), and cavernous sinuses. Another contemporary development has gained increased importance in the general management paradigm of cavernous sinus lesions as an adjunct to surgical treatment, namely stereotactic radiosurgery. Clipboard, Search History, and several other advanced features are temporarily unavailable. METHOD: A systematic search in PubMed, LILACS, Web of Science, and Scopus yielded 4495 potentially eligible abstracts. It is the only anatomic location in the body in which an artery travels completely through a venous structure. The management of vascular and tumorous lesions of the parasellar region still remains one of the most demanding tasks in neurosurgery. [Significance of anatomic variants of bony surroundings of the internal carotid artery and their significance for lateral surgical approaches to the cavernous sinus]. Sinus tumors are often diagnosed late because early symptoms are similar to those found in people diagnosed with acute and chronic sinusitis. Cavernous sinuses communicate with each other via coronary sinuses. However, by the Ishikawa classification, 35% had the anterior type, 10% the middle type, 22% the posterior type, 5% the whole type, and 28% the unclassifiable type of lesion. Cavernous sinus cavernoma is a rare vascular malformation, which represents 3% of all benign cavernous sinus tumors. Cavernous sinus thrombosis (CST) was initially described by Bright in 1831 as a complication of epidural and subdural infections. Unable to load your collection due to an error, Unable to load your delegates due to an error. A CSS is caused by any pathology or lesion present within the cavernous sinus that disrupts the function of other anatomical structures. Please enable it to take advantage of the complete set of features! The Ishikawa classification is clinically useful to identify and classify the localization of cavernous sinus lesions. Accessibility The cavernous sinus is a paired dural venous sinus located within the cranial cavity. Conclusion: Furthermore, the Ishikawa classification revealed that the etiology of the anterior type was mainly inflammation, and that the etiology of the posterior and whole types was tumors. Vascular pathologies include ICA aneurysms, carotid-cavernous fistulas, cavernous sinus thrombosis, and cavernous hemangioma. 2015 Dec;42(6):305-19. doi: 10.1016/j.neurad.2015.04.010. As such, infections of the face (particularly those involving the "danger triangle" (orbits, nasal sinuses, and superior part of the face) can cause a cavernous sinus thrombosis. Benign nonmeningeal tumors of the cavernous sinus have largely been dealt with in the literature as part of larger studies looking predominantly at cavernous sinus meningiomas (1, 3, 4, 10, 11, 13, 15, 24, 26– 29). Characteristics of the localization of lesions were also examined in each etiological type. Yoshihara M, Saito N, Kashima Y, Ishikawa H. Nippon Ganka Gakkai Zasshi. The cavernous sinus is susceptible to vascular, neoplastic and inflammatory pathologies. doi: 10.4103/0976-3147.196448. SUMMARY: Our aim was to review the imaging findings of relatively common lesions involving the cavernous sinus (CS), such as neoplastic, inflammatory, and vascular ones. Cavernous sinus hemangiomas (CSHs) are rare vascular tumors, which are infrequently encountered in everyday neurosurgical practice. The pathological conditions that can involve the cavernous sinus can be categorized into infective, infl … MR imaging of cavernous sinus lesions: Pictorial review J Neuroradiol. 8600 Rockville Pike https://doi.org/10.1016/j.clinimag.2020.06.029. Surgical interventions in this region It spans from the apex of the orbit to the apex of the petrous temporal bone. CMs are also known as cavernomas, cavernous angiomas, cavernous hemangiomas or capillary hemangiomas. One important infectious etiology of CSS includes cavernous sinus thrombosis (CST), which may present initially to ophthalmology and requires urgent management due t… A total of 162 patients with cavernous sinus lesions were classified using both the Jefferson and the Ishikawa classifications and the clinical applicability of these two classifications was studied. Key clinical and imaging features can narrow the differential diagnosis. Careers. They are usually soft tumors and barely infiltrate the internal carotid artery (ICA). At UPMC, the preferred surgical treatment for sinus tumors is the Endoscopic Endonasal Approach (EEA). Less common causes are vascular etiologies and infections. We investigated the clinical applicability of the newly proposed Ishikawa classification based on serial topographic sections of human cavernous sinus and the clinical findings. The Jefferson classification has been used to localize cavernous sinus lesions. The cavernous sinus can be affected by neoplasms (benign or malignant), infection or inflammation, vascular pathologic conditions, and congenital lesions, among others. Bethesda, MD 20894, Copyright Int Neuroradio 4: 213–218 Google Scholar Halbach VV, Hiesema GB, Higashida RT, Reicher M (1987) Carotid cavernous fistula: indications for urgent treatment. The cavernous sinus is a complex structure susceptible to a wide variety of vascular, neoplastic and inflammatory pathologies. A total of 162 patients with cavernous sinus lesions were classified using both the Jefferson and the Ishikawa classifications and the clinical applicability of these two classifications was studied. 11A, 11B). Leukemia: coronal T2-wi (a) and T1-wi after contrast (b) showing a insular lesion of the left cavernous sinus (white star), hypointense on T2-wi in comparison with the right cavernous sinus (black star). Epub 2010 Nov 5. 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