海绵窦区病变.pdf

REVIEW ARTICLE Imaging Lesions of the Cavernous Sinus A.A.K. Abdel Razek SUMMARY: Our aim was to review the imaging findings of relatively common lesions involving the M. Castillo cavernous sinus (CS), such as neoplastic, inflammatory, and vascular ones. The most common are neurogenic tumors and cavernoma. Tumors of the nasopharynx, skull base, and sphenoid sinus may extend to the CS as can perineural and hematogenous metastases. Inflammatory, infective, and granulomatous lesions show linear or nodular enhancement of the meninges of the CS but often have nonspecific MR imaging features. In many of these cases, involvement elsewhere suggests the diagnosis. MR imaging is sensitive for detecting vascular lesions such as carotid cavernous fistulas, aneurysms, and thromboses. he cavernous sinus (CS) contains vital neurovascular orbital fissure anteriorly to the Meckel cave and farther poste- Tstructures that may be affected by vascular, neoplastic, in- riorly to the dura and the pores that allow nerves to enter it. Its fective, and infiltrative lesions arising in the CS proper or via transverse diameter is 5–7 mm, its vertical diameter is 5–8 extension from adjacent intra- and extracranial regions. Pa- mm, and its anteroposterior diameter is 10–15 mm. The CS is tients with CS syndrome usually present with paresis of 1 or composed of a network of small venous channels that may more cranial nerves (III VI), which may be associated with arbitrarily be divided into different compartm