Showing papers on "Cavernous sinus published in 1972"
TL;DR: Patients with dural arteriovenous malformations, mostly located along the cranial base and in the occipitomastoid region, were studied angiographically and it was often possible to define a relationship between the clinical syndrome and the angiographic pattern of venous drainage.
Abstract: Twenty-eight patients with dural arteriovenous malformations, mostly located along the cranial base and in the occipitomastoid region, were studied angiographically. It was often possible to define a relationship between the clinical syndrome and the angiographic pattern of venous drainage. Intracranial hemorrhages occurred in those patients in whom the venous drainage of the arteriovenous malformation was limited to the pial veins, while the syndrome of a cavernous sinus fistula was present when retrograde venous drainage from the anomaly extended through the distensible ophthalmic veins. If the venous outflow was antegrade through the usual channels, the clinical syndrome reflected only the presence and volume of the arteriovenous shunt.
339 citations
TL;DR: An aneurysm of this type may rupture, producing subarachnoid hemorrhage, or it may become thrombosed and decrease in size or spontaneously disappear, in some patients it may persist and develop calcification in the wall.
Abstract: ✓ Six patients with intracranial mycotic aneurysms of extravascular origin are reported. Four had aneurysms of the intracavernous portion of the internal carotid artery associated with thrombophlebitis of the cavernous sinus, and two had aneurysms of the cerebral arteries associated with meningitis. An aneurysm of this type may rupture, producing subarachnoid hemorrhage, or it may become thrombosed and decrease in size or spontaneously disappear. In some patients it may persist and develop calcification in the wall.
98 citations
TL;DR: The technique and relative merits of cerebral arteriography and cavernous sinus venography are reviewed and only one case showed evidence of abnormality and this was confirmed at post-mortem.
Abstract: The technique and relative merits of cerebral arteriography and cavernous sinus venography are reviewed. Of seven cases investigated by cerebral arteriography, only one case showed evidence of abnormality and this was confirmed at post-mortem. Of nine cases investigated by cavernous sinus venography, six cases had positive findings, five of which have subsequently been substantiated pathologically.
Resume. On passe en revue les techniques et les merites relatifs de l'arteriographie cerebrale et de la veinographie du sinus cavnereux. Sur 7 cas soumis a l'arteriographie cerebrale, un seul a presente des anomalies confirmees a l'autopsie. Sur les 9 cas dans lesquels on a utilise la veinographie du sinus caverneux, 6 ont donne des resultats positifs et parmi eux, 5 ont recu une confirmation anatomo-pathologique ulterieure.
Zusammenfassung. Die Methoden und relativen Vorzuge der cerebralen Arteriographie und der cavernosen Sinusvenographie werden besprochen. Von den sieben mit cerebraler Arteriographie untersuchten Fallen zeigte nur einer Anzeichen von Anomalitat, die bei der Autopsie bestatigt wurde. Von neun Fallen, die mit cavernosen Sinusvenographie untersucht wurden, ergaben sechs positive Befunde, von denen funf spater pathologisch bestatigt wurden.
18 citations
TL;DR: The authors report an observation of bilateral aneurysm of the internal carotid artery within the region of the cavernous sinus within the area of the Sinus Cavernosus Bereich.
Abstract: The authors deseribe an observation of bilateral aneurysm of the internal carotid artery within the region of the cavernous sinus. The radiological, angiographical and phlebographical aspects are discussed.
9 citations
TL;DR: Characteristic findings were seen in plain roentgenograms of the skull, especially in the laminagrams, bilateral carotid angiograms, right retrograde brachial angiogram, pneumoencephalograms, cavernous sinus venograms and brain scans, and the clinical manifestations were few.
Abstract: An unusual case of bilateral giant aneurysms of the internal carotid artery, one arising from the intracavernous portion of the right internal carotid artery and the other from the supraclinoid portion of the left internal carotid artery, is reported. Socalled megadolichobasilar anomaly is associated with such giant aneurysms of the internal carotid artery.Characteristic findings were seen in plain roentgenograms of the skull, especially in the laminagrams, bilateral carotid angiograms, right retrograde brachial angiograms, pneumoencephalograms, cavernous sinus venograms and brain scans.In contrast to the many roentgenologic findings, the clinical manifestations were few. There was a history of epistaxis and blurred vision of the left eye. Neurologic examination revealed bilateral optic atrophies and decreased visual acuity of the left eye with an upper quadrant temporal anopia. The patient had no extraocular muscle palsy, no olfactory trouble, and no evidence of hypopituitarism.
8 citations
TL;DR: The nasopharynx is a small boxlike structure at the top of the pharyngeal cylinder that contains cranial nerves IX, X, XI, and XII, each leading to distinct neurological signs.
Abstract: The nasopharynx is a small boxlike structure at the top of the pharyngeal cylinder. Neoplasms spread in two directions, each leading to distinct neurological signs. Direct extension through the foramen lacerum into the cavernous sinus and middle fossa of the skull leads to the involvement of cranial nerves III, IV, V, VI, and more rarely cranial nerve II. By contrast, spread to the lateral pharyngeal nodes in and about the carotid jugular sheath in the retroparotidian space results in infiltration of cranial nerves IX, X, XI, and XII. Usually cranial nerves VII and VIII are spared. Knowledge of the cranial nerve anatomy is critical to appreciate the extent of disease, and evaluate the patterns of spread.Current Classifications.—Tumor, Node, Metastasis (TNM) System.— Both the Union International Contre le Cancrum (International Union Against Cancer [UICC])1 and the American Joint Committee for Cancer Staging and End Results Reporting
7 citations
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TL;DR: Adequate contrast filling of the veins at the apex of the orbit and of the cavernous and inferior petrosal sinuses may be obtained by this method and these structures may be visualized satisfactorily provided second order subtractions are used routinely.
Abstract: Twenty-nine patients with a clinically suspected lesion in the orbital apex, superior orbital fissure and cavernous sinus have been examined by injection of contrast medium into the frontal vein. Adequate contrast filling of the veins at the apex of the orbit and of the cavernous and inferior petrosal sinuses may be obtained by this method and these structures may be visualized satisfactorily provided second order subtractions are used routinely. A venous abnormality was present in 16 (55 per cent) of the those examined. Venous obstructions have been shown at the orbital apex and superior orbital fissure due to space-occupying lesions, both inflammatory and neoplastic. Filling defects and displacements of the cavernous sinus and inferior petrosal sinuses have been demonstrated in pituitary enlargements and intracavernous aneurysms. A single example of an optic nerve glioma causing a filling defect in the roof of the cavernous sinus is also recorded.