An irregularly shaped venous space in the dura mater at either side of the sphenoid bone.
Formation or presence of a blood clot (THROMBUS) in the CAVERNOUS SINUS of the brain. Infections of the paranasal sinuses and adjacent structures, CRANIOCEREBRAL TRAUMA, and THROMBOPHILIA are associated conditions. Clinical manifestations include dysfunction of cranial nerves III, IV, V, and VI, marked periorbital swelling, chemosis, fever, and visual loss. (From Adams et al., Principles of Neurology, 6th ed, p711)
One of the paired air spaces located in the body of the SPHENOID BONE behind the ETHMOID BONE in the middle of the skull. Sphenoid sinus communicates with the posterosuperior part of NASAL CAVITY on the same side.
Large endothelium-lined venous channels situated between the two layers of DURA MATER, the endosteal and the meningeal layers. They are devoid of valves and are parts of the venous system of dura mater. Major cranial sinuses include a postero-superior group (such as superior sagittal, inferior sagittal, straight, transverse, and occipital) and an antero-inferior group (such as cavernous, petrosal, and basilar plexus).
Diseases of the sixth cranial (abducens) nerve or its nucleus in the pons. The nerve may be injured along its course in the pons, intracranially as it travels along the base of the brain, in the cavernous sinus, or at the level of superior orbital fissure or orbit. Dysfunction of the nerve causes lateral rectus muscle weakness, resulting in horizontal diplopia that is maximal when the affected eye is abducted and ESOTROPIA. Common conditions associated with nerve injury include INTRACRANIAL HYPERTENSION; CRANIOCEREBRAL TRAUMA; ISCHEMIA; and INFRATENTORIAL NEOPLASMS.
An acquired or spontaneous abnormality in which there is communication between CAVERNOUS SINUS, a venous structure, and the CAROTID ARTERIES. It is often associated with HEAD TRAUMA, specifically basilar skull fractures (SKULL FRACTURE, BASILAR). Clinical signs often include VISION DISORDERS and INTRACRANIAL HYPERTENSION.
Congenital, inherited, or acquired abnormalities involving ARTERIES; VEINS; or venous sinuses in the BRAIN; SPINAL CORD; and MENINGES.
Twelve pairs of nerves that carry general afferent, visceral afferent, special afferent, somatic efferent, and autonomic efferent fibers.
Paralysis of one or more of the ocular muscles due to disorders of the eye muscles, neuromuscular junction, supporting soft tissue, tendons, or innervation to the muscles.
Formation or presence of a blood clot (THROMBUS) in the CRANIAL SINUSES, large endothelium-lined venous channels situated within the SKULL. Intracranial sinuses, also called cranial venous sinuses, include the superior sagittal, cavernous, lateral, petrous sinuses, and many others. Cranial sinus thrombosis can lead to severe HEADACHE; SEIZURE; and other neurological defects.
The compartment containing the anterior extremities and half the inferior surface of the temporal lobes (TEMPORAL LOBE) of the cerebral hemispheres. Lying posterior and inferior to the anterior cranial fossa (CRANIAL FOSSA, ANTERIOR), it is formed by part of the TEMPORAL BONE and SPHENOID BONE. It is separated from the posterior cranial fossa (CRANIAL FOSSA, POSTERIOR) by crests formed by the superior borders of the petrous parts of the temporal bones.
An irregular unpaired bone situated at the SKULL BASE and wedged between the frontal, temporal, and occipital bones (FRONTAL BONE; TEMPORAL BONE; OCCIPITAL BONE). Sphenoid bone consists of a median body and three pairs of processes resembling a bat with spread wings. The body is hollowed out in its inferior to form two large cavities (SPHENOID SINUS).
The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.
Veins draining the cerebrum.
The air space located in the body of the MAXILLARY BONE near each cheek. Each maxillary sinus communicates with the middle passage (meatus) of the NASAL CAVITY on the same side.
A bony prominence situated on the upper surface of the body of the sphenoid bone. It houses the PITUITARY GLAND.
Diseases of the oculomotor nerve or nucleus that result in weakness or paralysis of the superior rectus, inferior rectus, medial rectus, inferior oblique, or levator palpebrae muscles, or impaired parasympathetic innervation to the pupil. With a complete oculomotor palsy, the eyelid will be paralyzed, the eye will be in an abducted and inferior position, and the pupil will be markedly dilated. Commonly associated conditions include neoplasms, CRANIOCEREBRAL TRAUMA, ischemia (especially in association with DIABETES MELLITUS), and aneurysmal compression. (From Adams et al., Principles of Neurology, 6th ed, p270)
Air-filled spaces located within the bones around the NASAL CAVITY. They are extensions of the nasal cavity and lined by the ciliated NASAL MUCOSA. Each sinus is named for the cranial bone in which it is located, such as the ETHMOID SINUS; the FRONTAL SINUS; the MAXILLARY SINUS; and the SPHENOID SINUS.
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
The dilatation of the aortic wall behind each of the cusps of the aortic valve.
Tumors or cancer of the PARANASAL SINUSES.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
The dilated portion of the common carotid artery at its bifurcation into external and internal carotids. It contains baroreceptors which, when stimulated, cause slowing of the heart, vasodilatation, and a fall in blood pressure.
Neoplasms of the base of the skull specifically, differentiated from neoplasms of unspecified sites or bones of the skull (SKULL NEOPLASMS).
Radiography of the vascular system of the brain after injection of a contrast medium.
Neoplasms which arise from or metastasize to the PITUITARY GLAND. The majority of pituitary neoplasms are adenomas, which are divided into non-secreting and secreting forms. Hormone producing forms are further classified by the type of hormone they secrete. Pituitary adenomas may also be characterized by their staining properties (see ADENOMA, BASOPHIL; ADENOMA, ACIDOPHIL; and ADENOMA, CHROMOPHOBE). Pituitary tumors may compress adjacent structures, including the HYPOTHALAMUS, several CRANIAL NERVES, and the OPTIC CHIASM. Chiasmal compression may result in bitemporal HEMIANOPSIA.
Surgery performed on the nervous system or its parts.
One of the paired, but seldom symmetrical, air spaces located between the inner and outer compact layers of the FRONTAL BONE in the forehead.
Diseases affecting or involving the PARANASAL SINUSES and generally manifesting as inflammation, abscesses, cysts, or tumors.
Tumors or cancer of the MAXILLARY SINUS. They represent the majority of paranasal neoplasms.
Abnormal protrusion of both eyes; may be caused by endocrine gland malfunction, malignancy, injury, or paralysis of the extrinsic muscles of the eye.
Disorders of one or more of the twelve cranial nerves. With the exception of the optic and olfactory nerves, this includes disorders of the brain stem nuclei from which the cranial nerves originate or terminate.
Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.
The 4th cranial nerve. The trochlear nerve carries the motor innervation of the superior oblique muscles of the eye.
A vascular anomaly composed of a collection of large, thin walled tortuous VEINS that can occur in any part of the central nervous system but lack intervening nervous tissue. Familial occurrence is common and has been associated with a number of genes mapped to 7q, 7p and 3q. Clinical features include SEIZURES; HEADACHE; STROKE; and progressive neurological deficit.
A short vein that collects about two thirds of the venous blood from the MYOCARDIUM and drains into the RIGHT ATRIUM. Coronary sinus, normally located between the LEFT ATRIUM and LEFT VENTRICLE on the posterior surface of the heart, can serve as an anatomical reference for cardiac procedures.
Diseases of the trigeminal nerve or its nuclei, which are located in the pons and medulla. The nerve is composed of three divisions: ophthalmic, maxillary, and mandibular, which provide sensory innervation to structures of the face, sinuses, and portions of the cranial vault. The mandibular nerve also innervates muscles of mastication. Clinical features include loss of facial and intra-oral sensation and weakness of jaw closure. Common conditions affecting the nerve include brain stem ischemia, INFRATENTORIAL NEOPLASMS, and TRIGEMINAL NEURALGIA.
Arteries which supply the dura mater.
Bony cavity that holds the eyeball and its associated tissues and appendages.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
Diseases of the bony orbit and contents except the eyeball.
The inferior region of the skull consisting of an internal (cerebral), and an external (basilar) surface.
Congenital or acquired cysts of the brain, spinal cord, or meninges which may remain stable in size or undergo progressive enlargement.
A vascular anomaly that is a collection of tortuous BLOOD VESSELS and connective tissue. This tumor-like mass with the large vascular space is filled with blood and usually appears as a strawberry-like lesion in the subcutaneous areas of the face, extremities, or other regions of the body including the central nervous system.
A syndrome associated with defective sympathetic innervation to one side of the face, including the eye. Clinical features include MIOSIS; mild BLEPHAROPTOSIS; and hemifacial ANHIDROSIS (decreased sweating)(see HYPOHIDROSIS). Lesions of the BRAIN STEM; cervical SPINAL CORD; first thoracic nerve root; apex of the LUNG; CAROTID ARTERY; CAVERNOUS SINUS; and apex of the ORBIT may cause this condition. (From Miller et al., Clinical Neuro-Ophthalmology, 4th ed, pp500-11)
The dense rock-like part of temporal bone that contains the INNER EAR. Petrous bone is located at the base of the skull. Sometimes it is combined with the MASTOID PROCESS and called petromastoid part of temporal bone.
Inflammation of the NASAL MUCOSA in the SPHENOID SINUS. Isolated sphenoid sinusitis is uncommon. It usually occurs in conjunction with other paranasal sinusitis.
A visual symptom in which a single object is perceived by the visual cortex as two objects rather than one. Disorders associated with this condition include REFRACTIVE ERRORS; STRABISMUS; OCULOMOTOR NERVE DISEASES; TROCHLEAR NERVE DISEASES; ABDUCENS NERVE DISEASES; and diseases of the BRAIN STEM and OCCIPITAL LOBE.
Benign and malignant neoplasms that arise from one or more of the twelve cranial nerves.
The 6th cranial nerve which originates in the ABDUCENS NUCLEUS of the PONS and sends motor fibers to the lateral rectus muscles of the EYE. Damage to the nerve or its nucleus disrupts horizontal eye movement control.
A condition caused by dysfunctions related to the SINOATRIAL NODE including impulse generation (CARDIAC SINUS ARREST) and impulse conduction (SINOATRIAL EXIT BLOCK). It is characterized by persistent BRADYCARDIA, chronic ATRIAL FIBRILLATION, and failure to resume sinus rhythm following CARDIOVERSION. This syndrome can be congenital or acquired, particularly after surgical correction for heart defects.
The numerous (6-12) small thin-walled spaces or air cells in the ETHMOID BONE located between the eyes. These air cells form an ethmoidal labyrinth.
A relatively common neoplasm of the CENTRAL NERVOUS SYSTEM that arises from arachnoidal cells. The majority are well differentiated vascular tumors which grow slowly and have a low potential to be invasive, although malignant subtypes occur. Meningiomas have a predilection to arise from the parasagittal region, cerebral convexity, sphenoidal ridge, olfactory groove, and SPINAL CANAL. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2056-7)
The 3d cranial nerve. The oculomotor nerve sends motor fibers to the levator muscles of the eyelid and to the superior rectus, inferior rectus, and inferior oblique muscles of the eye. It also sends parasympathetic efferents (via the ciliary ganglion) to the muscles controlling pupillary constriction and accommodation. The motor fibers originate in the oculomotor nuclei of the midbrain.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
An idiopathic syndrome characterized by the formation of granulation tissue in the anterior cavernous sinus or superior orbital fissure, producing a painful ophthalmoplegia. (Adams et al., Principles of Neurology, 6th ed, p271)
The performance of surgical procedures with the aid of a microscope.
Benign and malignant neoplastic processes that arise from or secondarily involve the meningeal coverings of the brain and spinal cord.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
A species of gram-positive bacteria in the STREPTOCOCCUS MILLERI GROUP. It is commonly found in the oropharnyx flora and has a proclivity for abscess formation in the upper body and respiratory tract.
Neoplasms located in the vasculature system, such as ARTERIES and VEINS. They are differentiated from neoplasms of vascular tissue (NEOPLASMS, VASCULAR TISSUE), such as ANGIOFIBROMA or HEMANGIOMA.
Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)
Intraoperative computer-assisted 3D navigation and guidance system generally used in neurosurgery for tracking surgical tools and localize them with respect to the patient's 3D anatomy. The pre-operative diagnostic scan is used as a reference and is transferred onto the operative field during surgery.
'Polyvinyls' is a term that refers to a group of polymers synthesized from vinyl chloride, including polyvinyl chloride (PVC) and polyvinylidene chloride (PVDC), which are widely used in various medical applications such as manufacturing of medical devices, tubing, packaging materials, and pharmaceutical containers due to their chemical resistance, durability, and versatility.
A benign epithelial tumor with a glandular organization.
Neoplasms of the bony part of the skull.
Surgery performed on the ear and its parts, the nose and nasal cavity, or the throat, including surgery of the adenoids, tonsils, pharynx, and trachea.
Congenital vascular anomalies in the brain characterized by direct communication between an artery and a vein without passing through the CAPILLARIES. The locations and size of the shunts determine the symptoms including HEADACHES; SEIZURES; STROKE; INTRACRANIAL HEMORRHAGES; mass effect; and vascular steal effect.
Neoplasms of the bony orbit and contents except the eyeball.
Simple rapid heartbeats caused by rapid discharge of impulses from the SINOATRIAL NODE, usually between 100 and 180 beats/min in adults. It is characterized by a gradual onset and termination. Sinus tachycardia is common in infants, young children, and adults during strenuous physical activities.
The study of the anatomical structures of animals.
A pituitary tumor that secretes GROWTH HORMONE. In humans, excess HUMAN GROWTH HORMONE leads to ACROMEGALY.
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
A malignant tumor arising from the embryonic remains of the notochord. It is also called chordocarcinoma, chordoepithelioma, and notochordoma. (Dorland, 27th ed)
The intermediate sensory division of the trigeminal (5th cranial) nerve. The maxillary nerve carries general afferents from the intermediate region of the face including the lower eyelid, nose and upper lip, the maxillary teeth, and parts of the dura.
The sudden loss of blood supply to the PITUITARY GLAND, leading to tissue NECROSIS and loss of function (PANHYPOPITUITARISM). The most common cause is hemorrhage or INFARCTION of a PITUITARY ADENOMA. It can also result from acute hemorrhage into SELLA TURCICA due to HEAD TRAUMA; INTRACRANIAL HYPERTENSION; or other acute effects of central nervous system hemorrhage. Clinical signs include severe HEADACHE; HYPOTENSION; bilateral visual disturbances; UNCONSCIOUSNESS; and COMA.
A pituitary adenoma which secretes PROLACTIN, leading to HYPERPROLACTINEMIA. Clinical manifestations include AMENORRHEA; GALACTORRHEA; IMPOTENCE; HEADACHE; visual disturbances; and CEREBROSPINAL FLUID RHINORRHEA.
Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology.
Intracranial bleeding into the PUTAMEN, a BASAL GANGLIA nucleus. This is associated with HYPERTENSION and lipohyalinosis of small blood vessels in the putamen. Clinical manifestations vary with the size of hemorrhage, but include HEMIPARESIS; HEADACHE; and alterations of consciousness.
The infratentorial compartment that contains the CEREBELLUM and BRAIN STEM. It is formed by the posterior third of the superior surface of the body of the sphenoid (SPHENOID BONE), by the occipital, the petrous, and mastoid portions of the TEMPORAL BONE, and the posterior inferior angle of the PARIETAL BONE.
Disorders involving either the ADENOHYPOPHYSIS or the NEUROHYPOPHYSIS. These diseases usually manifest as hypersecretion or hyposecretion of PITUITARY HORMONES. Neoplastic pituitary masses can also cause compression of the OPTIC CHIASM and other adjacent structures.
The separation and isolation of tissues for surgical purposes, or for the analysis or study of their structures.
Ocular disorders attendant upon non-ocular disease or injury.
A nonspecific tumor-like inflammatory lesion in the ORBIT of the eye. It is usually composed of mature LYMPHOCYTES; PLASMA CELLS; MACROPHAGES; LEUKOCYTES with varying degrees of FIBROSIS. Orbital pseudotumors are often associated with inflammation of the extraocular muscles (ORBITAL MYOSITIS) or inflammation of the lacrimal glands (DACRYOADENITIS).
A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues.
A radiological stereotactic technique developed for cutting or destroying tissue by high doses of radiation in place of surgical incisions. It was originally developed for neurosurgery on structures in the brain and its use gradually spread to radiation surgery on extracranial structures as well. The usual rigid needles or probes of stereotactic surgery are replaced with beams of ionizing radiation directed toward a target so as to achieve local tissue destruction.
A superinfection of the damaged oropharyngeal mucosa by FUSOBACTERIUM NECROPHORUM leading to the secondary septic THROMBOPHLEBITIS of the internal jugular vein.
A sensory branch of the trigeminal (5th cranial) nerve. The ophthalmic nerve carries general afferents from the superficial division of the face including the eyeball, conjunctiva, upper eyelid, upper nose, nasal mucosa, and scalp.

Color Doppler study of the venous circulation in the fetal brain and hemodynamic study of the cerebral transverse sinus. (1/285)

OBJECTIVES: To describe the venous circulation in the fetal brain; to describe the normal blood flow velocity waveform in the transverse sinus and to establish normal reference ranges for the second half of gestation. POPULATION: A total of 126 pregnant women with uncomplicated pregnancies at 20-42 weeks of gestation. METHODS: A combination of color-coded Doppler and two-dimensional real-time ultrasound was used to identify the main venous systems in the fetal brain. Blood flow velocity waveforms of the transverse sinus were obtained from a transverse plane of the head at the level of the cerebellum. RESULTS: A waveform could be obtained in the cerebral transverse sinus in 98% of the cases. The waveform obtained was triphasic with a forward systolic component, a forward early diastolic component and a lower forward component in late diastole. Reverse flow during atrial contraction was seen before 28 weeks and the diastolic flow increased with gestation thereafter. Pulsatility and resistance indices decreased and flow velocities increased in the transverse sinus throughout gestation. CONCLUSION: The venous circulation of the fetal brain can be identified by color Doppler. The gestational age-related decrease in resistance and increase in flow velocities suggest that hemodynamic studies of the cerebral transverse sinus might have clinical implications in studying compromised fetuses.  (+info)

Long-term outcome of surgical treatment of intracavernous giant aneurysms. (2/285)

A number of approaches have been proposed for the treatment of intracavernous giant aneurysms. In the present study, we have analyzed long-term surgical outcome of 27 consecutive cases of our experience. All the cases were unruptured and symptomatic, showing symptoms such as extraocular movement disorder or visual disturbances. Thirteen cases were male and 14 cases were female. The age of the patients ranged between 11 and 75 years (average 52.2 years) and follow-up periods were between 1 and 20 years (average 7.7 years). Abducens nerve was distributed in 20 cases, oculomotor nerve in 12 cases, optic nerve in six cases, trigeminal nerve in six cases, and trochlear nerve in five cases. In addition to conventional angiography, three-dimensional computed tomographic angiography, balloon test occlusion (BTO), slow injection angiography, aneurysmography, and single photon emission computed tomography with BTO were used to determine a method of treatment. Therapeutic modalities of the present series were as follows: four cases were unoperated, common carotid artery ligation was performed in eight cases, internal carotid artery (IC) ligation in three cases, IC ligation plus superficial temporal artery (STA)--middle cerebral artery (MCA) anastomosis in four cases, IC ligation plus high flow vein bypass in three cases, IC trapping plus STA-MCA anastomosis in three cases, and direct clipping in two cases. Although two cases showed early and late ischemic complications, other cases demonstrated improvement of cranial nerve dysfunction relatively soon after surgical treatment and long-term outcome was generally good. It is concluded that good long-term surgical outcome is obtained for intracavernous giant aneurysms by selecting adequate surgical treatment based upon careful preoperative evaluation of these aneurysms using sophisticated diagnostic methods.  (+info)

Multiple dural arteriovenous shunts in a 5-year-old boy. (3/285)

We describe a rare case of multiple dural arteriovenous shunts (DAVSs) in a 5-year-old boy. MR imaging performed at 1 year of age showed only a dilated anterior part of the superior sagittal sinus; however, angiography at 5 years of age revealed an infantile-type DAVS there and two other DAVSs of the adult type. The pathophysiological evolution of DAVSs in children and their treatment strategies are discussed.  (+info)

Stereotactic radiosurgery for cavernous sinus cavernous hemangioma--case report. (4/285)

A 40-year-old female presented with cavernous sinus cavernous hemangioma manifesting as left abducens and trigeminal nerve pareses. Magnetic resonance imaging revealed a left cavernous sinus tumor. The tumor was partially removed. Histological examination of the specimen confirmed cavernous hemangioma. Radiosurgery was performed using the gamma knife. The tumor markedly decreased in size after radiosurgery and morbidity was avoided. Cavernous sinus cavernous hemangiomas may be difficult to treat surgically due to intraoperative bleeding and cranial nerve injury. Stereotactic radiosurgery can be used either as an adjunct treatment to craniotomy, or as the primary treatment for small cavernous sinus cavernous hemangioma.  (+info)

Cavernous aneurysm rupture with balloon occlusion of a direct carotid cavernous fistula: postmortem examination. (5/285)

We present a unique case of a patient with a symptomatic carotid cavernous fistula treated successfully with balloon embolization. Her subsequent death from other disease processes allowed direct visualization of the balloon occlusion in situ at postmortem examination.  (+info)

Dural arteriovenous fistula of the cavernous sinus with venous congestion of the brain stem: report of two cases. (6/285)

We present two cases of dural arteriovenous fistula of the cavernous sinus with venous congestion of the brain stem. Both cases were detected by MR imaging and showed significant improvement on MR images after transvenous embolization.  (+info)

Ki-67 labelling index and invasiveness among anterior pituitary adenomas: analysis of 103 cases using the MIB-1 monoclonal antibody. (7/285)

AIMS: To investigate the relation between proliferative activity of anterior pituitary adenomas, quantified by the Ki-67 labelling index, and their invasive behaviour. METHODS: Expression of Ki-67 was evaluated in 103 anterior pituitary adenomas consecutively operated on in a 36 month period and correlated with surgical evidence of invasiveness. RESULTS: Non-invasive (n = 65) and invasive (n = 38) adenomas were identified from surgically verified infiltration of sellar floor dura and bone. The wall of the cavernous sinus was infiltrated in 16 cases. Forty one adenomas were non-functioning and 62 functioning (24 prolactin, 21 growth hormone, 10 ACTH, seven mixed). The overall mean (SD) Ki-67 labelling index was 2.64 (3.69) per cent (median 1.5). The mean index was 3.08 (4.59) per cent in functioning and 1.97 (1.78) per cent in non-functioning tumours; 5.47 (9.52) per cent in ACTH adenomas and 2.33 (2.42) per cent in others (p = 0.01); 3.71 (5.17) per cent in invasive and 2.01 (2.45) per cent in non-invasive adenomas (p = 0.027); and 5.58 (7.24) per cent in cavernous sinus infiltrating v 2.10 (2.39) per cent in cavernous sinus non-infiltrating adenomas (p = 0.0005). To identify a value of labelling index beyond which adenomas should be considered invasive and another beyond which cavernous sinus infiltration should be suspected, normality Q-Q plots were obtained: a threshold labelling index of 3.5% for invasive adenomas and of 5% for cavernous sinus infiltrating adenomas was defined, with statistically significant differences (p = 0.02 and p = 0.004, respectively). CONCLUSIONS: The Ki-67 labelling index can be considered a useful marker in determining the invasive behaviour of anterior pituitary adenomas.  (+info)

Simultaneous subarachnoid hemorrhage and carotid cavernous fistula after rupture of a paraclinoid aneurysm during balloon-assisted coil embolization. (8/285)

We describe an iatrogenic perforation of a paraclinoid aneurysm during balloon-assisted coil embolization that resulted in simultaneous subarachnoid contrast extravasation and a carotid cavernous fistula. The causative factors specifically related to the balloon-assisted method that led to aneurysm rupture are discussed as well as strategies for dealing with this complication.  (+info)

The cavernous sinus is a venous structure located in the middle cranial fossa, which is a depression in the skull that houses several important nerves and blood vessels. The cavernous sinus is situated on either side of the sphenoid bone, near the base of the skull, and it contains several important structures:

* The internal carotid artery, which supplies oxygenated blood to the brain
* The abducens nerve (cranial nerve VI), which controls lateral movement of the eye
* The oculomotor nerve (cranial nerve III), which controls most of the muscles that move the eye
* The trochlear nerve (cranial nerve IV), which controls one of the muscles that moves the eye
* The ophthalmic and maxillary divisions of the trigeminal nerve (cranial nerve V), which transmit sensory information from the face and head

The cavernous sinus is an important structure because it serves as a conduit for several critical nerves and blood vessels. However, it is also vulnerable to various pathological conditions such as thrombosis (blood clots), infection, tumors, or aneurysms, which can lead to serious neurological deficits or even death.

Cavernous sinus thrombosis is a medical condition that refers to the formation of a blood clot (thrombus) in the cavernous sinuses, which are located near the base of the brain and are important for draining blood from the face and brain. This condition can occur as a complication of an infection in the facial area or sinuses, or it can be associated with other medical conditions such as cancer or trauma.

Symptoms of cavernous sinus thrombosis may include headache, fever, eye pain, swelling or bulging of the eyes, double vision, and decreased vision. If left untreated, this condition can lead to serious complications such as meningitis, brain abscess, or even death. Treatment typically involves administering antibiotics to treat any underlying infection and anticoagulants to prevent further clot formation. In some cases, surgery may be necessary to remove the clot.

The sphenoid sinuses are air-filled spaces located within the sphenoid bone, which is one of the bones that make up the skull base. These sinuses are located deep inside the skull, behind the eyes and nasal cavity. They are paired and separated by a thin bony septum, and each one opens into the corresponding nasal cavity through a small opening called the sphenoethmoidal recess. The sphenoid sinuses vary greatly in size and shape between individuals. They develop during childhood and continue to grow until early adulthood. The function of the sphenoid sinuses, like other paranasal sinuses, is not entirely clear, but they may contribute to reducing the weight of the skull, resonating voice during speech, and insulating the brain from trauma.

Cranial sinuses are a part of the venous system in the human head. They are air-filled spaces located within the skull and are named according to their location. The cranial sinuses include:

1. Superior sagittal sinus: It runs along the top of the brain, inside the skull, and drains blood from the scalp and the veins of the brain.
2. Inferior sagittal sinus: It runs along the bottom of the brain and drains into the straight sinus.
3. Straight sinus: It is located at the back of the brain and receives blood from the inferior sagittal sinus and great cerebral vein.
4. Occipital sinuses: They are located at the back of the head and drain blood from the scalp and skull.
5. Cavernous sinuses: They are located on each side of the brain, near the temple, and receive blood from the eye and surrounding areas.
6. Sphenoparietal sinus: It is a small sinus that drains blood from the front part of the brain into the cavernous sinus.
7. Petrosquamosal sinuses: They are located near the ear and drain blood from the scalp and skull.

The cranial sinuses play an essential role in draining blood from the brain and protecting it from injury.

The abducens nerve, also known as the sixth cranial nerve, is responsible for controlling the lateral rectus muscle of the eye, which enables the eye to move outward. Abducens nerve diseases refer to conditions that affect this nerve and can result in various symptoms, primarily affecting eye movement.

Here are some medical definitions related to abducens nerve diseases:

1. Abducens Nerve Palsy: A condition characterized by weakness or paralysis of the abducens nerve, causing difficulty in moving the affected eye outward. This results in double vision (diplopia), especially when gazing towards the side of the weakened nerve. Abducens nerve palsy can be congenital, acquired, or caused by various factors such as trauma, tumors, aneurysms, infections, or diseases like diabetes and multiple sclerosis.
2. Sixth Nerve Palsy: Another term for abducens nerve palsy, referring to the weakness or paralysis of the sixth cranial nerve.
3. Internuclear Ophthalmoplegia (INO): A neurological condition affecting eye movement, often caused by a lesion in the medial longitudinal fasciculus (MLF), a bundle of nerve fibers that connects the abducens nucleus with the oculomotor nucleus. INO results in impaired adduction (inward movement) of the eye on the side of the lesion and nystagmus (involuntary eye movements) of the abducting eye on the opposite side when attempting to look towards the side of the lesion.
4. One-and-a-Half Syndrome: A rare neurological condition characterized by a combination of INO and internuclear ophthalmoplegia with horizontal gaze palsy on the same side, caused by damage to both the abducens nerve and the paramedian pontine reticular formation (PPRF). This results in limited or no ability to move the eyes towards the side of the lesion and impaired adduction of the eye on the opposite side.
5. Brainstem Encephalitis: Inflammation of the brainstem, which can affect the abducens nerve and other cranial nerves, leading to various neurological symptoms such as diplopia (double vision), ataxia (loss of balance and coordination), and facial weakness. Brainstem encephalitis can be caused by infectious agents, autoimmune disorders, or paraneoplastic syndromes.
6. Multiple Sclerosis (MS): An autoimmune disorder characterized by inflammation and demyelination of the central nervous system, including the brainstem and optic nerves. MS can cause various neurological symptoms, such as diplopia, nystagmus, and INO, due to damage to the abducens nerve and other cranial nerves.
7. Wernicke's Encephalopathy: A neurological disorder caused by thiamine (vitamin B1) deficiency, often seen in alcoholics or individuals with malnutrition. Wernicke's encephalopathy can affect the brainstem and cause various symptoms such as diplopia, ataxia, confusion, and oculomotor abnormalities.
8. Pontine Glioma: A rare type of brain tumor that arises from the glial cells in the pons (a part of the brainstem). Pontine gliomas can cause various neurological symptoms such as diplopia, facial weakness, and difficulty swallowing due to their location in the brainstem.
9. Brainstem Cavernous Malformation: A benign vascular lesion that arises from the small blood vessels in the brainstem. Brainstem cavernous malformations can cause various neurological symptoms such as diplopia, ataxia, and facial weakness due to their location in the brainstem.
10. Pituitary Adenoma: A benign tumor that arises from the pituitary gland, located at the base of the brain. Large pituitary adenomas can compress the optic nerves and cause various visual symptoms such as diplopia, visual field defects, and decreased vision.
11. Craniopharyngioma: A benign tumor that arises from the remnants of the Rathke's pouch, a structure that gives rise to the anterior pituitary gland. Craniopharyngiomas can cause various neurological and endocrine symptoms such as diplopia, visual field defects, headaches, and hormonal imbalances due to their location near the optic nerves and pituitary gland.
12. Meningioma: A benign tumor that arises from the meninges, the protective covering of the brain and spinal cord. Meningiomas can cause various neurological symptoms such as diplopia, headaches, and seizures depending on their location in the brain or spinal cord.
13. Chordoma: A rare type of malignant tumor that arises from the remnants of the notochord, a structure that gives rise to the spine during embryonic development. Chordomas can cause various neurological and endocrine symptoms such as diplopia, visual field defects, headaches, and hormonal imbalances due to their location near the brainstem and spinal cord.
14. Metastatic Brain Tumors: Malignant tumors that spread from other parts of the body to the brain. Metastatic brain tumors can cause various neurological symptoms such as diplopia, headaches, seizures, and cognitive impairment depending on their location in the brain.
15. Other Rare Brain Tumors: There are many other rare types of brain tumors that can cause diplopia or other neurological symptoms, including gliomas, ependymomas, pineal region tumors, and others. These tumors require specialized diagnosis and treatment by neuro-oncologists and neurosurgeons with expertise in these rare conditions.

In summary, diplopia can be caused by various brain tumors, including pituitary adenomas, meningiomas, chordomas, metastatic brain tumors, and other rare types of tumors. It is important to seek medical attention promptly if you experience diplopia or other neurological symptoms, as early diagnosis and treatment can improve outcomes and quality of life.

A Carotid-Cavernous Sinus Fistula (CCSF) is an abnormal connection between the carotid artery and the cavernous sinus, a venous structure in the skull. This connection can be either direct or indirect. Direct CCSFs are caused by trauma or rupture of an aneurysm, while indirect CCSFs are usually spontaneous and associated with conditions such as hypertension, atherosclerosis, or connective tissue disorders.

Symptoms of a CCSF may include headache, eye redness, protrusion of the eyeball, double vision, hearing disturbances, and pulsatile tinnitus (a rhythmic sound in the ear). The severity of symptoms can vary depending on the size of the fistula and the pressure within the cavernous sinus.

Treatment options for CCSF include endovascular repair with stenting or coiling, surgical closure, or observation, depending on the type and size of the fistula and the presence of symptoms.

Central nervous system (CNS) vascular malformations are abnormal tangles or masses of blood vessels in the brain or spinal cord. These malformations can be congenital (present at birth) or acquired (develop later in life). They can vary in size, location, and symptoms, which may include headaches, seizures, weakness, numbness, difficulty speaking or understanding speech, and vision problems.

There are several types of CNS vascular malformations, including:

1. Arteriovenous malformations (AVMs): These are tangles of arteries and veins with a direct connection between them, bypassing the capillary network. AVMs can cause bleeding in the brain or spinal cord, leading to stroke or neurological deficits.
2. Cavernous malformations: These are clusters of dilated, thin-walled blood vessels that form a sac-like structure. They can rupture and bleed, causing symptoms such as seizures, headaches, or neurological deficits.
3. Developmental venous anomalies (DVAs): These are benign vascular malformations characterized by an abnormal pattern of veins that drain blood from the brain. DVAs are usually asymptomatic but can be associated with other vascular malformations.
4. Capillary telangiectasias: These are small clusters of dilated capillaries in the brain or spinal cord. They are usually asymptomatic and found incidentally during imaging studies.
5. Moyamoya disease: This is a rare, progressive cerebrovascular disorder characterized by the narrowing or blockage of the internal carotid arteries and their branches. This can lead to decreased blood flow to the brain, causing symptoms such as headaches, seizures, and strokes.

The diagnosis of CNS vascular malformations typically involves imaging studies such as MRI or CT scans, and sometimes angiography. Treatment options may include observation, medication, surgery, or endovascular procedures, depending on the type, location, and severity of the malformation.

Cranial nerves are a set of twelve pairs of nerves that originate from the brainstem and skull, rather than the spinal cord. These nerves are responsible for transmitting sensory information (such as sight, smell, hearing, and taste) to the brain, as well as controlling various muscles in the head and neck (including those involved in chewing, swallowing, and eye movement). Each cranial nerve has a specific function and is named accordingly. For example, the optic nerve (cranial nerve II) transmits visual information from the eyes to the brain, while the vagus nerve (cranial nerve X) controls parasympathetic functions in the body such as heart rate and digestion.

Ophthalmoplegia is a medical term that refers to the paralysis or weakness of the eye muscles, which can result in double vision (diplopia) or difficulty moving the eyes. It can be caused by various conditions, including nerve damage, muscle disorders, or neurological diseases such as myasthenia gravis or multiple sclerosis. Ophthalmoplegia can affect one or more eye muscles and can be partial or complete. Depending on the underlying cause, ophthalmoplegia may be treatable with medications, surgery, or other interventions.

Intracranial sinus thrombosis is a medical condition characterized by the formation of a blood clot (thrombus) within the intracranial venous sinuses, which are responsible for draining blood from the brain. The condition can lead to various neurological symptoms and complications, such as increased intracranial pressure, headaches, seizures, visual disturbances, and altered consciousness. Intracranial sinus thrombosis may result from various factors, including hypercoagulable states, infections, trauma, and malignancies. Immediate medical attention is necessary for proper diagnosis and treatment to prevent potential long-term neurological damage or even death.

The middle cranial fossa is a depression or hollow in the skull that forms the upper and central portion of the cranial cavity. It is located between the anterior cranial fossa (which lies anteriorly) and the posterior cranial fossa (which lies posteriorly). The middle cranial fossa contains several important structures, including the temporal lobes of the brain, the pituitary gland, the optic chiasm, and the cavernous sinuses. It is also where many of the cranial nerves pass through on their way to the brain.

The middle cranial fossa can be further divided into two parts: the anterior and posterior fossae. The anterior fossa contains the optic chiasm and the pituitary gland, while the posterior fossa contains the temporal lobes of the brain and the cavernous sinuses.

The middle cranial fossa is formed by several bones of the skull, including the sphenoid bone, the temporal bone, and the parietal bone. The shape and size of the middle cranial fossa can vary from person to person, and abnormalities in its structure can be associated with various medical conditions, such as pituitary tumors or aneurysms.

The sphenoid bone is a complex, irregularly shaped bone located in the middle cranial fossa and forms part of the base of the skull. It articulates with several other bones, including the frontal, parietal, temporal, ethmoid, palatine, and zygomatic bones. The sphenoid bone has two main parts: the body and the wings.

The body of the sphenoid bone is roughly cuboid in shape and contains several important structures, such as the sella turcica, which houses the pituitary gland, and the sphenoid sinuses, which are air-filled cavities within the bone. The greater wings of the sphenoid bone extend laterally from the body and form part of the skull's lateral walls. They contain the superior orbital fissure, through which important nerves and blood vessels pass between the cranial cavity and the orbit of the eye.

The lesser wings of the sphenoid bone are thin, blade-like structures that extend anteriorly from the body and form part of the floor of the anterior cranial fossa. They contain the optic canal, which transmits the optic nerve and ophthalmic artery between the brain and the orbit of the eye.

Overall, the sphenoid bone plays a crucial role in protecting several important structures within the skull, including the pituitary gland, optic nerves, and ophthalmic arteries.

Dura Mater is the thickest and outermost of the three membranes (meninges) that cover the brain and spinal cord. It provides protection and support to these delicate structures. The other two layers are called the Arachnoid Mater and the Pia Mater, which are thinner and more delicate than the Dura Mater. Together, these three layers form a protective barrier around the central nervous system.

Cerebral veins are the blood vessels that carry deoxygenated blood from the brain to the dural venous sinuses, which are located between the layers of tissue covering the brain. The largest cerebral vein is the superior sagittal sinus, which runs along the top of the brain. Other major cerebral veins include the straight sinus, transverse sinus, sigmoid sinus, and cavernous sinus. These veins receive blood from smaller veins called venules that drain the surface and deep structures of the brain. The cerebral veins play an important role in maintaining normal circulation and pressure within the brain.

The maxillary sinuses, also known as the antrums of Highmore, are the largest of the four pairs of paranasal sinuses located in the maxilla bones. They are air-filled cavities that surround the nasolacrimal duct and are situated superior to the upper teeth and lateral to the nasal cavity. Each maxillary sinus is lined with a mucous membrane, which helps to warm, humidify, and filter the air we breathe. Inflammation or infection of the maxillary sinuses can result in conditions such as sinusitis, leading to symptoms like facial pain, headaches, and nasal congestion.

The Sella Turcica, also known as the Turkish saddle, is a depression or fossa in the sphenoid bone located at the base of the skull. It forms a housing for the pituitary gland, which is a small endocrine gland often referred to as the "master gland" because it controls other glands and makes several essential hormones. The Sella Turcica has a saddle-like shape, with its anterior and posterior clinoids forming the front and back of the saddle, respectively. This region is of significant interest in neuroimaging and clinical settings, as various conditions such as pituitary tumors or other abnormalities may affect the size, shape, and integrity of the Sella Turcica.

The oculomotor nerve, also known as the third cranial nerve (CN III), is responsible for controlling several important eye movements and functions. Oculomotor nerve diseases refer to conditions that affect this nerve and can lead to various symptoms related to eye movement and function. Here's a medical definition of oculomotor nerve diseases:

Oculomotor nerve diseases are a group of medical disorders characterized by the dysfunction or damage to the oculomotor nerve (CN III), resulting in impaired eye movements, abnormalities in pupillary response, and potential effects on eyelid position. These conditions can be congenital, acquired, or traumatic in nature and may lead to partial or complete paralysis of the nerve. Common oculomotor nerve diseases include oculomotor nerve palsy, third nerve ganglionopathies, and compressive oculomotor neuropathies caused by various pathologies such as aneurysms, tumors, or infections.

Paranasal sinuses are air-filled cavities in the skull that surround the nasal cavity. There are four pairs of paranasal sinuses, including the maxillary, frontal, ethmoid, and sphenoid sinuses. These sinuses help to warm, humidify, and filter the air we breathe. They also contribute to our voice resonance and provide a slight cushioning effect for the skull. The openings of the paranasal sinuses lead directly into the nasal cavity, allowing mucus produced in the sinuses to drain into the nose. Infections or inflammation of the paranasal sinuses can result in conditions such as sinusitis.

An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. This connection causes blood to flow directly from the artery into the vein, bypassing the capillary network that would normally distribute the oxygen-rich blood to the surrounding tissues.

Arteriovenous fistulas can occur as a result of trauma, disease, or as a planned surgical procedure for patients who require hemodialysis, a treatment for advanced kidney failure. In hemodialysis, the arteriovenous fistula serves as a site for repeated access to the bloodstream, allowing for efficient removal of waste products and excess fluids.

The medical definition of an arteriovenous fistula is:

"An abnormal communication between an artery and a vein, usually created by surgical means for hemodialysis access or occurring as a result of trauma, congenital defects, or disease processes such as vasculitis or neoplasm."

The Sinus of Valsalva are three pouch-like dilations or outpouchings located at the upper part (root) of the aorta, just above the aortic valve. They are named after Antonio Maria Valsalva, an Italian anatomist and physician. These sinuses are divided into three parts:

1. Right Sinus of Valsalva: It is located to the right of the ascending aorta and usually gives rise to the right coronary artery.
2. Left Sinus of Valsalva: It is situated to the left of the ascending aorta and typically gives rise to the left coronary artery.
3. Non-coronary Sinus of Valsalva: This sinus is located in between the right and left coronary sinuses, and it does not give rise to any coronary arteries.

These sinuses play a crucial role during the cardiac cycle, particularly during ventricular contraction (systole). The pressure difference between the aorta and the ventricles causes the aortic valve cusps to be pushed into these sinuses, preventing the backflow of blood from the aorta into the ventricles.

Anatomical variations in the size and shape of the Sinuses of Valsalva can occur, and certain conditions like congenital heart diseases (e.g., aortic valve stenosis or bicuspid aortic valve) may affect their structure and function. Additionally, aneurysms or ruptures of the sinuses can lead to severe complications, such as cardiac tamponade, endocarditis, or stroke.

Paranasal sinus neoplasms refer to abnormal growths or tumors that develop within the paranasal sinuses, which are air-filled cavities located inside the skull near the nasal cavity. These tumors can be benign (noncancerous) or malignant (cancerous), and they can arise from various types of tissue within the sinuses, such as the lining of the sinuses (mucosa), bone, or other soft tissues.

Paranasal sinus neoplasms can cause a variety of symptoms, including nasal congestion, nosebleeds, facial pain or numbness, and visual disturbances. The diagnosis of these tumors typically involves a combination of imaging studies (such as CT or MRI scans) and biopsy to determine the type and extent of the tumor. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches, depending on the specific type and stage of the neoplasm.

Therapeutic embolization is a medical procedure that involves intentionally blocking or obstructing blood vessels to stop excessive bleeding or block the flow of blood to a tumor or abnormal tissue. This is typically accomplished by injecting small particles, such as microspheres or coils, into the targeted blood vessel through a catheter, which is inserted into a larger blood vessel and guided to the desired location using imaging techniques like X-ray or CT scanning. The goal of therapeutic embolization is to reduce the size of a tumor, control bleeding, or block off abnormal blood vessels that are causing problems.

The carotid sinus is a small, dilated area located at the bifurcation (or fork) of the common carotid artery into the internal and external carotid arteries. It is a baroreceptor region, which means it contains specialized sensory nerve endings that can detect changes in blood pressure. When the blood pressure increases, the walls of the carotid sinus stretch, activating these nerve endings and sending signals to the brain. The brain then responds by reducing the heart rate and relaxing the blood vessels, which helps to lower the blood pressure back to normal.

The carotid sinus is an important part of the body's autonomic nervous system, which regulates various involuntary functions such as heart rate, blood pressure, and digestion. It plays a crucial role in maintaining cardiovascular homeostasis and preventing excessive increases in blood pressure that could potentially damage vital organs.

Skull base neoplasms refer to abnormal growths or tumors located in the skull base, which is the region where the skull meets the spine and where the brain connects with the blood vessels and nerves that supply the head and neck. These neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can arise from various types of cells in this area, including bone, nerve, glandular, and vascular tissue.

Skull base neoplasms can cause a range of symptoms depending on their size, location, and growth rate. Some common symptoms include headaches, vision changes, hearing loss, facial numbness or weakness, difficulty swallowing, and balance problems. Treatment options for skull base neoplasms may include surgery, radiation therapy, chemotherapy, or a combination of these approaches. The specific treatment plan will depend on the type, size, location, and stage of the tumor, as well as the patient's overall health and medical history.

Cerebral angiography is a medical procedure that involves taking X-ray images of the blood vessels in the brain after injecting a contrast dye into them. This procedure helps doctors to diagnose and treat various conditions affecting the blood vessels in the brain, such as aneurysms, arteriovenous malformations, and stenosis (narrowing of the blood vessels).

During the procedure, a catheter is inserted into an artery in the leg and threaded through the body to the blood vessels in the neck or brain. The contrast dye is then injected through the catheter, and X-ray images are taken to visualize the blood flow through the brain's blood vessels.

Cerebral angiography provides detailed images of the blood vessels in the brain, allowing doctors to identify any abnormalities or blockages that may be causing symptoms or increasing the risk of stroke. Based on the results of the cerebral angiography, doctors can develop a treatment plan to address these issues and prevent further complications.

Pituitary neoplasms refer to abnormal growths or tumors in the pituitary gland, a small endocrine gland located at the base of the brain. These neoplasms can be benign (non-cancerous) or malignant (cancerous), with most being benign. They can vary in size and may cause various symptoms depending on their location, size, and hormonal activity.

Pituitary neoplasms can produce and secrete excess hormones, leading to a variety of endocrine disorders such as Cushing's disease (caused by excessive ACTH production), acromegaly (caused by excessive GH production), or prolactinoma (caused by excessive PRL production). They can also cause local compression symptoms due to their size, leading to headaches, vision problems, and cranial nerve palsies.

The exact causes of pituitary neoplasms are not fully understood, but genetic factors, radiation exposure, and certain inherited conditions may increase the risk of developing these tumors. Treatment options for pituitary neoplasms include surgical removal, radiation therapy, and medical management with drugs that can help control hormonal imbalances.

Neurosurgical procedures are operations that are performed on the brain, spinal cord, and peripheral nerves. These procedures are typically carried out by neurosurgeons, who are medical doctors with specialized training in the diagnosis and treatment of disorders of the nervous system. Neurosurgical procedures can be used to treat a wide range of conditions, including traumatic injuries, tumors, aneurysms, vascular malformations, infections, degenerative diseases, and congenital abnormalities.

Some common types of neurosurgical procedures include:

* Craniotomy: A procedure in which a bone flap is temporarily removed from the skull to gain access to the brain. This type of procedure may be performed to remove a tumor, repair a blood vessel, or relieve pressure on the brain.
* Spinal fusion: A procedure in which two or more vertebrae in the spine are fused together using bone grafts and metal hardware. This is often done to stabilize the spine and alleviate pain caused by degenerative conditions or spinal deformities.
* Microvascular decompression: A procedure in which a blood vessel that is causing pressure on a nerve is repositioned or removed. This type of procedure is often used to treat trigeminal neuralgia, a condition that causes severe facial pain.
* Deep brain stimulation: A procedure in which electrodes are implanted in specific areas of the brain and connected to a battery-operated device called a neurostimulator. The neurostimulator sends electrical impulses to the brain to help alleviate symptoms of movement disorders such as Parkinson's disease or dystonia.
* Stereotactic radiosurgery: A non-invasive procedure that uses focused beams of radiation to treat tumors, vascular malformations, and other abnormalities in the brain or spine. This type of procedure is often used for patients who are not good candidates for traditional surgery due to age, health status, or location of the lesion.

Neurosurgical procedures can be complex and require a high degree of skill and expertise. Patients considering neurosurgical treatment should consult with a qualified neurosurgeon to discuss their options and determine the best course of action for their individual situation.

A frontal sinus is a paired, air-filled paranasal sinus located in the frontal bone of the skull, above the eyes and behind the forehead. It is one of the four pairs of sinuses found in the human head. The frontal sinuses are lined with mucous membrane and are interconnected with the nasal cavity through small openings called ostia. They help to warm, humidify, and filter the air we breathe, and contribute to the resonance of our voice. Variations in size, shape, and asymmetry of frontal sinuses are common among individuals.

Paranasal sinus diseases refer to a group of medical conditions that affect the paranasal sinuses, which are air-filled cavities located within the skull near the nasal cavity. These sinuses include the maxillary, frontal, ethmoid, and sphenoid sinuses.

Paranasal sinus diseases can be caused by a variety of factors, including viral, bacterial, or fungal infections, allergies, structural abnormalities, or autoimmune disorders. Some common paranasal sinus diseases include:

1. Sinusitis: Inflammation or infection of the sinuses, which can cause symptoms such as nasal congestion, thick nasal discharge, facial pain or pressure, and reduced sense of smell.
2. Nasal polyps: Soft, benign growths that develop in the lining of the nasal passages or sinuses, which can obstruct airflow and cause difficulty breathing through the nose.
3. Sinonasal tumors: Abnormal growths that can be benign or malignant, which can cause symptoms such as nasal congestion, facial pain, and bleeding from the nose.
4. Sinus cysts: Fluid-filled sacs that form in the sinuses, which can cause symptoms similar to those of sinusitis.
5. Fungal sinusitis: Infection of the sinuses with fungi, which can cause symptoms such as nasal congestion, facial pain, and thick, discolored mucus.

Treatment for paranasal sinus diseases depends on the underlying cause and severity of the condition. Treatment options may include medications, such as antibiotics, antihistamines, or corticosteroids, as well as surgical intervention in more severe cases.

Maxillary sinus neoplasms refer to abnormal growths or tumors that develop in the maxillary sinuses, which are located in the upper part of your cheekbones, below your eyes. These growths can be benign (non-cancerous) or malignant (cancerous).

Benign neoplasms may include conditions such as an osteoma (a benign bone tumor), a papilloma (a benign growth of the lining of the sinus), or a fibrous dysplasia (a condition where bone is replaced by fibrous tissue).

Malignant neoplasms, on the other hand, can be primary (originating in the maxillary sinuses) or secondary (spreading to the maxillary sinuses from another site in the body). Common types of malignant tumors that arise in the maxillary sinus include squamous cell carcinoma, adenocarcinoma, and mucoepidermoid carcinoma.

Symptoms of maxillary sinus neoplasms may include nasal congestion, nosebleeds, facial pain or numbness, vision changes, and difficulty swallowing or speaking. Treatment options depend on the type, size, and location of the tumor but may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

Exophthalmos is a medical condition that refers to the abnormal protrusion or bulging of one or both eyes beyond the normal orbit (eye socket). This condition is also known as proptosis. Exophthalmos can be caused by various factors, including thyroid eye disease (Graves' ophthalmopathy), tumors, inflammation, trauma, or congenital abnormalities. It can lead to various symptoms such as double vision, eye discomfort, redness, and difficulty closing the eyes. Treatment of exophthalmos depends on the underlying cause and may include medications, surgery, or radiation therapy.

Cranial nerve diseases refer to conditions that affect the cranial nerves, which are a set of 12 pairs of nerves that originate from the brainstem and control various functions in the head and neck. These functions include vision, hearing, taste, smell, movement of the eyes and face, and sensation in the face.

Diseases of the cranial nerves can result from a variety of causes, including injury, infection, inflammation, tumors, or degenerative conditions. The specific symptoms that a person experiences will depend on which cranial nerve is affected and how severely it is damaged.

For example, damage to the optic nerve (cranial nerve II) can cause vision loss or visual disturbances, while damage to the facial nerve (cranial nerve VII) can result in weakness or paralysis of the face. Other common symptoms of cranial nerve diseases include pain, numbness, tingling, and hearing loss.

Treatment for cranial nerve diseases varies depending on the underlying cause and severity of the condition. In some cases, medication or surgery may be necessary to treat the underlying cause and relieve symptoms. Physical therapy or rehabilitation may also be recommended to help individuals regain function and improve their quality of life.

The internal carotid artery is a major blood vessel that supplies oxygenated blood to the brain. It originates from the common carotid artery and passes through the neck, entering the skull via the carotid canal in the temporal bone. Once inside the skull, it branches into several smaller vessels that supply different parts of the brain with blood.

The internal carotid artery is divided into several segments: cervical, petrous, cavernous, clinoid, and supraclinoid. Each segment has distinct clinical significance in terms of potential injury or disease. The most common conditions affecting the internal carotid artery include atherosclerosis, which can lead to stroke or transient ischemic attack (TIA), and dissection, which can cause severe headache, neck pain, and neurological symptoms.

It's important to note that any blockage or damage to the internal carotid artery can have serious consequences, as it can significantly reduce blood flow to the brain and lead to permanent neurological damage or even death. Therefore, regular check-ups and screening tests are recommended for individuals at high risk of developing vascular diseases.

The trochlear nerve, also known as the fourth cranial nerve (CN IV), is a nerve that originates in the midbrain and innervates the superior oblique muscle of the eye. This muscle helps with the downward and outward movement of the eye, playing a crucial role in controlling eye movements and maintaining binocular vision. The trochlear nerve's main function is to provide motor (efferent) innervation to the superior oblique muscle, enabling fine-tuning of eye movements during activities such as reading, writing, or driving. Damage to this nerve can result in vertical diplopia (double vision), strabismus (eye misalignment), and other visual impairments.

A cavernous hemangioma in the central nervous system (CNS) refers to a type of benign vascular tumor that is made up of dilated and thin-walled blood vessels. These tumors are called "cavernous" because they are filled with blood-filled sacs or "caverns."

When these hemangiomas occur in the CNS, which includes the brain and spinal cord, they can cause various neurological symptoms depending on their size and location. Small hemangiomas may not cause any symptoms at all, while larger ones can cause seizures, headaches, weakness, or sensory changes.

Cavernous hemangiomas in the CNS are typically congenital, meaning that they are present at birth. However, they may not become symptomatic until later in life. Treatment options for cavernous hemangiomas in the CNS include observation, surgery, or radiation therapy, depending on the size, location, and symptoms caused by the tumor.

The coronary sinus is a large vein that receives blood from the heart's muscle tissue. It is located on the posterior side of the heart and is a part of the cardiovascular system. The coronary sinus collects oxygen-depleted blood from the myocardium (the heart muscle) and drains it into the right atrium, where it will then be pumped to the lungs for oxygenation.

The coronary sinus is an essential structure in medical procedures such as cardiac catheterization and electrophysiological studies. It is also a common site for the implantation of pacemakers and other cardiac devices.

Trigeminal nerve diseases refer to conditions that affect the trigeminal nerve, which is one of the cranial nerves responsible for sensations in the face and motor functions such as biting and chewing. The trigeminal nerve has three branches: ophthalmic, maxillary, and mandibular, which innervate different parts of the face and head.

Trigeminal nerve diseases can cause various symptoms, including facial pain, numbness, tingling, or weakness. Some common trigeminal nerve diseases include:

1. Trigeminal neuralgia: A chronic pain condition that affects the trigeminal nerve, causing intense, stabbing, or electric shock-like pain in the face.
2. Hemifacial spasm: A neuromuscular disorder that causes involuntary muscle spasms on one side of the face, often affecting the muscles around the eye and mouth.
3. Trigeminal neuropathy: Damage or injury to the trigeminal nerve, which can result in numbness, tingling, or weakness in the face.
4. Herpes zoster oticus (Ramsay Hunt syndrome): A viral infection that affects the facial nerve and geniculate ganglion of the trigeminal nerve, causing facial paralysis, ear pain, and a rash around the ear.
5. Microvascular compression: Compression of the trigeminal nerve by a blood vessel, which can cause symptoms similar to trigeminal neuralgia.

Treatment for trigeminal nerve diseases depends on the specific condition and its severity. Treatment options may include medication, surgery, or radiation therapy.

Meningeal arteries refer to the branches of the major cerebral arteries that supply blood to the meninges, which are the protective membranes covering the brain and spinal cord. These arteries include:

1. The middle meningeal artery, a branch of the maxillary artery, which supplies the dura mater in the cranial cavity.
2. The anterior and posterior meningeal arteries, branches of the internal carotid and vertebral arteries, respectively, that supply blood to the dura mater in the anterior and posterior cranial fossae.
3. The vasorum nervorum, small arteries that arise from the spinal branch of the ascending cervical artery and supply the spinal meninges.

These arteries play a crucial role in maintaining the health and integrity of the meninges and the central nervous system they protect.

In medical terms, the orbit refers to the bony cavity or socket in the skull that contains and protects the eye (eyeball) and its associated structures, including muscles, nerves, blood vessels, fat, and the lacrimal gland. The orbit is made up of several bones: the frontal bone, sphenoid bone, zygomatic bone, maxilla bone, and palatine bone. These bones form a pyramid-like shape that provides protection for the eye while also allowing for a range of movements.

Medical Definition:

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.

Orbital diseases refer to a group of medical conditions that affect the orbit, which is the bony cavity in the skull that contains the eye, muscles, nerves, fat, and blood vessels. These diseases can cause various symptoms such as eyelid swelling, protrusion or displacement of the eyeball, double vision, pain, and limited extraocular muscle movement.

Orbital diseases can be broadly classified into inflammatory, infectious, neoplastic (benign or malignant), vascular, traumatic, and congenital categories. Some examples of orbital diseases include:

* Orbital cellulitis: a bacterial or fungal infection that causes swelling and inflammation in the orbit
* Graves' disease: an autoimmune disorder that affects the thyroid gland and can cause protrusion of the eyeballs (exophthalmos)
* Orbital tumors: benign or malignant growths that develop in the orbit, such as optic nerve gliomas, lacrimal gland tumors, and lymphomas
* Carotid-cavernous fistulas: abnormal connections between the carotid artery and cavernous sinus, leading to pulsatile proptosis and other symptoms
* Orbital fractures: breaks in the bones surrounding the orbit, often caused by trauma
* Congenital anomalies: structural abnormalities present at birth, such as craniofacial syndromes or dermoid cysts.

Proper diagnosis and management of orbital diseases require a multidisciplinary approach involving ophthalmologists, neurologists, radiologists, and other specialists.

The skull base is the lower part of the skull that forms the floor of the cranial cavity and the roof of the facial skeleton. It is a complex anatomical region composed of several bones, including the frontal, sphenoid, temporal, occipital, and ethmoid bones. The skull base supports the brain and contains openings for blood vessels and nerves that travel between the brain and the face or neck. The skull base can be divided into three regions: the anterior cranial fossa, middle cranial fossa, and posterior cranial fossa, which house different parts of the brain.

Central nervous system (CNS) cysts are abnormal fluid-filled sacs that develop in the brain or spinal cord. These cysts can be congenital, meaning they are present at birth and develop as a result of abnormal embryonic development, or they can be acquired later in life due to injury, infection, or disease.

CNS cysts can vary in size and may cause symptoms depending on their location and the amount of pressure they place on surrounding brain or spinal cord tissue. Symptoms may include headaches, seizures, weakness, numbness, or difficulty with coordination and balance. In some cases, CNS cysts may not cause any symptoms and may be discovered incidentally during imaging studies performed for other reasons.

There are several types of CNS cysts, including:

1. Arachnoid cysts: These are the most common type of CNS cyst and occur between the layers of the arachnoid membrane that covers the brain and spinal cord.
2. Colloid cysts: These cysts typically develop at the junction of the third and fourth ventricles in the brain and can obstruct the flow of cerebrospinal fluid (CSF), leading to increased intracranial pressure.
3. Ependymal cysts: These cysts arise from the ependymal cells that line the ventricular system of the brain and can cause symptoms by compressing surrounding brain tissue.
4. Neuroglial cysts: These cysts are composed of glial cells, which support and protect nerve cells in the CNS.
5. Pineal cysts: These cysts develop in the pineal gland, a small endocrine gland located near the center of the brain.

Treatment for CNS cysts depends on their size, location, and symptoms. In some cases, observation and monitoring may be all that is necessary. However, if the cyst is causing significant symptoms or is at risk of rupturing or obstructing CSF flow, surgical intervention may be required to remove or reduce the size of the cyst.

A cavernous hemangioma is a type of benign vascular tumor that is made up of large, dilated blood vessels. It is characterized by the presence of large, "cavernous" spaces or sacs filled with blood. These lesions can occur in various parts of the body, but when they occur in the skin or mucous membranes, they appear as well-circumscribed rubbery masses that are compressible and blanchable (turn pale when pressed).

Cavernous hemangiomas are most commonly found on the face and neck, but they can also occur in other parts of the body such as the liver. They typically grow slowly during infancy or early childhood and then stabilize or even regress spontaneously over time. However, if they are located in critical areas such as the airway or near vital organs, they may require treatment to prevent complications.

Histologically, cavernous hemangiomas are composed of large, irregularly shaped vascular spaces lined by a single layer of endothelial cells and surrounded by fibrous tissue. Treatment options for cavernous hemangiomas include observation, compression therapy, laser therapy, surgical excision, or embolization.

Horner syndrome, also known as Horner's syndrome or oculosympathetic palsy, is a neurological disorder characterized by the interruption of sympathetic nerve pathways that innervate the head and neck, leading to a constellation of signs affecting the eye and face on one side of the body.

The classic triad of symptoms includes:

1. Ptosis (drooping) of the upper eyelid: This is due to the weakness or paralysis of the levator palpebrae superioris muscle, which is responsible for elevating the eyelid.
2. Miosis (pupillary constriction): The affected pupil becomes smaller in size compared to the other side, and it may not react as robustly to light.
3. Anhydrosis (decreased sweating): There is reduced or absent sweating on the ipsilateral (same side) of the face, particularly around the forehead and upper eyelid.

Horner syndrome can be caused by various underlying conditions, such as brainstem stroke, tumors, trauma, or certain medical disorders affecting the sympathetic nervous system. The diagnosis typically involves a thorough clinical examination, pharmacological testing, and sometimes imaging studies to identify the underlying cause. Treatment is directed towards managing the underlying condition responsible for Horner syndrome.

The petrous bone is a part of the temporal bone, one of the 22 bones in the human skull. It is a thick and irregularly shaped bone located at the base of the skull and forms part of the ear and the cranial cavity. The petrous bone contains the cochlea, vestibule, and semicircular canals of the inner ear, which are responsible for hearing and balance. It also helps protect the brain from injury by forming part of the bony structure surrounding the brain.

The term "petrous" comes from the Latin word "petrosus," meaning "stony" or "rock-like," which describes the hard and dense nature of this bone. The petrous bone is one of the densest bones in the human body, making it highly resistant to fractures and other forms of damage.

In medical terminology, the term "petrous" may also be used to describe any structure that resembles a rock or is hard and dense, such as the petrous apex, which refers to the portion of the petrous bone that points towards the sphenoid bone.

Sphenoid sinusitis is a medical condition characterized by the inflammation or infection of the sphenoid sinuses, which are air-filled cavities located in the sphenoid bone at the center of the skull base, behind the eyes. These sinuses are relatively small and difficult to access, making infections less common than in other sinuses. However, when sphenoid sinusitis does occur, it can cause various symptoms such as headaches, facial pain, nasal congestion, fever, and vision problems. Sphenoid sinusitis may result from bacterial or fungal infections, allergies, or autoimmune disorders. Diagnosis typically involves a combination of clinical evaluation, imaging studies like CT scans, and sometimes endoscopic examination. Treatment options include antibiotics for bacterial infections, antifungal medications for fungal infections, nasal sprays, decongestants, pain relievers, and, in severe or recurrent cases, surgical intervention.

Diplopia is a medical term that refers to the condition where a person sees two images of a single object. It is commonly known as double vision. This can occur due to various reasons, such as nerve damage or misalignment of the eyes. Diplopia can be temporary or chronic and can affect one or both eyes. If you're experiencing diplopia, it's essential to consult an eye care professional for proper evaluation and treatment.

Cranial nerve neoplasms refer to abnormal growths or tumors that develop within or near the cranial nerves. These nerves are responsible for transmitting sensory and motor information between the brain and various parts of the head, neck, and trunk. There are 12 pairs of cranial nerves, each with a specific function and location in the skull.

Cranial nerve neoplasms can be benign or malignant and may arise from the nerve itself (schwannoma, neurofibroma) or from surrounding tissues that invade the nerve (meningioma, epidermoid cyst). The growth of these tumors can cause various symptoms depending on their size, location, and rate of growth. Common symptoms include:

* Facial weakness or numbness
* Double vision or other visual disturbances
* Hearing loss or tinnitus (ringing in the ears)
* Difficulty swallowing or speaking
* Loss of smell or taste
* Uncontrollable eye movements or drooping eyelids

Treatment for cranial nerve neoplasms depends on several factors, including the type, size, location, and extent of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches. Regular follow-up care is essential to monitor for recurrence or complications.

The abducens nerve, also known as the sixth cranial nerve (CN VI), is a motor nerve that controls the lateral rectus muscle of the eye. This muscle is responsible for moving the eye away from the midline (towards the temple) and enables the eyes to look towards the side while keeping them aligned. Any damage or dysfunction of the abducens nerve can result in strabismus, where the eyes are misaligned and point in different directions, specifically an adduction deficit, also known as abducens palsy or sixth nerve palsy.

Sick Sinus Syndrome (SSS) is a term used to describe a group of abnormal heart rhythm disturbances that originates in the sinoatrial node (the natural pacemaker of the heart). This syndrome is characterized by impaired functioning of the sinoatrial node, resulting in various abnormalities such as sinus bradycardia (abnormally slow heart rate), sinus arrest (complete cessation of sinus node activity), and/or sinoatrial exit block (failure of the electrical impulse to leave the sinus node and spread to the atria).

People with SSS may experience symptoms such as palpitations, dizziness, fatigue, shortness of breath, or syncope (fainting) due to inadequate blood supply to the brain caused by slow heart rate. The diagnosis of SSS is typically made based on the patient's symptoms and the results of an electrocardiogram (ECG), Holter monitoring, or event recorder that shows evidence of abnormal sinus node function. Treatment options for SSS may include lifestyle modifications, medications, or implantation of a pacemaker to regulate the heart rate.

The ethmoid sinuses are a pair of air-filled spaces located in the ethmoid bone, which is a part of the skull that forms the upper portion of the nasal cavity and the inner eye socket. These sinuses are divided into anterior and posterior groups and are present in adults, but not at birth. They continue to grow and develop until early adulthood.

The ethmoid sinuses are lined with mucous membrane, which helps to warm, humidify, and filter the air we breathe. They are surrounded by a network of blood vessels and nerves, making them susceptible to inflammation and infection. Inflammation of the ethmoid sinuses can lead to conditions such as sinusitis, which can cause symptoms such as nasal congestion, headache, and facial pain.

A meningioma is a type of slow-growing tumor that forms on the membranes (meninges) surrounding the brain and spinal cord. It's usually benign, meaning it doesn't spread to other parts of the body, but it can still cause serious problems if it grows and presses on nearby tissues.

Meningiomas most commonly occur in adults, and are more common in women than men. They can cause various symptoms depending on their location and size, including headaches, seizures, vision or hearing problems, memory loss, and changes in personality or behavior. In some cases, they may not cause any symptoms at all and are discovered only during imaging tests for other conditions.

Treatment options for meningiomas include monitoring with regular imaging scans, surgery to remove the tumor, and radiation therapy to shrink or kill the tumor cells. The best treatment approach depends on factors such as the size and location of the tumor, the patient's age and overall health, and their personal preferences.

The oculomotor nerve, also known as the third cranial nerve (CN III), is a motor nerve that originates from the midbrain. It controls the majority of the eye muscles, including the levator palpebrae superioris muscle that raises the upper eyelid, and the extraocular muscles that enable various movements of the eye such as looking upward, downward, inward, and outward. Additionally, it carries parasympathetic fibers responsible for pupillary constriction and accommodation (focusing on near objects). Damage to this nerve can result in various ocular motor disorders, including strabismus, ptosis, and pupillary abnormalities.

X-ray computed tomography (CT or CAT scan) is a medical imaging method that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of the body. These cross-sectional images can then be used to display detailed internal views of organs, bones, and soft tissues in the body.

The term "computed tomography" is used instead of "CT scan" or "CAT scan" because the machines take a series of X-ray measurements from different angles around the body and then use a computer to process these data to create detailed images of internal structures within the body.

CT scanning is a noninvasive, painless medical test that helps physicians diagnose and treat medical conditions. CT imaging provides detailed information about many types of tissue including lung, bone, soft tissue and blood vessels. CT examinations can be performed on every part of the body for a variety of reasons including diagnosis, surgical planning, and monitoring of therapeutic responses.

In computed tomography (CT), an X-ray source and detector rotate around the patient, measuring the X-ray attenuation at many different angles. A computer uses this data to construct a cross-sectional image by the process of reconstruction. This technique is called "tomography". The term "computed" refers to the use of a computer to reconstruct the images.

CT has become an important tool in medical imaging and diagnosis, allowing radiologists and other physicians to view detailed internal images of the body. It can help identify many different medical conditions including cancer, heart disease, lung nodules, liver tumors, and internal injuries from trauma. CT is also commonly used for guiding biopsies and other minimally invasive procedures.

In summary, X-ray computed tomography (CT or CAT scan) is a medical imaging technique that uses computer-processed combinations of many X-ray images taken from different angles to produce cross-sectional images of the body. It provides detailed internal views of organs, bones, and soft tissues in the body, allowing physicians to diagnose and treat medical conditions.

Tolosa-Hunt syndrome is a rare disorder characterized by the inflammation of the nerve structures (including the fifth and sixth cranial nerves) within the cavernous sinus, a venous space near the base of the skull. This inflammation can lead to various symptoms such as:

1. Unilateral or bilateral orbital pain, which may be severe and deep, often radiating around the eye and temple.
2. Ophthalmoplegia (paralysis of the eye muscles), causing double vision (diplopia) and limited eye movement in specific directions.
3. Ptosis (drooping of the eyelid).
4. Other possible symptoms include decreased sensation around the forehead, cheek, or upper jaw, and loss of taste on the anterior part of the tongue.

The exact cause of Tolosa-Hunt syndrome is unknown, but it's believed to be related to an autoimmune response or a non-specific inflammatory process. It can also occur in conjunction with other medical conditions like neoplasms (tumors) or infections. The diagnosis typically involves imaging studies such as MRI and CT scans, along with blood tests and a thorough neurological examination.

Treatment usually includes corticosteroids to reduce inflammation and alleviate symptoms. In some cases, immunosuppressive medications or radiation therapy may be necessary. If left untreated, Tolosa-Hunt syndrome can lead to permanent visual impairment or other neurological deficits.

Microsurgery is a surgical technique that requires the use of an operating microscope and fine instruments to perform precise surgical manipulations. It is commonly used in various fields such as ophthalmology, neurosurgery, orthopedic surgery, and plastic and reconstructive surgery. The magnification provided by the microscope allows surgeons to work on small structures like nerves, blood vessels, and tiny bones. Some of the most common procedures that fall under microsurgery include nerve repair, replantation of amputated parts, and various types of reconstructions such as free tissue transfer for cancer reconstruction or coverage of large wounds.

Meningeal neoplasms, also known as malignant meningitis or leptomeningeal carcinomatosis, refer to cancerous tumors that originate in the meninges, which are the membranes covering the brain and spinal cord. These tumors can arise primarily from the meningeal cells themselves, although they more commonly result from the spread (metastasis) of cancer cells from other parts of the body, such as breast, lung, or melanoma.

Meningeal neoplasms can cause a variety of symptoms, including headaches, nausea and vomiting, mental status changes, seizures, and focal neurological deficits. Diagnosis typically involves imaging studies (such as MRI) and analysis of cerebrospinal fluid obtained through a spinal tap. Treatment options may include radiation therapy, chemotherapy, or surgery, depending on the type and extent of the tumor. The prognosis for patients with meningeal neoplasms is generally poor, with a median survival time of several months to a year.

Endoscopy is a medical procedure that involves the use of an endoscope, which is a flexible tube with a light and camera at the end, to examine the interior of a body cavity or organ. The endoscope is inserted through a natural opening in the body, such as the mouth or anus, or through a small incision. The images captured by the camera are transmitted to a monitor, allowing the physician to visualize the internal structures and detect any abnormalities, such as inflammation, ulcers, or tumors. Endoscopy can also be used for diagnostic purposes, such as taking tissue samples for biopsy, or for therapeutic purposes, such as removing polyps or performing minimally invasive surgeries.

Streptococcus constellatus is a type of Gram-positive coccus bacteria that belongs to the Streptococcus anginosus group, also known as the "streptococci of uncertain taxonomic position" or S. milleri group. These bacteria are part of the normal flora in the human mouth, upper respiratory tract, and gastrointestinal tract. However, they can cause opportunistic infections when they enter other parts of the body, particularly in individuals with weakened immune systems.

S. constellatus has been associated with a variety of infections, including abscesses, endocarditis, meningitis, septicemia, and dental and respiratory tract infections. It is important to note that the clinical significance of S. constellatus can vary, as it may sometimes be found as a commensal organism or as part of a polymicrobial infection. Proper identification and antimicrobial susceptibility testing are crucial for appropriate treatment.

Vascular neoplasms are a type of tumor that develops from cells that line the blood vessels or lymphatic vessels. These tumors can be benign (non-cancerous) or malignant (cancerous). Benign vascular neoplasms, such as hemangiomas and lymphangiomas, are usually harmless and may not require treatment unless they cause symptoms or complications. Malignant vascular neoplasms, on the other hand, are known as angiosarcomas and can be aggressive, spreading to other parts of the body and potentially causing serious health problems.

Angiosarcomas can develop in any part of the body but are most commonly found in the skin, particularly in areas exposed to radiation or chronic lymph edema. They can also occur in the breast, liver, spleen, and heart. Treatment for vascular neoplasms depends on the type, location, size, and stage of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

A craniotomy is a surgical procedure where a bone flap is temporarily removed from the skull to access the brain. This procedure is typically performed to treat various neurological conditions, such as brain tumors, aneurysms, arteriovenous malformations, or traumatic brain injuries. After the underlying brain condition is addressed, the bone flap is usually replaced and secured back in place with plates and screws. The purpose of a craniotomy is to provide access to the brain for diagnostic or therapeutic interventions while minimizing potential damage to surrounding tissues.

Neuronavigation is a surgical technique that uses imaging technology, such as MRI or CT scans, to create a 3D map of the patient's brain in real-time during surgery. This allows surgeons to accurately locate and navigate to specific areas of the brain with greater precision and less invasiveness, improving surgical outcomes and reducing the risk of complications.

The neuronavigation system typically consists of a computer workstation, tracking systems, and instruments that are equipped with sensors. The system is able to track the position and orientation of these instruments relative to the patient's brain, allowing the surgeon to visualize the location of the instruments on the 3D map in real-time.

Neuronavigation has become an essential tool in many neurosurgical procedures, including tumor resection, functional neurosurgery, and deep brain stimulation. It enables surgeons to perform more complex surgeries with increased safety and efficacy, ultimately improving the quality of care for patients undergoing these procedures.

I'm sorry for any confusion, but "Polyvinyls" is not a medical term. It is a chemical term that refers to polymers made from vinyl chloride, which is used in the production of various plastics and resins. If you have any questions about medical terms or concepts, I'd be happy to help with those!

An adenoma is a benign (noncancerous) tumor that develops from glandular epithelial cells. These types of cells are responsible for producing and releasing fluids, such as hormones or digestive enzymes, into the surrounding tissues. Adenomas can occur in various organs and glands throughout the body, including the thyroid, pituitary, adrenal, and digestive systems.

Depending on their location, adenomas may cause different symptoms or remain asymptomatic. Some common examples of adenomas include:

1. Colorectal adenoma (also known as a polyp): These growths occur in the lining of the colon or rectum and can develop into colorectal cancer if left untreated. Regular screenings, such as colonoscopies, are essential for early detection and removal of these polyps.
2. Thyroid adenoma: This type of adenoma affects the thyroid gland and may result in an overproduction or underproduction of hormones, leading to conditions like hyperthyroidism (overactive thyroid) or hypothyroidism (underactive thyroid).
3. Pituitary adenoma: These growths occur in the pituitary gland, which is located at the base of the brain and controls various hormonal functions. Depending on their size and location, pituitary adenomas can cause vision problems, headaches, or hormonal imbalances that affect growth, reproduction, and metabolism.
4. Liver adenoma: These rare benign tumors develop in the liver and may not cause any symptoms unless they become large enough to press on surrounding organs or structures. In some cases, liver adenomas can rupture and cause internal bleeding.
5. Adrenal adenoma: These growths occur in the adrenal glands, which are located above the kidneys and produce hormones that regulate stress responses, metabolism, and blood pressure. Most adrenal adenomas are nonfunctioning, meaning they do not secrete excess hormones. However, functioning adrenal adenomas can lead to conditions like Cushing's syndrome or Conn's syndrome, depending on the type of hormone being overproduced.

It is essential to monitor and manage benign tumors like adenomas to prevent potential complications, such as rupture, bleeding, or hormonal imbalances. Treatment options may include surveillance with imaging studies, medication to manage hormonal issues, or surgical removal of the tumor in certain cases.

Skull neoplasms refer to abnormal growths or tumors that develop within the skull. These growths can be benign (non-cancerous) or malignant (cancerous). They can originate from various types of cells, such as bone cells, nerve cells, or soft tissues. Skull neoplasms can cause various symptoms depending on their size and location, including headaches, seizures, vision problems, hearing loss, and neurological deficits. Treatment options include surgery, radiation therapy, and chemotherapy. It is important to note that a neoplasm in the skull can also refer to metastatic cancer, which has spread from another part of the body to the skull.

Otorhinolaryngologic surgical procedures are surgeries that are performed on the head and neck region, specifically involving the ear, nose, and throat (ENT) regions. This field is also known as otolaryngology-head and neck surgery. The procedures can range from relatively minor ones, such as removing a small nasal polyp or inserting ear tubes, to more complex surgeries like cochlear implantation, endoscopic sinus surgery, or removal of tumors in the head and neck region. These surgical procedures are typically performed by specialized physicians called otorhinolaryngologists (also known as ENT surgeons) who have completed extensive training in this area.

Intracranial arteriovenous malformations (AVMs) are abnormal, tangled connections between the arteries and veins in the brain. These connections bypass the capillary system, which can lead to high-flow shunting and potential complications such as hemorrhage, stroke, or neurological deficits. AVMs are congenital conditions, meaning they are present at birth, although symptoms may not appear until later in life. They are relatively rare, affecting approximately 0.1% of the population. Treatment options for AVMs include surgery, radiation therapy, and endovascular embolization, depending on the size, location, and specific characteristics of the malformation.

Orbital neoplasms refer to abnormal growths or tumors that develop in the orbit, which is the bony cavity that contains the eyeball, muscles, nerves, fat, and blood vessels. These neoplasms can be benign (non-cancerous) or malignant (cancerous), and they can arise from various types of cells within the orbit.

Orbital neoplasms can cause a variety of symptoms depending on their size, location, and rate of growth. Common symptoms include protrusion or displacement of the eyeball, double vision, limited eye movement, pain, swelling, and numbness in the face. In some cases, orbital neoplasms may not cause any noticeable symptoms, especially if they are small and slow-growing.

There are many different types of orbital neoplasms, including:

1. Optic nerve glioma: a rare tumor that arises from the optic nerve's supportive tissue.
2. Orbital meningioma: a tumor that originates from the membranes covering the brain and extends into the orbit.
3. Lacrimal gland tumors: benign or malignant growths that develop in the lacrimal gland, which produces tears.
4. Orbital lymphangioma: a non-cancerous tumor that arises from the lymphatic vessels in the orbit.
5. Rhabdomyosarcoma: a malignant tumor that develops from the skeletal muscle cells in the orbit.
6. Metastatic tumors: cancerous growths that spread to the orbit from other parts of the body, such as the breast, lung, or prostate.

The diagnosis and treatment of orbital neoplasms depend on several factors, including the type, size, location, and extent of the tumor. Imaging tests, such as CT scans and MRI, are often used to visualize the tumor and determine its extent. A biopsy may also be performed to confirm the diagnosis and determine the tumor's type and grade. Treatment options include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

Sinus tachycardia is a type of rapid heart rate, characterized by an abnormally fast sinus rhythm, with a rate greater than 100 beats per minute in adults. The sinoatrial node (SA node), which is the natural pacemaker of the heart, generates these impulses regularly and at an increased rate.

Sinus tachycardia is usually a physiological response to various stimuli or conditions, such as physical exertion, strong emotions, fever, anxiety, pain, or certain medications. It can also be caused by hormonal imbalances, anemia, hyperthyroidism, or other medical disorders.

In most cases, sinus tachycardia is not harmful and resolves once the underlying cause is addressed. However, if it occurs persistently or is associated with symptoms like palpitations, shortness of breath, dizziness, or chest discomfort, further evaluation by a healthcare professional is recommended to rule out any underlying heart conditions or other medical issues.

Veterinary anatomy is the study of the physical structure and organization of the bodies of animals that are relevant to veterinary medicine. It involves the examination and understanding of the various organs, tissues, and systems in animals, including their form, function, and interrelationships.

The subject matter of veterinary anatomy includes:

1. Gross anatomy: This refers to the study of large structures that can be seen with the naked eye, such as bones, muscles, and organs.
2. Histology: This is the study of tissues at the microscopic level, including their structure, composition, and function.
3. Embryology: This involves the study of the development of animals from fertilization to birth, including the formation and differentiation of various structures and systems.
4. Neuroanatomy: This is the study of the nervous system, including the brain, spinal cord, and peripheral nerves.
5. Comparative anatomy: This involves the comparison of the anatomy of different species to understand their evolutionary relationships and adaptations.

Veterinary anatomy is a fundamental subject in veterinary medicine, providing essential knowledge for understanding animal health and disease, as well as for performing surgical procedures and other medical interventions.

A Growth Hormone-Secreting Pituitary Adenoma (GH-secreting pituitary adenoma, or GHoma) is a type of benign tumor that develops in the pituitary gland and results in excessive production of growth hormone (GH). This leads to a condition known as acromegaly if it occurs in adults, or gigantism if it occurs in children before the closure of the growth plates.

Symptoms of GH-secreting pituitary adenoma may include:

1. Coarsening of facial features
2. Enlargement of hands and feet
3. Deepened voice due to thickening of vocal cords
4. Increased sweating and body odor
5. Joint pain and stiffness
6. Sleep apnea
7. Fatigue, weakness, or muscle wasting
8. Headaches
9. Vision problems
10. Irregular menstrual periods in women
11. Erectile dysfunction in men

Diagnosis typically involves measuring the levels of GH and insulin-like growth factor 1 (IGF-1) in the blood, along with imaging tests like MRI or CT scans to locate and characterize the tumor. Treatment options include surgical removal of the tumor, radiation therapy, and medication to control GH production. Regular follow-ups are necessary to monitor for potential recurrence.

An intracranial aneurysm is a localized, blood-filled dilation or bulging in the wall of a cerebral artery within the skull (intracranial). These aneurysms typically occur at weak points in the arterial walls, often at branching points where the vessel divides into smaller branches. Over time, the repeated pressure from blood flow can cause the vessel wall to weaken and balloon out, forming a sac-like structure. Intracranial aneurysms can vary in size, ranging from a few millimeters to several centimeters in diameter.

There are three main types of intracranial aneurysms:

1. Saccular (berry) aneurysm: This is the most common type, characterized by a round or oval shape with a narrow neck and a bulging sac. They usually develop at branching points in the arteries due to congenital weaknesses in the vessel wall.
2. Fusiform aneurysm: These aneurysms have a dilated segment along the length of the artery, forming a cigar-shaped or spindle-like structure. They are often caused by atherosclerosis and can affect any part of the cerebral arteries.
3. Dissecting aneurysm: This type occurs when there is a tear in the inner lining (intima) of the artery, allowing blood to flow between the layers of the vessel wall. It can lead to narrowing or complete blockage of the affected artery and may cause subarachnoid hemorrhage if it ruptures.

Intracranial aneurysms can be asymptomatic and discovered incidentally during imaging studies for other conditions. However, when they grow larger or rupture, they can lead to severe complications such as subarachnoid hemorrhage, stroke, or even death. Treatment options include surgical clipping, endovascular coiling, or flow diversion techniques to prevent further growth and potential rupture of the aneurysm.

A chordoma is a rare, slow-growing tumor that typically develops in the bones of the spine or skull. These tumors originate from remnants of the notochord, a structure that forms during embryonic development and eventually becomes part of the spinal cord. Chordomas are usually low-grade malignancies but can be aggressive and locally invasive, potentially causing pain, neurological symptoms, or structural damage to the spine or skull. Treatment typically involves surgical resection, often combined with radiation therapy.

The maxillary nerve, also known as the second division of the trigeminal nerve (cranial nerve V2), is a primary sensory nerve that provides innervation to the skin of the lower eyelid, side of the nose, part of the cheek, upper lip, and roof of the mouth. It also supplies sensory fibers to the mucous membranes of the nasal cavity, maxillary sinus, palate, and upper teeth. Furthermore, it contributes motor innervation to the muscles involved in chewing (muscles of mastication), specifically the tensor veli palatini and tensor tympani. The maxillary nerve originates from the trigeminal ganglion and passes through the foramen rotundum in the skull before reaching its target areas.

Pituitary apoplexy is a medical emergency that involves bleeding into the pituitary gland (a small gland at the base of the brain) and/or sudden swelling of the pituitary gland. This can lead to compression of nearby structures, such as the optic nerves and the hypothalamus, causing symptoms like severe headache, visual disturbances, hormonal imbalances, and altered mental status. It is often associated with a pre-existing pituitary tumor (such as a pituitary adenoma), but can also occur in individuals without any known pituitary abnormalities. Immediate medical attention is required to manage this condition, which may include surgical intervention, hormone replacement therapy, and supportive care.

A prolactinoma is a type of pituitary tumor that produces an excess amount of the hormone prolactin, leading to various symptoms. The pituitary gland, located at the base of the brain, is responsible for producing and releasing several hormones that regulate different bodily functions. Prolactin is one such hormone, primarily known for its role in stimulating milk production in women during lactation (breastfeeding).

Prolactinoma tumors can be classified into two types: microprolactinomas and macroprolactinomas. Microprolactinomas are smaller tumors, typically less than 10 millimeters in size, while macroprolactinomas are larger tumors, generally greater than 10 millimeters in size.

The overproduction of prolactin caused by these tumors can lead to several clinical manifestations, including:

1. Galactorrhea: Unusual and often spontaneous milk production or leakage from the nipples, which can occur in both men and women who do not have a recent history of pregnancy or breastfeeding.
2. Menstrual irregularities: In women, high prolactin levels can interfere with the normal functioning of other hormones, leading to menstrual irregularities such as infrequent periods (oligomenorrhea) or absent periods (amenorrhea), and sometimes infertility.
3. Sexual dysfunction: In both men and women, high prolactin levels can cause decreased libido and sexual desire. Men may also experience erectile dysfunction and reduced sperm production.
4. Bone loss: Over time, high prolactin levels can lead to decreased bone density and an increased risk of osteoporosis due to the disruption of other hormones that regulate bone health.
5. Headaches and visual disturbances: As the tumor grows, it may put pressure on surrounding structures in the brain, leading to headaches and potential vision problems such as blurred vision or decreased peripheral vision.

Diagnosis typically involves measuring prolactin levels in the blood and performing imaging tests like an MRI (magnetic resonance imaging) scan to assess the size of the tumor. Treatment usually consists of medication to lower prolactin levels, such as dopamine agonists (e.g., bromocriptine or cabergoline), which can also help shrink the tumor. In some cases, surgery may be necessary if medication is ineffective or if the tumor is large and causing severe symptoms.

Carotid artery diseases refer to conditions that affect the carotid arteries, which are the major blood vessels that supply oxygen-rich blood to the head and neck. The most common type of carotid artery disease is atherosclerosis, which occurs when fatty deposits called plaques build up in the inner lining of the arteries.

These plaques can cause the arteries to narrow or become blocked, reducing blood flow to the brain and increasing the risk of stroke. Other carotid artery diseases include carotid artery dissection, which occurs when there is a tear in the inner lining of the artery, and fibromuscular dysplasia, which is a condition that affects the muscle and tissue in the walls of the artery.

Symptoms of carotid artery disease may include neck pain or pulsations, transient ischemic attacks (TIAs) or "mini-strokes," and strokes. Treatment options for carotid artery disease depend on the severity and type of the condition but may include lifestyle changes, medications, endarterectomy (a surgical procedure to remove plaque from the artery), or angioplasty and stenting (procedures to open blocked arteries using a balloon and stent).

A putaminal hemorrhage is a type of intracranial hemorrhage, which is defined as bleeding within the brain. Specifically, it refers to bleeding that occurs in the putamen, which is a region located deep within the forebrain and is part of the basal ganglia.

Putaminal hemorrhages are often caused by hypertension (high blood pressure) or rupture of small aneurysms (weakened areas in the walls of blood vessels). Symptoms can vary depending on the severity and location of the bleed, but may include sudden onset of headache, altered consciousness, weakness or paralysis on one side of the body, difficulty speaking or understanding speech, and visual disturbances.

Diagnosis is typically made using imaging studies such as computed tomography (CT) or magnetic resonance imaging (MRI). Treatment may involve supportive care, medications to control blood pressure and prevent seizures, and surgical intervention in some cases. The prognosis for putaminal hemorrhage depends on various factors, including the patient's age, overall health status, and the severity of the bleed.

The posterior cranial fossa is a term used in anatomy to refer to the portion of the skull that forms the lower, back part of the cranial cavity. It is located between the occipital bone and the temporal bones, and it contains several important structures including the cerebellum, pons, medulla oblongata, and the lower cranial nerves (IX-XII). The posterior fossa also contains the foramen magnum, which is a large opening through which the spinal cord connects to the brainstem. This region of the skull is protected by the occipital bone, which forms the base of the skull and provides attachment for several neck muscles.

Pituitary diseases refer to a group of conditions that affect the pituitary gland, a small endocrine gland located at the base of the brain. The pituitary gland is responsible for producing and secreting several important hormones that regulate various bodily functions, including growth and development, metabolism, stress response, and reproduction.

Pituitary diseases can be classified into two main categories:

1. Pituitary tumors: These are abnormal growths in or around the pituitary gland that can affect its function. Pituitary tumors can be benign (non-cancerous) or malignant (cancerous), and they can vary in size. Some pituitary tumors produce excess hormones, leading to a variety of symptoms, while others may not produce any hormones but can still cause problems by compressing nearby structures in the brain.
2. Pituitary gland dysfunction: This refers to conditions that affect the normal function of the pituitary gland without the presence of a tumor. Examples include hypopituitarism, which is a condition characterized by decreased production of one or more pituitary hormones, and Sheehan's syndrome, which occurs when the pituitary gland is damaged due to severe blood loss during childbirth.

Symptoms of pituitary diseases can vary widely depending on the specific condition and the hormones that are affected. Treatment options may include surgery, radiation therapy, medication, or a combination of these approaches.

In medical terms, dissection refers to the separation of the layers of a biological tissue or structure by cutting or splitting. It is often used to describe the process of surgically cutting through tissues, such as during an operation to separate organs or examine their internal structures.

However, "dissection" can also refer to a pathological condition in which there is a separation of the layers of a blood vessel wall by blood, creating a false lumen or aneurysm. This type of dissection is most commonly seen in the aorta and can be life-threatening if not promptly diagnosed and treated.

In summary, "dissection" has both surgical and pathological meanings related to the separation of tissue layers, and it's essential to consider the context in which the term is used.

Eye manifestations refer to any changes or abnormalities in the eye that can be observed or detected. These manifestations can be related to various medical conditions, diseases, or disorders affecting the eye or other parts of the body. They can include structural changes, such as swelling or bulging of the eye, as well as functional changes, such as impaired vision or sensitivity to light. Examples of eye manifestations include cataracts, glaucoma, diabetic retinopathy, macular degeneration, and uveitis.

Orbital pseudotumor, also known as orbital inflammatory syndrome or idiopathic orbital inflammation, is a non-specific term used to describe a group of conditions characterized by inflammation in the orbit (the bony cavity surrounding the eye) without any identifiable cause. It is not a true tumor, but rather an inflammatory reaction that can mimic the symptoms and signs of a tumor.

The condition can affect people of any age, although it is more common in middle-aged adults. The exact cause of orbital pseudotumor is unknown, but it is believed to be related to an abnormal immune response or inflammation triggered by various factors such as infections, trauma, or autoimmune disorders.

Symptoms of orbital pseudotumor may include eye pain, redness, swelling, protrusion of the eyeball (proptosis), double vision, and decreased vision. Diagnostic tests such as imaging studies (CT or MRI scans) and biopsy may be used to rule out other causes of orbital inflammation. Treatment typically involves corticosteroids to reduce inflammation, although other immunosuppressive medications may be necessary in severe cases. In some cases, the condition may resolve on its own without treatment.

Digital subtraction angiography (DSA) is a medical imaging technique used to visualize the blood vessels and blood flow within the body. It combines the use of X-ray technology with digital image processing to produce detailed images of the vascular system.

In DSA, a contrast agent is injected into the patient's bloodstream through a catheter, which is typically inserted into an artery in the leg and guided to the area of interest using fluoroscopy. As the contrast agent flows through the blood vessels, X-ray images are taken at multiple time points.

The digital subtraction process involves taking a baseline image without contrast and then subtracting it from subsequent images taken with contrast. This allows for the removal of background structures and noise, resulting in clearer images of the blood vessels. DSA can be used to diagnose and evaluate various vascular conditions, such as aneurysms, stenosis, and tumors, and can also guide interventional procedures such as angioplasty and stenting.

Radiosurgery is a non-invasive surgical procedure that uses precisely focused beams of radiation to treat various medical conditions, primarily in the field of neurosurgery and oncology. It allows for the destruction of targeted tissue while minimizing damage to surrounding healthy structures. Unlike traditional surgery, radiosurgery does not require any incisions, as it delivers radiation through the skin to reach the intended target.

The term "stereotactic" is often associated with radiosurgery, which refers to the use of a three-dimensional coordinate system to precisely locate and target the affected area. This technique enables high doses of radiation to be delivered accurately and efficiently, maximizing therapeutic effectiveness while minimizing side effects.

Radiosurgery can be used to treat various conditions such as brain tumors (both malignant and benign), arteriovenous malformations (AVMs), trigeminal neuralgia, acoustic neuromas, pituitary adenomas, and spinal cord tumors. Common radiosurgery platforms include the Gamma Knife, CyberKnife, and linear accelerator-based systems like Novalis Tx or TrueBeam.

It is essential to note that although it is called "surgery," radiosurgery does not involve any physical incisions or removal of tissue. Instead, it relies on the destructive effects of high-dose radiation to ablate or damage targeted cells over time, leading to their eventual death and resolution of symptoms or tumor control.

Lemierre Syndrome, also known as post-anginal septicemia or necrobacillosis, is a rare but serious medical condition that typically follows a recent pharyngitis (throat infection) or upper respiratory tract infection. It is characterized by the spread of infection from the oropharynx to the internal jugular vein and subsequent septicemia (bloodstream infection), leading to metastatic infectious complications, most commonly affecting the lungs. The causative organism is usually a bacterium called Fusobacterium necrophorum.

The syndrome was first described by French physician André Lemierre in 1936. Symptoms may include fever, chills, severe neck pain and stiffness, difficulty swallowing, swelling of the jaw or neck, shortness of breath, and the formation of abscesses in various parts of the body. Rapid diagnosis and appropriate antibiotic treatment are crucial to prevent potentially life-threatening complications.

The ophthalmic nerve, also known as the first cranial nerve or CN I, is a sensory nerve that primarily transmits information about vision, including light intensity and color, and sensation in the eye and surrounding areas. It is responsible for the sensory innervation of the upper eyelid, conjunctiva, cornea, iris, ciliary body, and nasal cavity. The ophthalmic nerve has three major branches: the lacrimal nerve, frontal nerve, and nasociliary nerve. Damage to this nerve can result in various visual disturbances and loss of sensation in the affected areas.

Both sides of cavernous sinus is connected to each other via intercavernous sinuses. The cavernous sinus lies in between the ... carotid-cavernous fistula, bacterial infection causing cavernous sinus thrombosis, aseptic cavernous sinus thrombosis, ... Cavernous sinus syndrome is a medical emergency, requiring prompt medical attention, diagnosis, and treatment. Cavernous sinus ... pieces of the clot may break off and enter the cavernous sinus, forming a cavernous sinus thrombosis. From there the infection ...
... (CST) is the formation of a blood clot within the cavernous sinus, a cavity at the base of the brain ... "Cavernous sinus thrombosis: MedlinePlus Medical Encyclopedia". www.nlm.nih.gov. Retrieved 27 May 2016. "Cavernous Sinus ... "Guidelines Cavernous sinus thrombosis" (PDF). "Cavernous sinus thrombosis - NHS Choices". www.nhs.uk. NHS Choices. Retrieved 27 ... The most common form is septic cavernous sinus thrombosis. The cause is usually from a spreading infection in the nose, sinuses ...
Cavernous sinus syndrome polyneuropathy. Mononucleosis - With supra-orbital oedema, the eyes become puffy and swollen. This may ...
... our study showed that it is also indirectly connected to these sinuses via the suboccipital cavernous sinus. The vertebral ... Eur Radiol, 2005 Arnautovic, K.I., et al., The suboccipital cavernous sinus. J Neurosurg, 1997. 86(2): p. 252-62 Batson, O.V., ... 23(9): p. 1500-8 Takahashi, S., et al., Craniocervical junction venous anatomy around the suboccipital cavernous sinus: ... the superior longitudinal sinus, transverse sinus as well as other dural and cerebral veins" following injection of radiopaque ...
Cavernous sinus thrombosis is a specialised form of cerebral venous sinus thrombosis, where there is thrombosis of the ... Cerebral venous sinus thrombosis (CVST) is a rare form of stroke which results from the blockage of the dural venous sinuses by ... for example nasal or upper lip pustules may thus spread directly into the cavernous sinus, causing stroke-like symptoms of ... "Guidelines Cavernous sinus thrombosis" (PDF). MDGuidelines > Arterial Embolism And Thrombosis From The Medical Disability ...
It originates from the cavernous sinus. It passes backward and laterally to drain into the transverse sinus. The sinus runs in ... It receives blood from the cavernous sinus and passes backward and laterally to drain into the transverse sinus. The sinus ... The superior petrosal sinus is one of the dural venous sinuses located beneath the brain. ... The superior petrosal sinus may be affected by an arteriovenous malformation or arteriovenous fistula. Most do not resolve by ...
Amelot A, van Effenterre R, Kalamarides M, Cornu P, Boch AL (March 2018). "Natural history of cavernous sinus meningiomas". ...
It drains into the cavernous sinus. A sphenoparietal sinus is situated under each lesser wing of the sphenoid bone near the ... It terminates by draining into the anterior part of the cavernous sinus. A sphenoparietal sinus receives small veins from the ... The sphenoparietal sinus is a paired dural venous sinus situated along the posterior edge of the lesser wing of either sphenoid ... San Millán Ruíz D, Fasel J, Rüfenacht D, Gailloud P (2004). "The sphenoparietal sinus of Breschet: does it exist? An anatomic ...
Branson, Sara V.; McClintic, Elysa; Yeatts, R. Patrick (2018). "Septic Cavernous Sinus Thrombosis Associated With Orbital ... Complications include hearing loss, blood infection, meningitis, cavernous sinus thrombosis, cerebral abscess, and blindness. ... Orbital cellulitis occurs commonly from bacterial infection spread via the paranasal sinuses, usually from a previous sinus ... It is most commonly caused by an acute spread of infection into the eye socket from either the adjacent sinuses or through the ...
Oneç B, Oksüzoğlu B, Hatipoğlu HG, Oneç K, Azak A, Zengin N (July 2007). "Cavernous sinus syndrome caused by metastatic colon ...
... the ethmoid sinus, the sphenoidal sinus, and the maxillary sinus. Surgeons use this method to reach the cavernous sinus, ... The lateral approach is then used to reach the medial cavernous sinus and petrous apex. Lastly, the inferior approach is used ... Matula (1988). "Cavernous Sinus Surgery Approach Through the Lateral Wall". Acta Neurochirurgica. 92 (1-4): 76-82. doi:10.1007/ ... This approach makes a surgical corridor from the frontal sinus to the sphenoid sinus. This is done by the complete removal of ...
It passes across the middle of the cavernous sinus. It reaches the lateral surface of the posterior pituitary. It merges with ... It is a branch of the cavernous carotid artery, itself from the internal carotid artery. It supplies the posterior pituitary of ... The inferior hypophysial artery is a branch of the cavernous carotid artery, itself from the internal carotid artery. ...
This can cause cavernous sinus thrombosis. This can lead to damage of the nerves running through the cavernous sinus. When ... via the superior ophthalmic vein through the cavernous sinus. An infection of the face may spread to the cavernous sinus ... The superior ophthalmic vein drains into the cavernous sinus. The medial angle of the eye, nose and lips (known as the danger ... It may also be affected by an arteriovenous fistula of the cavernous sinus. The superior ophthalmic vein - together with the ...
... cavernous sinus DAVFs). Most commonly found adjacent to dural sinuses in the following locations: Transverse (lateral) sinus, ... External Manual Carotid Compression is Effective in Patients with Cavernous Sinus Dural Arteriovenous Fistulaetreatment. The ... Type II: dural arterial supply drains into venous sinus. High pressure in sinus results in both anterograde drainage and ... and it is associated with transverse-sigmoid sinus DAVFs. Carotid-cavernous DAVFs, on the other hand, are more closely ...
... cavernous sinus, trigeminal nerve, pituitary gland, and the anterior ethmoidal cells.: 500 The sphenoid sinuses vary in size ... Each sphenoid sinus communicates with the nasal cavity via the opening of sphenoidal sinus.: 500 The two sphenoid sinuses vary ... Posteriorly, an opening of sphenoidal sinus opens into the sphenoidal sinus by an aperture high on the anterior wall the sinus ... The sphenoid sinus is a paired paranasal sinus occurring within the body of the sphenoid bone. It represents one pair of the ...
It runs on the outer wall of the cavernous sinus. Finally, it enters the orbit through the superior orbital fissure and to ... diabetic neuropathy and cavernous sinus disease can affect the fourth nerve, as can orbital tumors and Tolosa-Hunt syndrome. In ... "Cavernous portion of the trochlear nerve with special reference to its site of entrance". J. Anat. 159:29-35, 1988 Hoya K, ...
"Endovascular treatment of carotid cavernous sinus fistula: A systematic review". World Journal of Radiology. 5 (4): 143-155. ... Angiography is used on rare occasions for TBIs i.e. when there is suspicion of an aneurysm, carotid sinus fistula, traumatic ...
and a sinus infection, referred to as Cavernous Sinus Thrombosis. Soon after, his eyes swelled and became infected. His ...
Damage to cranial nerves in the cavernous sinus leads to diplopia. Cranial nerve VI is often the first affected, leading to ... Invasion of the Cavernous Sinus by Medial Sphenoid Meningioma--"Radical" Surgery and Recurrence. Acta Neurochirurgica. 103(3-4 ... and palpebral swelling may also occur when the tumor impinges on the cavernous sinus by blocking venous return and leading to ...
It can be used for endovascular access to the cavernous sinus. The nasofrontal vein drains into the superior ophthalmic vein. ... The nasofrontal vein can be used to access the superior ophthalmic vein and the cavernous sinus with endovascular tools. This ... "Middle temporal vein access for transvenous embolization of Cavernous sinus dural arteriovenous fistula: A case report and ...
The plexus interconnects the internal jugular vein (extracranially) and cavernous sinus (intracranially). "Anatonomina". www. ...
The posterior petroclinoid ligament limits the posterior wall of the cavernous sinus. The angle between the two ligaments ... The anterior petroclinoid ligament acts to laterally limit the superior wall of the cavernous sinus. ...
Management of Cavernous Sinus Involvement in Sinonasal and Ventral Skull Base Malignancies (2017) Couldwell, WT; Raheja, A ( ... "Management of Cavernous Sinus Involvement in Sinonasal and Ventral Skull Base Malignancies". Otolaryngologic Clinics of North ...
If the cavernous sinus is infected, it can cause the blood within the sinus to clot, resulting in a cavernous sinus thrombosis ... between the facial vein and the cavernous sinus. The cavernous sinus lies within the cranial cavity, between layers of the ... Inside the cavernous sinus, constriction of the following cranial nerves (CN) can be found: CN III (oculomotor nerve), CN IV ( ... In 1937, a study found that 61% of the cases of cavernous sinus thrombosis were the result of furuncles on the upper part of ...
... which is the portion of the internal carotid plexus in the cavernous sinus. The plant genus Waltheria from the family ...
Septic thrombosis of cavernous or dural venous sinus can sometimes be a complication. Treatment is not standardized for other ...
Complications such as cavernous sinus thrombosis and Ludwig angina can be life-threatening. Four things are required for caries ...
Each inferior petrosal sinus drains the cavernous sinus into the internal jugular vein. The inferior petrosal sinus is situated ... Sagittal section of the skull, showing the sinuses of the dura. Dural venous sinuses Inferior petrosal sinus sampling This ... It begins below and behind the cavernous sinus and, passing through the anterior part of the jugular foramen, ends in the ... The inferior petrosal sinuses are two small sinuses situated on the inferior border of the petrous part of the temporal bone, ...
It can be a route of spread of infection from the danger triangle of the face to the cavernous sinus. The angular vein is the ... Any infection of the mouth or face (such as the danger triangle of the face) can spread to the cavernous sinus via the angular ... This also connects it with the inferior ophthalmic vein and the cavernous sinus. These do not have valves.[citation needed] The ...
As arterial blood under high pressure enters the cavernous sinus, the normal venous return to the cavernous sinus is impeded ... Direct fistulas occur when the Internal Carotid artery (ICA) itself fistulizes into the Cavernous sinus whereas indirect is ... Ong, CK; Wang, LL; Parkinson, RJ; Wenderoth, JD (2009). "Onyx embolisation of cavernous sinus dural arteriovenous fistula via ... A carotid-cavernous fistula results from an abnormal communication between the arterial and venous systems within the cavernous ...
Both sides of cavernous sinus is connected to each other via intercavernous sinuses. The cavernous sinus lies in between the ... carotid-cavernous fistula, bacterial infection causing cavernous sinus thrombosis, aseptic cavernous sinus thrombosis, ... Cavernous sinus syndrome is a medical emergency, requiring prompt medical attention, diagnosis, and treatment. Cavernous sinus ... pieces of the clot may break off and enter the cavernous sinus, forming a cavernous sinus thrombosis. From there the infection ...
Cavernous sinus thrombosis is a blood clot in an area at the base of the brain. ... Cavernous sinus thrombosis is a blood clot in an area at the base of the brain. ... Cavernous sinus thrombosis is most often caused by a bacterial infection that has spread from the sinuses, teeth, ears, eyes, ... The cavernous sinus receives blood from veins of the face and brain. The blood drains it into other blood vessels that carry it ...
The dural sinuses are grouped into the sagittal, lateral (including the transverse, sigmoid, and petrosal sinuses), and ... Cavernous sinus thrombosis (CST) was initially described by Bright in 1831 as a complication of epidural and subdural ... and petrosal sinuses), and cavernous sinuses. Because of its complex neurovascular anatomic relationship, cavernous sinus ... The cavernous sinuses are irregularly shaped, trabeculated cavities located at the base of the skull. The cavernous sinuses are ...
The cavernous sinus contents (structures within the sinus proper and also in its lateral wall) and their relative positions can ... Consider a coronal view of the cavernous sinus.. O TOM are the first letters of components of the lateral wall of cavernous ... the mandibular branch of the trigeminal nerve is not associated with the cavernous sinus since it has descended vertically ... Cavernous sinus contents (mnemonic). Last revised by Frank Gaillard â—‰ â—ˆ on 31 Jul 2019 ...
Cavernous sinus syndrome (CSS) was suspected. Bilateral deformities ... Cavernous sinus syndrome (CSS) was suspected. Bilateral deformities of the jaw and phalangeal bones, severe spinal pain and ...
Cavernous sinus syndrome (CSS) is characterized by deficits in more than one of the cranial nerves (CN) that traverse the ... cavernous sinus at the base of the cranial vault: CN III (oculomotor), IV (trochlear), ... Cavernous sinus syndrome (CSS) is characterized by deficits in more than one of the cranial nerves (CN) that traverse the ... A retrospective study of cavernous sinus syndrome in 4 dogs and 8 cats. ...
A resource for neurologists, neurology residents, medical students on a neurology rotation, and people interested in neurology or neuroscience. Review questions to help you study for the Neurology boards or RITE exam. Helpful PDA medical software.
The dural sinuses are grouped into the sagittal, lateral (including the transverse, sigmoid, and petrosal sinuses), and ... Cavernous sinus thrombosis (CST) was initially described by Bright in 1831 as a complication of epidural and subdural ... and petrosal sinuses), and cavernous sinuses. Because of its complex neurovascular anatomic relationship, cavernous sinus ... The cavernous sinuses are irregularly shaped, trabeculated cavities located at the base of the skull. The cavernous sinuses are ...
Become a Master of Diagnostic Imaging of Neurofibromatosis Type 2 (NF2) & Other Neurocutaneous Syndromes w/ case-based micro-learning from MRI Online. Earn CME!
Cavernous Sinus Thrombosis - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical ... Etiology of Cavernous Sinus Thrombosis The cavernous sinuses are trabeculated sinuses located at the base of the skull that ... Cavernous sinus thrombosis is a very rare, typically septic thrombosis of the cavernous sinus, usually caused by nasal ... Symptoms and Signs of Cavernous Sinus Thrombosis Initial symptoms of cavernous sinus thrombosis are progressively severe ...
A mass in the right cavernous sinus affected the cranial nerves within the cavernous sinus. As a result, mydriasis, decreased ... A mass in the right cavernous sinus affected the cranial nerves within the cavernous sinus. As a result, mydriasis, decreased ... cranial nerve pass through the cavernous sinus and extend into the orbital fissure (2,5,9,10). Cavernous sinus syndrome (CSS) ... cranial nerve pass through the cavernous sinus and extend into the orbital fissure (2,5,9,10). Cavernous sinus syndrome (CSS) ...
Preoperative brain CT showed an extra-axial enhancing mass lesion in the right cavernous sinus. On MRI, ipsilateral internal ... Primary MZBCL of the cavernous sinus is exceedingly rare, and preoperative confirmation poses a major challenge with CT and ... of the cavernous sinus. The case in this study is a 59-year-old immunocompetent male patient with a 2-month history of right ... Primary lymphoma of the cavernous sinus is a rare form of extranodal non-Hodgkin lymphoma, of which very few cases have been ...
... in nine patients with cavernous sinus meningiomas encasing the ICA who underwent en bloc resection of the cavernous sinus. ... in nine patients with cavernous sinus meningiomas encasing the ICA who underwent en bloc resection of the cavernous sinus. ... in nine patients with cavernous sinus meningiomas encasing the ICA who underwent en bloc resection of the cavernous sinus. ... in nine patients with cavernous sinus meningiomas encasing the ICA who underwent en bloc resection of the cavernous sinus. ...
Contralateral cavernous sinus syndrome after retrobulbar anesthetic injection [4]. P. A. Pearson, K. D. Solomon, T. J. Smith, A ... Contralateral cavernous sinus syndrome after retrobulbar anesthetic injection [4]. / Pearson, P. A.; Solomon, K. D.; Smith, T. ... Contralateral cavernous sinus syndrome after retrobulbar anesthetic injection [4]. In: American Journal of Ophthalmology. 1991 ... Contralateral cavernous sinus syndrome after retrobulbar anesthetic injection [4]. American Journal of Ophthalmology. 1991;111( ...
Sekhar LN, Sen CN, Lanzino G, Pomonis S. Carotid and Cranial Nerve Reconstruction after Removal of Cavernous Sinus Lesions. The ... Carotid and Cranial Nerve Reconstruction after Removal of Cavernous Sinus Lesions. In: The Keio Journal of Medicine. 1991 ; Vol ... Carotid and Cranial Nerve Reconstruction after Removal of Cavernous Sinus Lesions. Laligam N. Sekhar, Chandra N. Sen, Giuseppe ... Sekhar, LN, Sen, CN, Lanzino, G & Pomonis, S 1991, Carotid and Cranial Nerve Reconstruction after Removal of Cavernous Sinus ...
Magnified view of upper wall of right cavernous sinus and sellar structures. The left olfactory bulb and tract can be seen ... lateral wall of cavernous sinus) has been stripped to reveal the cavernous sinus, the cavernous internal carotid artery, and ... Sphenoid Sinus,Pituitary Stalk,Posterior Clinoid Process,Dorsum Sellae,Cavernous Sinus. ... Magnified view of upper wall of right cavernous sinus and sellar structures. The left olfactory bulb and tract can be seen ...
Cavernous Sinus Invasion Pituitary tumors with cavernous sinus invasion represent a neurosurgical challenge. Safe and effective ... Selective Resection of the Medial Wall of the Cavernous Sinus Pituitary adenomas often invade the medial wall of the cavernous ... Four cavernous sinus compartments are described based on their spatial relationship with the cavernous carotid artery: superior ... studying the cavernous sinus for over 15 years and has developed a surgical anatomy-based classification of the cavernous sinus ...
Mimicking Cavernous Sinus Meningioma - Als PDF herunterladen oder kostenlos online ansehen ... Cavernous Sinus Metastasis of Leiomyosarcoma with Orbital Extension along the Third Nerve, ... Similar a Cavernous Sinus Metastasis of Leiomyosarcoma with Orbital Extension along the Third Nerve, Mimicking Cavernous Sinus ... Similar a Cavernous Sinus Metastasis of Leiomyosarcoma with Orbital Extension along the Third Nerve, Mimicking Cavernous Sinus ...
ECR C Cavernous sinus pathology: CT and MRI ...posterng.netkey.at › esr › viewing. posterng.netkey.at ... ECR C Cavernous sinus pathology: CT and MRI findings -.... posterng.netkey.at ...
Eight aneurysms were localized in the cavernous sinus and 7 at the ophthalmic segment of the internal carotid artery. Four ... However, endovascular therapy is preferred for lesions in the cavernous sinus or for older patients with complicating medical ... Stent/coil treatment of very large and giant unruptured ophthalmic and cavernous aneurysms Surg Neurol. 2009 Jan;71(1):19-24; ...
Cavernous sinus. 44/1,733 (2.5). Skull base. 65/1,733 (3.8). Pulmonary†. 122/1,733 (7.0). ...
cavernous sinuses. . Each of these vessels are surrounded by smooth muscles and supported by elastic tissue composed of a ... This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis. ... Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood. ...
CONCLUSIONS:Cavernous hemangioma is a benign lesion of the paranasal sinuses. Due to non-specific clinical and radiological ... and facial deformity due to a giant cavernous hemangioma successfully treated by endoscopic sinus surgery. CASE REPORT:A 32- ... Hemangiomas are commonly located in the head and neck and rarely in the paranasal sinuses. These are benign vascular lesions, ... CONCLUSIONS: Cavernous hemangioma is a benign lesion of the paranasal sinuses. Due to non-specific clinical and radiological ...
Opthalmoplegia Caused by Thyroid Adenocarcinoma Invasion of the Cavernous Sinuses in the Dog. ... 2434 Total unilateral ophthalmoplegia has previously been described in two dogs with tumor invasion of the cavernous sinuses ... carcinoma invasion of the cavernous sinuses was confirmed in one case at necropsy. ...
Cavernous sinus syndrome. Cav-ernous sinus syndrome is a condition caused by any pathology involving the cavernous sinus. It ... Because of the wide variety of structures that pass through the cavernous sinus, the presentation of this disease can vary ...
Graham, KE, Samuels, MH, Nesbit, GM, Cook, DM, ONeill, OR, Barnwell, SL & Loriaux, DL 1999, Cavernous sinus sampling is ... This study was designed to determine whether cavernous sinus sampling (CSS) is as safe and accurate as IPSS, whether CSS can ... This study was designed to determine whether cavernous sinus sampling (CSS) is as safe and accurate as IPSS, whether CSS can ... This study was designed to determine whether cavernous sinus sampling (CSS) is as safe and accurate as IPSS, whether CSS can ...
Cavernous Sinus Meningioma: Occurs near the area that drains deoxygenated blood to the heart from the brain. ... Some meningiomas are found along the dural lining in the venous sinuses of the brain and skull base - locations where arachnoid ...
... and ethmoid sinuses. These cavities directly communicate with the nasal cavity. The secretions from these sinuses drain into ... Like the nasal cavity, the wall lining of the sinuses also secretes mucus. The cilia on the surface sweep the mucus in a carpet ... The lateral walls are spiral shaped mucosal folds that overlie the turbinates and sinus ducts draining into the ostia. The ... Air containing mucosal lined sinuses surround the nasal cavity, which includes the frontal, paired maxillary, sphenoid, ...
Left maxillary, ethmoid sinusitis; left orbital cellulitis; possible cavernous sinus thrombosis. Unaffected. Yes. Hb, 7.7; TLC ... Left-side open debridement of sinuses. Dexamethasone, 6 mg o.d. for 12 d; methylprednisolone, 125 mg o.d. for 2 d (before ... Right-side open debridement of sinuses. Dexamethasone, 4 mg o.d. for 5 d (before presenting to our center). Doxycycline, ... Right-side open debridement of sinuses along with orbital decompression. Prednisolone, 30 mg o.d. for 5 d; tapered in 25 d ( ...
  • Lesions affecting the cavernous sinus may affect isolated nerves or all the nerves traversing through it. (wikipedia.org)
  • All cats had initial signs referable to a left CSS lesion (one had bilateral CSS), whereas in all dogs the lesions were localized to the right cavernous sinus. (avmi.net)
  • During the last 7 years, approximately 170 neoplasms, and 35 vascular lesions involving the cavernous sinus were treated by the first two authors. (elsevierpure.com)
  • Direct vein graft reconstruction of the intracavernous carotid artery is a valuable tool during the management of cavernous sinus lesions. (elsevierpure.com)
  • During microsurgical removal of cavernous sinus lesions, the cranial nerves III-VI were reconstructed by direct resuture or by nerve grafting in 16 patients. (elsevierpure.com)
  • However, endovascular therapy is preferred for lesions in the cavernous sinus or for older patients with complicating medical problems. (nih.gov)
  • 2 Hakuba A, Tanaka K, Suzuki T, Nishimura S. A combined orbitozygomatic infratemporal epidural and subdural approach for lesions involving the entire cavernous sinus. (thieme-connect.de)
  • Vascular lesions with an intraosseus nidus involving the skull base are uncommon and challenging [Gianoli GJ, Amedee RG Vascular malformation of the sphenoid sinus. (upmc.com)
  • The purpose of this case study is to describe the ophthalmic presentation and note the diagnosis of a cavernous sinus tumor in a dog with neuro-ophthalmologic deficits. (e-jvc.org)
  • Background: Meningiomas are the most common tumor involving the cavernous sinus. (elsevierpure.com)
  • Methods: The en bloc tumor-ICA specimens were fixed in formalin, embedded in paraffin, and sectioned on a rotary microtome. (elsevierpure.com)
  • In all cases tumor cells were found in the adventitia of the cavernous carotid with stenosis of the arterial lumen. (elsevierpure.com)
  • He has developed new surgical techniques for pituitary tumors invading the cavernous sinus and extending into the brain space that allow for higher rates of complete tumor removal and long-term remission in functional tumors. (stanford.edu)
  • Dr. JFM has meticulously investigated the medial wall of the cavernous sinus introducing a classification of the parasellar ligaments and their role in anchoring the medial wall, and has developed an innovative technique for selective resection of the medial wall when invaded by tumor. (stanford.edu)
  • Only 1 patient harboring a left cavernous sinus meningioma had tumor recurrence and underwent repeat resection. (medscape.com)
  • Cavernous sinus thrombosis (CST) is usually a late complication of an infection of the central face or paranasal sinuses. (medscape.com)
  • This intimate juxtaposition of veins, arteries, nerves, meninges, and paranasal sinuses accounts for the characteristic etiology and presentation of cavernous sinus thrombosis (CST). (medscape.com)
  • Sinusitis Sinusitis is inflammation of the paranasal sinuses due to viral, bacterial, or fungal infections or allergic reactions. (msdmanuals.com)
  • Hemangiomas are commonly located in the head and neck and rarely in the paranasal sinuses. (amjcaserep.com)
  • Cavernous hemangioma is a benign lesion of the paranasal sinuses. (amjcaserep.com)
  • The nasal cavity also functions to facilitate drainage for the secretions from the adjacent paranasal sinuses. (nih.gov)
  • All of these paranasal sinuses, except the sphenoid, communicate with the nasal cavity via ducts that drain through ostia, which empty into spaces located on the lateral wall. (nih.gov)
  • The dura is opened, and the meningioma can be seen extending en plaque over the surface of the brain. (medscape.com)
  • Magnetic resonance imaging and computed tomography revealed a mass extending from the right cavernous sinus to the orbital fissure with neighboring bone lysis. (e-jvc.org)
  • A 59-year-old man with pathologically confirmed primary MZBCL of the right cavernous sinus. (biomedcentral.com)
  • a Axial contrast-enhanced (CE) brain CT shows a bulging mass lesion (arrowhead) in the right cavernous sinus and measures 2.0 × 3.3 cm in size. (biomedcentral.com)
  • The cavernous sinus within the human head is one of the dural venous sinuses creating a cavity called the lateral sellar compartment bordered by the temporal bone of the skull and the sphenoid bone, lateral to the sella turcica. (wikipedia.org)
  • These sinuses are just lateral and superior to the sphenoid sinus and are immediately posterior to the optic chiasm, as depicted in the image below. (medscape.com)
  • Anatomy of cross section of cavernous sinus showing close proximity to cranial nerves and sphenoid sinus. (medscape.com)
  • The cavernous sinuses receive venous blood from the facial veins (via the superior and inferior ophthalmic veins) as well as the sphenoid and middle cerebral veins. (medscape.com)
  • The bone of the planum sphenoidale, anterior to the tuberculum, has been removed to expose the sphenoid sinus. (neurosurgicalatlas.com)
  • Dura mater lateral to the body of the sphenoid (lateral wall of cavernous sinus) has been stripped to reveal the cavernous sinus, the cavernous internal carotid artery, and the ophthalmic (CNV1) nerve. (neurosurgicalatlas.com)
  • Crimson Publishers-An Unusual Case of Secondary in Sphenoid Sinus from Carcin. (slideshare.net)
  • Air containing mucosal lined sinuses surround the nasal cavity, which includes the frontal, paired maxillary, sphenoid, and ethmoid sinuses. (nih.gov)
  • Surrounding the nasal cavities are air-containing mucosal lined sinuses, which include the frontal sinuses (superior anterior), ethmoid sinuses (superior), paired maxillary sinuses (lateral), and sphenoid sinuses (posterior). (nih.gov)
  • The sphenoid sinus empties into the posterior roof. (nih.gov)
  • 1994)]. We present a pediatric patient, with a life-threatening arteriovenous malformation (AVM) of the sphenoid sinus, clivus, and ventral skull base, who failed routine multimodality management of AVMs. (upmc.com)
  • Cavernous sinus thrombosis is a very rare, typically septic thrombosis of the cavernous sinus, usually caused by nasal furuncles or bacterial sinusitis. (msdmanuals.com)
  • There are reports on various other risks like rhinoliquorrhea, brain damage, fistulas between sinus-cavernosus and carotid artery, aneurysms and thrombosis of the cavernous sinus. (egms.de)
  • The effect of these findings on the management of cavernous sinus meningiomas and the involved ICA is discussed. (elsevierpure.com)
  • Structures within the outer (lateral) wall of the compartment from superior to inferior: Oculomotor nerve Trochlear nerve Ophthalmic and maxillary branches of the trigeminal nerve Structures passing through the midline (medial) wall: Abducens nerve Internal carotid artery accompanied by the internal carotid plexus These nerves, with the exception of CN V2, pass through the cavernous sinus to enter the orbital apex through the superior orbital fissure. (wikipedia.org)
  • The maxillary branch passes external to, but immediately adjacent to, the lateral wall of the sinus. (wikipedia.org)
  • The third and fourth cranial nerves are attached to the lateral wall of the sinus. (medscape.com)
  • O TOM' are the first letters of components of the lateral wall of cavernous sinus considered vertically, from the top to the bottom. (radiopaedia.org)
  • The oculomotor (CNIII) nerves can be seen entering the lateral wall of the cavernous sinus. (neurosurgicalatlas.com)
  • Eight aneurysms were localized in the cavernous sinus and 7 at the ophthalmic segment of the internal carotid artery. (nih.gov)
  • Conclusion Despite its technical difficulty, the FTOZ TCA should be considered for the surgical management of basilar apex aneurysms and tumors surrounding the cavernous sinus, sellar/parasellar, retrochiasmatic, and petroclival region. (thieme-connect.de)
  • In (harmless) cavernous sinus aneurysms, the mortality was still 4% (3 of 76). (ajnr.org)
  • We must realize that this high complication rate and high rate of unintended parent vessel occlusion concerns elective treatments of unruptured aneurysms with an often low chance of rupture or a benign natural history (cavernous sinus aneurysms) for which safer conventional treatments are available. (ajnr.org)
  • Cavernous sinus syndrome may result from mass effect of these tumors and cause ophthalmoplegia (from compression of the oculomotor nerve, trochlear nerve, and abducens nerve), ophthalmic sensory loss (from compression of the ophthalmic nerve), and maxillary sensory loss (from compression of the maxillary nerve). (wikipedia.org)
  • In seven cases, the tumors were excised en bloc along with the stenotic ICA segment. (elsevierpure.com)
  • Pituitary tumors with cavernous sinus invasion represent a neurosurgical challenge. (stanford.edu)
  • Inferior petrosal sinus sampling (IPSS) is used to distinguish pituitary Cushing's disease from occult cases of the ectopic ACTH syndrome, but is limited in that it requires the use of ovine CRH (oCRH) and is not highly accurate at predicting the intrapituitary location of tumors. (elsevierpure.com)
  • This study was designed to determine whether cavernous sinus sampling (CSS) is as safe and accurate as IPSS, whether CSS can eliminate the need for oCRH stimulation, and whether CSS can accurately predict the intrapituitary location of tumors. (elsevierpure.com)
  • The cavernous sinuses are trabeculated sinuses located at the base of the skull that drain venous blood from facial veins. (msdmanuals.com)
  • The cavernous sinus receives blood from: Superior and inferior ophthalmic veins Sphenoparietal sinus Superficial middle cerebral veins Inferior cerebral veins Blood leaves the sinus via superior and inferior petrosal sinuses as well as via the emissary veins through the foramina of the skull (mostly through foramen ovale). (wikipedia.org)
  • As a venous sinus, the cavernous sinus receives blood from the superior and inferior ophthalmic veins and from superficial cortical veins, and is connected to the basilar plexus of veins posteriorly. (wikipedia.org)
  • The cavernous sinus receives blood from veins of the face and brain. (medlineplus.gov)
  • They, in turn, empty into the inferior petrosal sinuses, then into the internal jugular veins and the sigmoid sinuses via the superior petrosal sinuses. (medscape.com)
  • Because of its complex neurovascular anatomic relationship, cavernous sinus thrombosis is the most important of any intracranial septic thrombosis. (medscape.com)
  • Selected pituitary adenomas with cavernous sinus invasion can now be completely removed at the Stanford Pituitary Center. (stanford.edu)
  • Pituitary adenomas often invade the medial wall of the cavernous sinus, but this structure is generally not surgically removed because of the risk of vascular and cranial nerve injury. (stanford.edu)
  • Pituitary adenomas frequently invade the cavernous sinus. (go.jp)
  • The oblique transsphenoethmoidal approach, a modified standard transsphenoidal approach, was used to treat 19 patients with pituitary adenomas invading the cavernous sinus. (go.jp)
  • A complete lesion of the cavernous sinus disrupts CN III, IV, and VI, causing total ophthalmoplegia, usually accompanied by a fixed, dilated pupil. (wikipedia.org)
  • The authors evaluate the extent of carotid wall involvement in nine patients with cavernous sinus meningiomas encasing the ICA who underwent en bloc resection of the cavernous sinus. (elsevierpure.com)
  • Conclusion: These findings suggest that in the case of cavernous sinus meningiomas with encasement and stenosis of the intracavernous ICA, invasion of the vessel wall has occurred. (elsevierpure.com)
  • Some meningiomas are found along the dural lining in the venous sinuses of the brain and skull base - locations where arachnoid cap cells are most abundant. (aans.org)
  • Los meningiomas de nervio óptico y de seno cavernoso son patologías poco frecuentes, y hasta el momento no ha habido ningún reporte de que se presenten ambos en un mismo paciente. (bvsalud.org)
  • Optic nerve and cavernous sinus meningiomas are uncommon pathologies, and so far there have not been previously reported to occur in the same patient. (bvsalud.org)
  • Cavernous sinus syndrome (CSS) was suspected. (avmi.net)
  • Cavernous sinus syndrome (CSS) is characterized by deficits in more than one of the cranial nerves (CN) that traverse the cavernous sinus at the base of the cranial vault: CN III (oculomotor), IV (trochlear), VI (abducens), and the first two branches of CN V (trigeminal). (avmi.net)
  • An abnormally growing pituitary adenoma, sitting on the bony sella turcica, will expand in the direction of least resistance and eventually invade the cavernous sinus. (wikipedia.org)
  • The cavernous sinuses are the most centrally located of the dural sinuses and lie on either side of the sella turcica. (medscape.com)
  • The cavernous sinus is one of the dural venous sinuses of the head. (wikipedia.org)
  • From there the infection may spread to the dural venous sinuses. (wikipedia.org)
  • The dural sinuses are grouped into the sagittal, lateral (including the transverse, sigmoid, and petrosal sinuses), and cavernous sinuses. (medscape.com)
  • If the internal carotid artery ruptures within the cavernous sinus, an arteriovenous fistula is created (more specifically, a carotid-cavernous fistula). (wikipedia.org)
  • The internal carotid artery with its surrounding sympathetic plexus passes through the cavernous sinus. (medscape.com)
  • In addition, encasement of ipsilateral cavernous internal carotid artery is observed without causing narrowing of the vascular lumen (white arrow). (biomedcentral.com)
  • Four cavernous sinus compartments are described based on their spatial relationship with the cavernous carotid artery: superior, posterior, inferior, and lateral. (stanford.edu)
  • The cavernous sinus drains by two larger channels, the superior and inferior petrosal sinuses, ultimately into the internal jugular vein via the sigmoid sinus, also draining with emissary vein to pterygoid plexus. (wikipedia.org)
  • Inferior petrosal sinus sampling is mandatory to confirm that the source of ACTH production is the pituitary gland. (stanford.edu)
  • MRI study showed a large adenoma invading the superior and inferior compartments of the cavernous sinus, and compressing the optic apparatus. (stanford.edu)
  • In patients with thrombophlebitis of the facial vein, pieces of the clot may break off and enter the cavernous sinus, forming a cavernous sinus thrombosis. (wikipedia.org)
  • Cavernous sinus thrombophlebitis masquerading as ischaemic stroke: a catastrophic pitfall in any emergency department. (medscape.com)
  • Cavernous sinus thrombosis (CST) was initially described by Bright in 1831 as a complication of epidural and subdural infections. (medscape.com)
  • Destruction of cranial nerves III, IV VT, and the ophthalmic division of V by thyroid adeno- carcinoma invasion of the cavernous sinuses was confirmed in one case at necropsy. (avmi.net)
  • We herein describe the case of a 32-year-old male patient with recurrent epistaxis, nasal obstruction, and facial deformity due to a giant cavernous hemangioma successfully treated by endoscopic sinus surgery. (amjcaserep.com)
  • Anatomopathological examination confirmed a cavernous hemangioma. (amjcaserep.com)
  • Cranial nerve reconstruction should be attempted whenever the nerves are sacrificed in a patient who has a fair to excellent eye function preoperatively or whenever inadvertent injury to such nerves occurs during cavernous sinus surgery. (elsevierpure.com)
  • Safe and effective surgery in this area requires deep understanding of the cavernous sinus anatomy from an endonasal perspective. (stanford.edu)
  • Dr. JFM has been studying the cavernous sinus for over 15 years and has developed a surgical anatomy-based classification of the cavernous sinus with demonstrated utility for preoperative surgical planning and intraoperative guidance in pituitary surgery. (stanford.edu)
  • The risk is higher, when sinus surgery and rhinoplasty are combined. (egms.de)
  • Microsurgical anatomy and approaches to the cavernous sinus. (radiopaedia.org)
  • The optic nerve lies just above and outside the cavernous sinus, superior and lateral to the pituitary gland on each side, and enters the orbital apex via the optic canal. (wikipedia.org)
  • Because of its connections with the facial vein via the superior ophthalmic vein, it is possible to get infections in the cavernous sinus from an external facial injury within the danger area of the face. (wikipedia.org)
  • The 3rd, 4th, and 6th cranial nerves and the ophthalmic and maxillary branches of the 5th cranial nerve are adjacent to the cavernous sinus and are commonly affected in cavernous sinus thrombosis. (msdmanuals.com)
  • Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood. (limamemorial.org)
  • Apart from the blood which passes through a venous sinus, several anatomical structures, including some cranial nerves and their branches, also pass through the sinus. (wikipedia.org)
  • CA are the first letters of the structures located within the sinus. (radiopaedia.org)
  • The standard transsphenoidal approach does not provide satisfactory visualization of the cavernous sinus structures. (go.jp)
  • The cavernous sinuses are irregularly shaped, trabeculated cavities located at the base of the skull. (medscape.com)
  • The secretions from these sinuses drain into the nasal cavity via the thin-walled ostia. (nih.gov)
  • Like the nasal cavity, the wall lining of the sinuses also secretes mucus. (nih.gov)
  • The maxillary nerve, division V2 of the trigeminal nerve travels through the lower portion of the sinus and exits via the foramen rotundum. (wikipedia.org)
  • Metastatic LMSs have been described in the orbit, meninges, and skull base, however there are no reports of LMS metastasis into the cavernous sinuswith primary origin from lower extremity and long silent disease period of 7 years. (slideshare.net)
  • Cavernous sinus thrombosis is most often caused by a bacterial infection that has spread from the sinuses, teeth, ears, eyes, nose, or skin of the face. (medlineplus.gov)
  • Cavernous sinus thrombosis is treated with high-dose antibiotics given through a vein (IV) if an infection is the cause. (medlineplus.gov)
  • anaerobes are more common when the underlying condition is dental or sinus infection. (msdmanuals.com)
  • Since the cavernous sinuses receive blood via this distribution, infections of the face including the nose, tonsils, and orbits can spread easily by this route. (medscape.com)
  • This starts with wide surgical exposure to carefully explore all surfaces of the gland, including those in contact with the medial wall of the cavernous sinus, as microadenomas may cause mild bulging in the surface of the gland. (stanford.edu)
  • Initial symptoms of cavernous sinus thrombosis are progressively severe headache or facial pain, usually unilateral and localized to retro-orbital and frontal regions. (msdmanuals.com)