■涉及海绵窦的病变的处理仍然是一个巨大的挑战。为了优化对延伸到该颅底区域的肿瘤患者的护理,必须详细了解周围的骨学以及神经和血管关系。本文研究了该区域的总体解剖结构,并强调了从这些以及先前发表的研究中得出的重要手术含义。
■对历史科学的回顾,解剖,临床,和手术文献延伸到现在(1992年)有关海绵窦进行了研究和讨论。此外,作者进行并描述了尸体解剖,揭示了海绵窦宏观(硬脑膜和神经血管解剖关系)和微观结构的新细节。还报道了一系列海绵窦病变的病例,这些病例在作者所在机构的跨学科手术方法中得到了解决。
■本报告包括对海绵窦及其相关神经血管结构的胚胎学的全面回顾。尸体解剖还揭示了有关海绵窦以及相关动脉的硬脑膜/脑膜隔室的新颖细节,静脉,和神经关系。显微镜观察还揭示了对海绵窦的成分和结构的新颖的基本见解。来自20名患者的临床实例说明了海绵窦解剖知识的临床应用对于该地区病理的外科治疗至关重要。
■海绵窦是一个三部分的静脉骨膜腔,紧密相邻的重要结构,包括视神经束,脑垂体,颅神经III,IV,V,V,VI,还有颈内动脉.随着解剖和临床研究的增加以及诊断和手术方法的进步,海绵窦病变的手术管理已经并将继续发展。
■NA。
UNASSIGNED: The management of lesions involving the cavernous sinus remains a formidable challenge. To optimize care for patients with tumors extending into this skull base region a detailed understanding of the surrounding osteology as well as neural and vascular relationships is requisite. This thesis examines the gross anatomy of the region and highlights important surgical implications drawn from these as well as previously published studies.
UNASSIGNED: A review of the historical scientific, anatomic, clinical, and surgical literature extending to the present (1992) relating to the cavernous sinus has been performed and discussed. Additionally, the author has performed and described cadaveric dissections revealing novel details about the macroscopic (dural and neurovascular anatomic relationships) and microscopic structure of the cavernous sinus. A series of cases of cavernous sinus pathologies that were addressed in an interdisciplinary surgical approach at the author\'s institution is also reported.
UNASSIGNED: Included in this report is a comprehensive review of the embryology of the cavernous sinus and its associated neurovascular structures. Cadaveric dissections have also revealed novel details about dural/meningeal compartments of the cavernous sinus as well as well as associated arterial, venous, and neural relationships. Microscopic observations also reveal novel fundamental insights into the components and structure of the cavernous sinus. Clinical examples from 20 patients illustrate the critical importance for clinical application of cavernous sinus anatomic knowledge to the surgical treatment of pathologies in this region.
UNASSIGNED: The cavernous sinus is a tripartite venous osteomeningeal compartment intimately neighboring vital structures including the optic tracts, pituitary gland, cranial nerves III, IV, V, V, VI, and the internal carotid artery. Surgical management of cavernous sinus lesions has and continues to evolve with increasing anatomic and clinical study as well as advancements in diagnostic and surgical methodologies.
UNASSIGNED: NA.