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Sinus kavernozusun lateral duvarında seyreden kraniyal sinirlerin radyolojik ve anatomik olarak değerlendirilmesi

Radiological and anatomical evaluation of the cranial nerves running lateral wall of the cavernous sinus

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
The cavernous sinus is a clinically important structure. Injuries of the cranial nerves running lateral wall of the cavernous sinus may occur during surgery of this region. The descriptions of the sinus and its contents show great variation. To demonstrate the route of cranial nerves within the cavernous sinus with magnetic resonance imaging is useful. In this study the dimension and shape of the cavernous sinuses and courses of the nerves on its lateral wall were investigated radiologically and anatomically. In addition, the trabeculated venous space of the sinus was studied. Fifty magnetic resonance images with normal pituitary gland were chosen for radiological study, and 10 fetal and 5 adult cadavers were used for anatomical study. Asymmetric cavernous sinuses were encountered during magnetic resonance imaging. Differences in the courses of the cranial nerves on the lateral wall of this sinus were identified. The width of the sinus was identified in fetuses and adults. To know the anatomy of the cavernous sinus’s related structures will provide a great benefit in minimizing the rate of complications which may occur during the resection of tumors of the cavernous sinus and the hypophysis, or other surgical procedures at this region.
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Abstract (Original Language): 
Sinus kavernozus klinik olarak önemli bir yapıdır. Sinus kavernozusa yakın bölgenin cerrahisi esnasında sinus kavernozusun lateral duvarında seyreden kraniyal sinirlerin hasarı görülebilir. Sinus kavernozusun tanımı ve onun içeriği büyük farklılıklar gösterir. Sinus kavernozus içerisindeki kraniyal sinirlerin manyetik rezonans görüntüleme yöntemi ile gösterilmesi yararlıdır. Bu çalışmada sinus kavernozusun çapı ve şekli, onun dış duvarında bulunan sinirlerin seyri radyolojik ve anatomik olarak incelendi. İlave olarak, sinusun trabeküler venöz boşluğu çalışıldı. Normal glandula pituitaria’ya sahip 50 manyetik rezonans görüntüsü radyolojik çalışma için seçildi. On fetal ve 5 erişkin kadavra anatomik çalışma için kullanıldı. Sinus kavernozusun boyutu ve şekli ile onun lateral duvarındaki kraniyal sinirlerin seyri araştırıldı. Manyetik rezonans görüntüleme sırasında asimetrik kavernöz sinüslerle karşılaşıldı. Sinus kavernozusun lateral duvarındaki kraniyal sinirlerin seyir farklılıkları tespit edildi. Fetuslardaki ve erişkinlerdeki sinus genişliği ortaya kondu. Sinus kavernozusa komşu yapıların anatomisini bilmek sinus kavernozus ve hipofiz tümörlerinin rezeksiyonu veya bu bölgedeki diğer cerrahi uygulamalar esnasında ortaya çıkabilen komplikasyonları azaltmada büyük katkı sağlayacaktır.
FULL TEXT (PDF): 
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  • 3
162-166
  • English

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