Anatomy · Head and Neck

Cavernous sinus: relations, tributaries, communications and clinical significance

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  • Cavernous sinus: venous space on either side of the body of sphenoid and sella turcica in the middle cranial fossa, subdivided into small spaces (caverns) by trabeculae.

Location and Extent

  • Location: middle cranial fossa, either side of the body of sphenoid and sella turcica; 2 cm long, 1 cm wide.
  • Extent: anteriorly to the medial end of the superior orbital fissure, posteriorly to the apex of the petrous temporal bone.
  • Floor formed by the endosteal layer; lateral wall, roof and medial wall formed by the meningeal layer, the roof continuous medially with the diaphragma sellae.
  • Posterior roof bears a triangular depression between the tentorium cerebelli's attachment to the posterior clinoid process and the ridge from its free edge to the anterior clinoid process.
  • The oculomotor and trochlear nerves pierce this triangle to enter the sinus.

Relations