78. Neuroanatomy of cavernous sinus and sellar region: clinico-anatomical correlation

Article type: Letter to Editor                                                                                    

Article title: Neuroanatomy of cavernous sinus and sellar region:

clinico-anatomical correlation

 

Journal: Ibnosina Journal of Medicine and Biomedical Sciences

Year: 2020

Authors: Jamir Pitton Rissardo, Ana Letícia Fornari Caprara           

E-mail: jamirrissardo@gmail.com

 

ABSTRACT

As we already stated previously, any process that affects the intracranial region may lead to lesions in more than one cranial nerve (CN) or structure, and when this occurs, the clinical presentation could be complex, causing a delay in the diagnosis. One example of this complexity is the isolated Horner's syndrome secondary to rhinosinusitis, which can be explained by Raeder syndrome affecting the third neuron of the oculosympathetic pathway. The sellar region includes the sella turcica and the pituitary gland (adenohypophysis and neurohypophysis); on the other hand, the parasellar region comprizes the cavernous sinuses, suprasellar cistern, hypothalamus, and ventral inferior third ventricle. It is noteworthy that the anatomic localization of the lesions during the clinical examination is essential for the differential diagnosis between sellar and parasellar lesions. In this way, due to the small size of the pituitary gland and its proximity to many important structures, the neuroimaging diagnosis is challenging.

Keywords: Cavernous sinus, sellar, parasellar, pituitary


Full text available at:

https://www.ijmbs.org/article.asp?issn=1947-489X;year=2020;volume=12;issue=2;spage=137;epage=138;aulast=Rissardo

 

DOI

10.4103/ijmbs.ijmbs_32_20

 

Citation

Rissardo JP, Caprara AL. Neuroanatomy of cavernous sinus and sellar region: clinico-anatomical correlation. Ibnosina J Med Biomed Sci 2020;12:137-8