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Lesions affecting the cavernous sinus may affect isolated nerves or all the nerves traversing through it. The pituitary gland lies between the two paired cavernous sinuses. 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. [4]
The cavernous nerve plexus (also called the Walther plexus [1]) is situated below and medial to that part of the internal carotid artery which is placed by the side of the sella turcica in the cavernous sinus, and is formed chiefly by the medial division of the internal carotid nerve.
Medially to the trigeminal ganglion are the internal carotid artery, and the posterior part of the cavernous sinus. [2] The motor root of the trigeminal nerve passes beneath the trigeminal ganglion to exit the skull through the foramen ovale. [2] The greater petrosal nerve passes underneath the trigeminal ganglion to reach the foramen lacerum.
Lateral to the foramen ovale is the foramen spinosum, for the passage of the middle meningeal vessels, and a recurrent branch from the mandibular nerve. Medial to the foramen ovale is the foramen lacerum ; in the fresh state the lower part of this aperture is filled up by a layer of fibrocartilage , while its upper and inner parts transmit the ...
The central retinal vein (retinal vein) is a vein that drains the retina of the eye.It travels backwards through the centre of the optic nerve accompanied by the central retinal artery before exiting the optic nerve together with the central retinal artery to drain into either the superior ophthalmic vein or the cavernous sinus.
The abducens nerve is most likely to show signs of damage first, with the most common complaints retro-orbital pain and the involvement of cranial nerves III, IV, V1, and VI without other neurological signs or symptoms. This presentation indicates either compression of structures in the superior orbital fissure or the cavernous sinus. [citation ...
The ophthalmic nerve (CN V 1) is a sensory nerve of the head. It is one of three divisions of the trigeminal nerve (CN V) , a cranial nerve . It has three major branches which provide sensory innervation to the eye , and the skin of the upper face and anterior scalp , as well as other structures of the head.
The cavernous nerves are post-ganglionic parasympathetic nerves that facilitate penile erection and clitoral erection. [1] They arise from cell bodies in the inferior hypogastric plexus where they receive the pre-ganglionic pelvic splanchnic nerves (S2-S4). In the penis, there are both lesser cavernous nerves and a greater cavernous nerve.