Turkish Neurosurgery 2011 , Vol 21 , Num 4
Location of the Abducent Nerve within the Cavernous Sinus
Yalcin KIRICI1, Cenk KILIC1, Murat KOCAOGLU2
1Gulhane Military Medical Academy, Department of Anatomy, Ankara, Turkey
2Gulhane Military Medical Academy, Department of Radiology, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN .4305-11.1 AIM: Knowing the distance between the superior and inferior border of Parkinson's triangle and the location of the abducent nerve within the cavernous sinus is important to decrease the complications which may occur during surgery. We aimed to investigate the cavernous sinus to decrease the complications that may occur during surgery to this area.

MATERIAL and METHODS: Fifty MRIs without pituitary gland abnormality were chosen for radiological assessment of CS. These images were from 18 males and 32 females, with ages ranging from 9 to 58 years and a median age of 28 years. We evaluated structures within and on the lateral wall of the cavernous sinus (especially Parkinson's triangle) with magnetic resonance imaging. The position of the abducent nerve and its level according to the cranial nerves running close the lateral wall were examined.

RESULTS: At the level of pituitary stalk, the distance between the trochlear nerve and the ophthalmic nerve ranged from 1 to 4 mm bilaterally. The abducent nerve was located between the trochlear and the ophthalmic nerves in 30% cases bilaterally.

CONCLUSION: The knowledge of the position of the abducent nerve will provide a great benefit in minimizing the rate of complications that may occur during the resection of tumors of the cavernous sinus. Keywords : Cavernous sinus, Abducent nerve, Trochlear nerve, Ophthalmic nerve

Corresponding author : Yalcin Kırıcı, ykirici@gata.edu.tr