vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2020.4.2vmireaviz-78Research ArticleМорфология, патологияMorphology, pathologyДуральная архитектура кавернозного синуса. Строение твердой мозговой оболочки селлярного регионаDural architecture of cavernous sinus. Structural Solid Marrow of the Sellyar RegionЛюньковаР. Н.LyunkovaR. N.

Люнькова Регина Николаевна - кандидат медицинских наук, нейрохирург

Москва

Moscow

regina.lunkova@mail.ruГБУЗ «ГКБ 68 им. В.П. Демихова ДЗМ»РоссияState Budgetary Institution of Health Care "V.P. Demikhov City Clinical Hospital" of the Department of Healthcare of the City of MoscowRussian Federation202031122020041032Copyright © Люнькова Р.Н., 20202020Люнькова Р.Н.Lyunkova R.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/78

Хирургия основания черепа требует знаний топографии внутренней сонной артерии, кавернозного синуса, черепных нервов селлярной и параклиноидной областей. Не менее важны знания топографии и строения твердой мозговой оболочки (ТМО) на основании черепа, дупликатур ТМО, связок намета мозжечка, менингеальных мембран (мембраны цистерн основания головного мозга, каротидно-окуломоторная мембрана проксимального каротидного кольца) и каротидных колец в нейроонкологии и в сосудистой нейрохирургии. В статье представлен результат изучения строения ТМО селлярной и параселлярной областей.

Surgery of the base of the skull requires knowledge of the topography of the internal carotid artery, cavernous sinus, cranial nerves of the sellyar and paraclinoid regions. Equally important is knowledge of the topography and structure of the dura mater (CSF) at the base of the skull, CSF duplicates, cerebellar ligaments, meningeal membranes (tank membranes of the brain base, carotid oculomotor membrane of the proximal carotid ring) and carotid rings in neurooncology and vascular neurosurgery. The article presents the results of the study of the structure of TMO in the selvary and paraselar regions.

кавернозный синусчерепные нервыселлярная областьпараклиноидная областьтвердая мозговая оболочкаcavernous sinuscranial nervesselloid regionparaclinoid regiondura materReferencesAbla A.A. et al. Current treatment strategies for cavernous internal carotid artery aneurysms // World Neurosurg. – 2014. – Vol. 82. – Р. 994–995.Abla A.A. et al. Current treatment strategies for cavernous internal carotid artery aneurysms // World Neurosurg. – 2014. – Vol. 82. – Р. 994–995.Aziz, К.M.А. Large Sphenoid Wing Meningiomas involving the cavernous sinus: Conservative surgical strategies for better functional outcomes // Neurosur-gery. – 2004. – Vol. 54, № 6. – P. 1375–1384.Aziz, К.M.А. Large Sphenoid Wing Meningiomas involving the cavernous sinus: Conservative surgical strategies for better functional outcomes // Neurosur-gery. – 2004. – Vol. 54, № 6. – P. 1375–1384.Basma J. Mobilization of the transcavernous oculomotor nerve during basilar aneurysm surgery: Biomechanical base for better outcome // Operative Neuro-surgery. – 2014. – Vol. 10, №1. – Р. 106–115.Basma J. Mobilization of the transcavernous oculomotor nerve during basilar aneurysm surgery: Biomechanical base for better outcome // Operative Neuro-surgery. – 2014. – Vol. 10, №1. – Р. 106–115.Bouthillier A et al. Segments of the internal carotid artery: a new classifi-cation // Neurosurgery. – 1996. – Vol. 38. – Р. 425-32.Bouthillier A et al. Segments of the internal carotid artery: a new classifi-cation // Neurosurgery. – 1996. – Vol. 38. – Р. 425-32.Chanda A. et al. Anatomical study of the orbitozygomatic transsellar-transcavernoustransclinoidal approach to the basilar artery bifurcation // Neurosurg. – 2002. – Vol. 97, № 2. – Р. 151–160.Chanda A. et al. Anatomical study of the orbitozygomatic transsellar-transcavernoustransclinoidal approach to the basilar artery bifurcation // Neurosurg. – 2002. – Vol. 97, № 2. – Р. 151–160.Chung B. et al. Ten Triangles around Cavernous Sinus for Surgical Approach, Described by Schematic Diagram and Three Dimensional Models with the Sec-tioned Images // Korean Med Sci. – 2016. – Vol. 31. –Chung B. et al. Ten Triangles around Cavernous Sinus for Surgical Approach, Described by Schematic Diagram and Three Dimensional Models with the Sec-tioned Images // Korean Med Sci. – 2016. – Vol. 31. –Р. 1455–1463Р. 1455–1463Curey S. et al. Validation of the superior interhemispheric approach for tu-berculum sellae meningioma: clinical article // Neurosurg. – 2012. – Vol. 117. – Р. 1013–1021.Curey S. et al. Validation of the superior interhemispheric approach for tu-berculum sellae meningioma: clinical article // Neurosurg. – 2012. – Vol. 117. – Р. 1013–1021.Dolenc VV et al. Cavernous Sinus: Developments and Future Per¬spectives. – New York: Springer, 2009.Dolenc VV et al. Cavernous Sinus: Developments and Future Per¬spectives. – New York: Springer, 2009.Dolenc VV. Anatomy and Surgery of the Cavernous Sinus. – New York: Springer-Verlag, 1989.Dolenc VV. Anatomy and Surgery of the Cavernous Sinus. – New York: Springer-Verlag, 1989.Dolenc, V.V. Microsurgical anatomy and surgery of the central skull base. – New York, Wien. Springer,Dolenc, V.V. Microsurgical anatomy and surgery of the central skull base. – New York, Wien. Springer,– 384 р.– 384 р.Everton K.L. et al. The Oculomotor Cistern: Anatomy and High-Resolution Imag-ing // American Journal of Neuroradiology August. – 2008. – Vol. 29 (7). – Р. 1344–1348.Everton K.L. et al. The Oculomotor Cistern: Anatomy and High-Resolution Imag-ing // American Journal of Neuroradiology August. – 2008. – Vol. 29 (7). – Р. 1344–1348.Federative Committee on Anatomical Terminology. Terminologia Ana¬tomica: In-ternational Anatomical Terminology. – Stuttgart: Thieme, 1998.Federative Committee on Anatomical Terminology. Terminologia Ana¬tomica: In-ternational Anatomical Terminology. – Stuttgart: Thieme, 1998.Figueiredo E.G. Anatomical and quantitative description of the transcavernous approach to interpeduncular and prepontine cisterns // Neurosurg. – 2006. – Vol. 104, № 1. – Р. 957–964.Figueiredo E.G. Anatomical and quantitative description of the transcavernous approach to interpeduncular and prepontine cisterns // Neurosurg. – 2006. – Vol. 104, № 1. – Р. 957–964.Fujimoto Y et al. Pterional transcavernous approach for large basilar top an-eurysm: significance of the exposure of Dolenc’s tri¬angle // Surg Cereb Stroke. – 1992. – Vol. 20. – Р. 191–195.Fujimoto Y et al. Pterional transcavernous approach for large basilar top an-eurysm: significance of the exposure of Dolenc’s tri¬angle // Surg Cereb Stroke. – 1992. – Vol. 20. – Р. 191–195.Isolan GR et al. Microsurgical anato¬my of the cavernous sinus: measurements of the triangles in and around it. // Skull Base. – 2007. – Vol. 17. – Р. 357–367.Isolan GR et al. Microsurgical anato¬my of the cavernous sinus: measurements of the triangles in and around it. // Skull Base. – 2007. – Vol. 17. – Р. 357–367.Kawase T. Meningeal architecture of the cavernous sinus: clinical and surgi-cal implications // Neurosurg. – 1996. – Vol. 39, № 3. – Р. 527–536.Kawase T. Meningeal architecture of the cavernous sinus: clinical and surgi-cal implications // Neurosurg. – 1996. – Vol. 39, № 3. – Р. 527–536.Kim, J.M. Microsurgical Anatomic Features and Nomenclature of the Paraclinoid Region [Text] / J.M. Kim, A. Romano // Neurosurgery. – 2000. – Vol. 46, № 3. – Р. 670–682.Kim, J.M. Microsurgical Anatomic Features and Nomenclature of the Paraclinoid Region [Text] / J.M. Kim, A. Romano // Neurosurgery. – 2000. – Vol. 46, № 3. – Р. 670–682.Kim JS et al. The pterional approach and extradural anterior clinoidectomy to clip paraclinoid aneurysms // Cerebrovasc En¬dovasc Neurosurg. – 2013. – Vol. 15. – Р. 260–266.Kim JS et al. The pterional approach and extradural anterior clinoidectomy to clip paraclinoid aneurysms // Cerebrovasc En¬dovasc Neurosurg. – 2013. – Vol. 15. – Р. 260–266.Kim Y. Quantitative study of the opticocarotid and carotid-oculomotor windows for the interpeduncular fossa, before and after internal carotid artery mobi-lization and posterior communicating division // Operative Neurosurgery. – 2015. – Vol. 11, № 1. – Р. 162–180.Kim Y. Quantitative study of the opticocarotid and carotid-oculomotor windows for the interpeduncular fossa, before and after internal carotid artery mobi-lization and posterior communicating division // Operative Neurosurgery. – 2015. – Vol. 11, № 1. – Р. 162–180.Krisht A.F. Surgical Clipping of Complex Basilar Apex Aneurysms: A Strategy for Successful Outcome Using the Pretemporal Transzygomatic Transcavernous Approach // Operative Neurosurgery. – 2005. – Vol. 56, Suppl. 2. – Р. 261–273.Krisht A.F. Surgical Clipping of Complex Basilar Apex Aneurysms: A Strategy for Successful Outcome Using the Pretemporal Transzygomatic Transcavernous Approach // Operative Neurosurgery. – 2005. – Vol. 56, Suppl. 2. – Р. 261–273.Krisht A.F. Transcavernous approach to diseases of the anterior upper third of the posterior fossa // Neurosurgical Focus. – 2005. – Vol. 19, № 2 (Е). – Р. 1–10.Krisht A.F. Transcavernous approach to diseases of the anterior upper third of the posterior fossa // Neurosurgical Focus. – 2005. – Vol. 19, № 2 (Е). – Р. 1–10.McLaughlin N. Extended subtemporal transtentorial approach to the anterior incisural space and upper clival region: experience with posterior circula-tion aneurysms // Operative Neurosurgery. – 2014. – Vol. 10, № 1. – Р. 15–24.McLaughlin N. Extended subtemporal transtentorial approach to the anterior incisural space and upper clival region: experience with posterior circula-tion aneurysms // Operative Neurosurgery. – 2014. – Vol. 10, № 1. – Р. 15–24.Muto, J. Meckel`s Cave Tumors: Relation to the meninges and minimally inva-sive approaches for surgery anatomic and clinical studies // Operative Neuro-surgery. – 2010. – Vol. 67, № 1. – P. 291–299.Muto, J. Meckel`s Cave Tumors: Relation to the meninges and minimally inva-sive approaches for surgery anatomic and clinical studies // Operative Neuro-surgery. – 2010. – Vol. 67, № 1. – P. 291–299.Park HS et al. Whole courses of the ocu¬lomotor, trochlear, and abducens nerves, identified in sectioned images and surface models // Anat Rec (Hobo-ken). – 2015. – Vol. 298. – P. 436–443.Park HS et al. Whole courses of the ocu¬lomotor, trochlear, and abducens nerves, identified in sectioned images and surface models // Anat Rec (Hobo-ken). – 2015. – Vol. 298. – P. 436–443.Park JS et al. A proposal of new reference system for the standard axial, sagit¬tal, coronal planes of brain based on the serially-sectioned images // Ko¬rean Med Sci. – 2010. – Vol. 25. – Р. 135–141.Park JS et al. A proposal of new reference system for the standard axial, sagit¬tal, coronal planes of brain based on the serially-sectioned images // Ko¬rean Med Sci. – 2010. – Vol. 25. – Р. 135–141.Park JS et al. Sectioned images of the cadaver head including the brain and corre¬spondences with ultrahigh field 70 T MRIs // Proc IEEE. – 2009. – Vol. 97. – Р. 1988–1996.Park JS et al. Sectioned images of the cadaver head including the brain and corre¬spondences with ultrahigh field 70 T MRIs // Proc IEEE. – 2009. – Vol. 97. – Р. 1988–1996.Samii M. Surgical management of to meningiomas originating in Meckel`s Cave // Neurosurg. – 1997. – Vol. 41, № 4. – Р. 767–774.Samii M. Surgical management of to meningiomas originating in Meckel`s Cave // Neurosurg. – 1997. – Vol. 41, № 4. – Р. 767–774.Sekhar L.N. Atlas of neurosurgical techniques. – Brain New York, Stuttgart: Thieme Medical, 2006. – 1074 p.Sekhar L.N. Atlas of neurosurgical techniques. – Brain New York, Stuttgart: Thieme Medical, 2006. – 1074 p.Shin DS et al. Portable document format file showing the surface models of cadaver whole body // Korean Med Sci. – 2012. – Vol. 27. – Р. 849–856.Shin DS et al. Portable document format file showing the surface models of cadaver whole body // Korean Med Sci. – 2012. – Vol. 27. – Р. 849–856.Toyooka T. et al. Effect of Fibrin Glue Injection into the Cavernous Sinus for Hemostasis during transcavernous surgery jn the Cerebral Venous Draining system // Operative Neurosurgery. – 2017. – Vol. 13. – Р. 224–231.Toyooka T. et al. Effect of Fibrin Glue Injection into the Cavernous Sinus for Hemostasis during transcavernous surgery jn the Cerebral Venous Draining system // Operative Neurosurgery. – 2017. – Vol. 13. – Р. 224–231.Tripathi M. et al. Quantitative analysis of the Kawase versus the modified Dolenc-Kawase approach for middle cranial fossa lesions with variable antero-posterior extension // Neurosurg. – 2015. – Vol. 123. – Р. 14–22.Tripathi M. et al. Quantitative analysis of the Kawase versus the modified Dolenc-Kawase approach for middle cranial fossa lesions with variable antero-posterior extension // Neurosurg. – 2015. – Vol. 123. – Р. 14–22.Van Loveren HR et al. The Do¬lenc technique for cavernous sinus exploration (cadaveric prosection). Technical note // Neurosurg. – 1991. – Vol. 74. – Р. 837–844.Van Loveren HR et al. The Do¬lenc technique for cavernous sinus exploration (cadaveric prosection). Technical note // Neurosurg. – 1991. – Vol. 74. – Р. 837–844.Wanibuchi, M. / M. Wanibuchi, A.H. Friedman, T. Fukushima // Photo Atlas of Skull Base Dissection / ed. M. Wanibuchi. – New York: Thieme Medical, 2009. – Р. 166-206, 247.Wanibuchi, M. / M. Wanibuchi, A.H. Friedman, T. Fukushima // Photo Atlas of Skull Base Dissection / ed. M. Wanibuchi. – New York: Thieme Medical, 2009. – Р. 166-206, 247.Wanibuchi, M. Trigeminal Schwannomas: Skull Base Approaches and Operative re-sults in 105 Patients // Operative Neurosurgery. – 2012. – Vol. 70, Suppl. 1. – Р. 132–144.Wanibuchi, M. Trigeminal Schwannomas: Skull Base Approaches and Operative re-sults in 105 Patients // Operative Neurosurgery. – 2012. – Vol. 70, Suppl. 1. – Р. 132–144.Watanabe A et al. Anatomical variations of the ten triangles around the cav-ernous sinus // Clin Anat. – 2003. – Vol. 16. – Р. 9–14.Watanabe A et al. Anatomical variations of the ten triangles around the cav-ernous sinus // Clin Anat. – 2003. – Vol. 16. – Р. 9–14.Yasuda A. Microsurgical anatomy and approaches to the cavernous sinus // Neu-rosurg. – 2008. – Vol. 62, № 6. – Suppl. 3. – Р. 1240–1263.Yasuda A. Microsurgical anatomy and approaches to the cavernous sinus // Neu-rosurg. – 2008. – Vol. 62, № 6. – Suppl. 3. – Р. 1240–1263.Yasuda A. The medial wall of the cavernous sinus Microsurgical anatomy // Neurosurg. – 2004. – Vol. 55, № 6. – Р. 179–190.Yasuda A. The medial wall of the cavernous sinus Microsurgical anatomy // Neurosurg. – 2004. – Vol. 55, № 6. – Р. 179–190.Yoon B.H. et al. Meningeal layers around anterior clinoid process as a deli-cate area in extradural an¬terior clinoidectomy: anatomical and clinical study // Korean Neurosurg Soc. – 2012. – Vol. 52. – Р. 391–395.Yoon B.H. et al. Meningeal layers around anterior clinoid process as a deli-cate area in extradural an¬terior clinoidectomy: anatomical and clinical study // Korean Neurosurg Soc. – 2012. – Vol. 52. – Р. 391–395.

The authors declare that there are no conflicts of interest present.