Heavily t2-weighted magnetic resonance landmarks of the cavernous sinus and paracavernous region.

The purpose of this study was to evaluate the magnetic resonance anatomy of the cavernous sinus. Heavily T2-weighted submillimetric sequence in sagittal, coronal, and axial planes was performed in 16 healthy patients. The sequence provides high contrast between fluid and other structures of the cavernous sinus. High signal intensity of the venous spaces of the cavernous sinus provides a kind of a background for internal carotid artery, cranial nerves, and meninges, as well as bony and fibrous structures. The study was performed with the help of an anatomic atlas. Different magnetic resonance (MR) landmarks of the cavernous and parasellar region were introduced and demonstrated. MR images, superior to computer tomography, allow a detailed assessment of the cavernous sinus anatomy. Delineation by magnetic resonance of tiny anatomical structures may help the neurosurgeon trace the exact outline of a tumor and help to plan an adequate strategy if complete resection is attempted.