Servo A, Jääskinen J
Acta Neurochir (Wien). 1983;68(3-4):195-202. doi: 10.1007/BF01401178.
The venous drainage dynamics of the cavernous sinus were studied by means of 50 carotid angiograms and 18 orbital phlebographies performed on 47 patients with various tumours of the sellar area. Normal blood flow direction in the superior ophthalmic vein (SOV) (from the facial veins into the cavernous sinus) was seen in supra- and small intrasellar tumours, but not in parasellar tumours. In bigger intrasellar tumours and in parasellar tumours the reversed blood flow direction visible in the SOV (from the cavernous sinus into the facial veins) indicated infiltration or compression of the cavernous sinus by tumour. The sign of reversed flow together with CT findings is useful in differential diagnosis and in planning surgical treatment for tumours of the sellar area.
通过对47例患有鞍区各种肿瘤的患者进行50次颈动脉血管造影和18次眼眶静脉造影，研究了海绵窦的静脉引流动力学。在鞍上和鞍内小肿瘤中可见眼上静脉（SOV）的正常血流方向（从面部静脉流入海绵窦），但在鞍旁肿瘤中未见。在较大的鞍内肿瘤和鞍旁肿瘤中，SOV中可见的反向血流方向（从海绵窦流入面部静脉）表明肿瘤对海绵窦的浸润或压迫。血流反向的体征与CT表现一起有助于鞍区肿瘤的鉴别诊断和手术治疗方案的制定。
