Parkinson D
Department of Human Anatomy and Cell Biology, University of Manitoba, Faculty of Medicine, Winnipeg, Canada.
Anat Rec. 1998 Aug;251(4):486-90. doi: 10.1002/(SICI)1097-0185(199808)251:4<486::AID-AR7>3.0.CO;2-Q.
Claudios Galen (119-199 a.d.) dissected lower animals with parasellar carotid retia bathed in venous blood and transposed his findings to human anatomy. Andreas Vesalius (1514-1564) corrected most of Galen's errors but apparently never looked into this small, extradural compartment, nor, apparently, did Winslow (Exposition Anatomique de la Structure du Corps Humain. London: N. Prevast, 1734), who christened it the "cavernous sinus," (CS) presumably thinking that it would resemble the corpora cavernosa of the penis. Multiple surgical explorations, gross dissections, microscopic views, and vascular casts from early fetuses to an 81 year old have been examined and reviewed. The CS is not a dural sinus nor is it cavernous. The compartment is extradural, and the venous structures contained within consist of a greatly variable plexus of extremely thin-walled veins. The name, CS, is a barrier to the understanding of the structure and function of this extradural anatomical jewel box, which contains fat, myelinated and nonmyelinated nerves, arteries, and a plexus of veins. It is proposed that this name be changed, because it is inaccurate and misleading. The replacement should leave no doubt about its meaning. The lateral sellar compartment is descriptive and accurate. The veins within are a parasellar plexus.
克劳迪乌斯·盖伦（公元119 - 199年）解剖了蝶鞍旁颈动脉网浸于静脉血中的低等动物，并将其发现应用于人体解剖学。安德烈亚斯·维萨里（1514 - 1564年）纠正了盖伦的大部分错误，但显然从未研究过这个小的硬膜外腔隙，显然温斯洛（《人体结构解剖学阐释》。伦敦：N. 普雷瓦斯特，1734年）也没有，他将其命名为“海绵窦”（CS），大概是认为它类似于阴茎的海绵体。对从早期胎儿到81岁个体的多次手术探查、大体解剖、显微镜观察和血管铸型进行了检查和回顾。海绵窦既不是硬脑膜窦也并非呈海绵状。该腔隙是硬膜外的，其中包含的静脉结构由一个极其薄壁静脉组成的高度可变的静脉丛构成。“海绵窦”这个名称妨碍了对这个硬膜外解剖学珍宝盒的结构和功能的理解，这个珍宝盒包含脂肪、有髓和无髓神经、动脉以及一个静脉丛。有人提议更改这个名称，因为它不准确且具有误导性。替代名称应使其含义毫无疑义。蝶鞍外侧腔隙具有描述性且准确。其中的静脉是蝶鞍旁静脉丛。
