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Abstract

MR Imaging of the Cavernous Sinus: Value of Spin Echo and Gradient Recalled Echo Images

David L. Daniels, Leo F. Czervionke, Jean F. Bonneville, F. Cattin, Leighton P. Mark, Peter Pech, Lloyd E. Hendrix, David F. Smith, Victor M. Haughton and Alan L. Williams
American Journal of Neuroradiology September 1988, 9 (5) 947-952;
David L. Daniels
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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Leo F. Czervionke
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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Jean F. Bonneville
2Department of Neuroradiology, University Hospital of Besancon, 2, Place Saint Jacques, F-25030 Besancon, France
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F. Cattin
2Department of Neuroradiology, University Hospital of Besancon, 2, Place Saint Jacques, F-25030 Besancon, France
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Leighton P. Mark
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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Peter Pech
3Department of Radiology, Uppsala University Hospital, S-751 85 Uppsala, Sweden
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Lloyd E. Hendrix
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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David F. Smith
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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Victor M. Haughton
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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Alan L. Williams
1Department of Radiology, Medical College of Wisconsin, Froedtert Memorial Lutheran Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226. Address reprint requests to D. L. Daniels
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Abstract

A detailed evaluation of the MR appearance of the pituitary gland–cavernous sinus junction has not been described. In a series of coronal T1-weighted spin echo images without and with IV gadolinium, we noted the variable size and signal intensity of cavernous venous spaces adjacent to the pituitary gland and the inconsistent visualization of the dural membrane just lateral to the gland.

Correlation of coronal T1-weighted spin echo and gradient recalled echo images (the latter with high-signal-intensity vascular structures) proved to be an effective means of identifying cavernous venous spaces, connective tissue and cranial nerves, and the lateral margins of the pituitary gland, and of differentiating tumor tissue from cavernous venous spaces. Further work is needed to develop criteria to distinguish cavernous sinus compression from actual tumor invasion.

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American Journal of Neuroradiology
Vol. 9, Issue 5
1 Sep 1988
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MR Imaging of the Cavernous Sinus: Value of Spin Echo and Gradient Recalled Echo Images
David L. Daniels, Leo F. Czervionke, Jean F. Bonneville, F. Cattin, Leighton P. Mark, Peter Pech, Lloyd E. Hendrix, David F. Smith, Victor M. Haughton, Alan L. Williams
American Journal of Neuroradiology Sep 1988, 9 (5) 947-952;

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MR Imaging of the Cavernous Sinus: Value of Spin Echo and Gradient Recalled Echo Images
David L. Daniels, Leo F. Czervionke, Jean F. Bonneville, F. Cattin, Leighton P. Mark, Peter Pech, Lloyd E. Hendrix, David F. Smith, Victor M. Haughton, Alan L. Williams
American Journal of Neuroradiology Sep 1988, 9 (5) 947-952;
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