The cavernous sinus is traditionally described as a single anatomical
compartment that contains cranial
nerves, blood vessels, and connective tissue. A detailed analysis of 45
infant
and 4 fetal parasellar regions
shows that this view must be modified. The spatial arrangement, the topographic
relations, and the
expansion of the adipose and connective tissue spaces were analysed and
reconstructed 3-dimensionally on a
computer. It is shown that 3 different anatomical compartments, which are
strictly demarcated by connective
tissue, compose the parasellar region of infants. Two represent intracranial
continuations of extracranial
tissue spaces. The 3rd compartment corresponds to the so-called
‘cavernous sinus’ of the adult. Each of the
3 compartments contains characteristic adipose tissue bodies. Because the
cavernous sinus represents only
one compartment of the area, we propose to use the term ‘parasellar
region’ to designate the entire
anatomical region on either side of the sella turcica.