Comparison of MR imaging, CT, and angiography in the evaluation of the enlarged cavernous sinus

W. L. Hirsch, F. G. Hryshko, L. N. Sekhar, James A Brunberg, E. Kanal, Richard E Latchaw, H. Curtin

Research output: Contribution to journalArticle

8 Scopus citations


Twenty-one patients with enlargement of the cavernous sinus were studied with CT and MR imaging. Eighteen of the patients also had cerebral angiography. MR was superior to CT in differentiating parasellar aneurysms from neoplastic masses. MR was also superior to both CT and angiography in defining the relationships of cavernous sinus neoplasms to the internal carotid artery, pituitary gland, optic chiasm, infundibulum, and fifth cranial nerves. Only in the definition of bone erosion or hyperostosis was MR inferior to another method (CT). We conclude that MR should be the initial diagnostic study in patients with symptoms of a parasellar mass, with supplementation when necessary by CT and angiography.

Original languageEnglish (US)
Pages (from-to)907-915
Number of pages9
JournalAmerican Journal of Neuroradiology
Issue number5
StatePublished - 1988
Externally publishedYes


ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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