neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2015-0-4-64-70neurosurgery-222Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУFOR PRACTITIONERSТреугольники основания черепа (часть 2)The skull base triangles (Part 2)ЛюньковаРегина НиколаевнаLyun’KovaR. N.regina.lunkova@mail.ruКрыловВладимир ВикторовичKrylovV. V.noemail@neicon.ruМГМСУRussian FederationМГМСУ; НИИ скорой помощи им. Н.В. СклифосовскогоRussian Federation201505102017046470Copyright © Люнькова Р.Н., Крылов В.В., 20172017Люнькова Р.Н., Крылов В.В.Lyun’Kova R.N., Krylov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/222

Знание топографии треугольников основания черепа необходимо для проведения транскавернозных доступов к труднодоступным сегментам внутренней сонной артерии (ВСА), верхушке базилярной артерии (БА), при проведении операций удаления опухолей кавернозного синуса или опухолей основания черепа с врастанием в кавернозный синус, обеспечения проксимального контроля и создания интра-интракраниальных анастомозов с сегментами и петлями ВСА при выполнении реваскуляризирующих операций. Приведена топография и строение треугольников крыши кавернозного синуса (глазодвигательный треугольник, каротидный треугольник Umansky, медиальный треугольник Hakuba, клиноидный треугольник Dolenc) и латеральной стенки кавернозного синуса (треугольник Parkinson и верхний треугольник Fukushima), знание которых необходимо для проведения современных транскавернозных доступов при клипировании артериальных аневризм верхушки БА и для транскавернозных доступов к устью менинго-гипофизарного ствола при лечении каротидно-кавернозных соустий.

The knowing of skull base triangles topography is necessary for performing of transcavernous approaches to difficult accessible segments of internal carotid artery (ICA) and to apex of basilar artery (BA) as well as for removal of cavernous sinus tumors or skull base tumors with spreading into cavernous sinus and also for proximal control and performing the intra-intracranial bypasses between loops and segments of ICA during revascularization surgery. The topography and anatomy of triangles of cavernous sinus roof (oculomotor triangle, carotid Umansky triangle, medial Hakuba triangle, clinoid Dolenc triangle) as well as the triangles of lateral cavernous sinus wall (Parkinson triangle and superior Fukushima triangle) are presented. The knowing of these triangles is necessary for performing the modern transcavernous approaches for clipping of basilar apex aneurysms and for transcavernous approaches to meningohypophyseal trunk for treatment of carotid-cavernous fistula.

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The authors declare that there are no conflicts of interest present.