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. 2023 Feb 28;45(4):389–400. doi: 10.1007/s00276-023-03105-y

Table 1.

Triangle description by different authors

Name Other names Borders Content
Oculomotor triangle Hakuba´s triangle 1.Anterior petroclinoid dural fold Oculomotor Nerve
Dolenc [5] Drazin et al. [6] 2. Posterior petroclinoid dural fold ICA horizontal segment
3. Interclinoid dural fold Drazin et al. [6]
Medial triangle Drazin et al. [6]
Drazin et al. [6]
1. Medial border: A line between the anterior and posterior clinoid process
2. Lateral border: the fold of the dura between the anterior clinoid process and petrous apex The site where the oculomotor nerve enters the roof of the cavernous sinus
3. Base: the fold of the dura from the posterior clinoid process to the petrous apex Distal intra-cavernous carotid artery
Isolan et al. [14] Isolan et al. [15]
1. Anterior petroclinoid fold: petrous apex to the anterior clinoid process Cavernous sinus
2. Posterior petroclinoid fold: petrous apex to the posterior clinoid process Gallardo et al. [10]
3. Interclinoid fold: anterior and posterior clinoid process
Gallardo et al. [10]
Clinoidal triangle Dolenc´s triangle 1. Optic nerve Clinoidal internal carotid artery
Isolan et al. [14] Fujimoto et al. [9] 2. Oculomotor nerve Anterior clinoid process
3. Tentorial edge (a line between the dural entry point of the third cranial nerve and the optic nerve) Drazin et al. [6]
Anteromedial triangle Drazin et al. [6]
Dolenc [5] Anteriorly: Optic strut
1. Medial border: optic nerve Middle: Subclinoidal segment of the ICA
Anterior triangle 2. Lateral border: third cranial nerve from the entry point in the sinus roof to the point just before entering the superior orbital fissure Posteriorly: the roof of cavernous sinus (after drilling de anterior clinoid process)
Gallardo et al. [10] 3. Base: the dura extending between the posterior limits of the medial and lateral border Isolan et al. [14]
Isolan et al. [14]
Supratrochlear triangle Paramedian triangle 1. Medially: oculomotor nerve Meningohypophyseal trunk, the inferolateral trunk and less commonly the medial loop of the ICA
Isolan et al. [14] Goel [11] 2. Laterally: trochlear nerve Drazin et al. [6]
3. Inferiorly: tentorial edge (the dura extending between the dural entry points of the third and the fourth cranial nerves)
Watanabe et al. [29]
Paramedial triangle
Dolenc [5] 1. Oculomotor nerve
2. Trochlear nerve
Superior 3. Tentorial edge
Fukushima Drazin et al. [6]
Wanibuchi [28]
Infratrochlear triangle Parkinson´s triangle 1. Medially: trochlear nerve ICA (cavernous) and the abducens nerve
Isolan et al. [14] Dolenc [5] 2. Laterally: ophthalmic division of the trigeminal nerve
3. Base: tentorial edge of these two nerves Drazin et al. [6]
Superolateral triangle Watanabe et al. [29]
Watanabe et al. [29] 1. Trochlear nerve Posterior–superior, anterior–inferior, and lateral venous spaces and lateral surface of the C5 and C6
2. Ophthalmic division (V1) Watanabe et al. [29]
3. Tentorial edge
Drazin et al. [6] Origin of the meningohypophyseal trunk
Peltier et al. [24]
1. Superiorly: lower margin of the trochlear nerve
2. Inferiorly: upper rim of the ophthalmic nerve and of the trigeminal ganglion
3. Posterior: slope of the dorsum sellae and clivus
Kayalioglu et al. [17]
Anteromedial triangle Mullan´s triangle 1. Lower margin of ophthalmic nerve Sphenoid sinus
Conti et al. [3] Hakuba et al. [13] 2. Upper margin of maxillary nerve Granger et al. [12]
3. Line connecting superior orbital fissure and foramen rotundum
Granger et al. [12] Superior orbital fissure artery
Anterolateral triangle Conti et al. [3]
Dolenc [5] 1. Upper margin of maxillary nerve
2. Line connecting the ophthalmic nerve at superior orbital fissure and the maxillary nerve at foramen rotundum Pituitary gland
Rhoton [26] Watanabe et al. [29]
Anterolateral triangle Lateral triangle 1. Lower Surface of maxillary nerve Lateral wing of the sphenoid sinus
Kobayashi [19] Dolenc [5] 2. Upper surface of the mandibular nerve Rhoton [26]
3. Line connecting the foramen ovale and rotundum
Far Lateral Rhoton [26] Lateral wing of the sphenoid sinus
Day et al. [4] Vidian nerve
1. Medial border: Lower surface of the maxillary nerve, Pterygoid region
Lateralmost 2. Lateral border: upper surface of the mandibular nerve Granger et al. [12]
QuinonesHinojosa [25] 3. Base: a line connecting the foramen ovale and rotundum
Watanabe et al. [29]
1. Posterior border: maxillary division of the trigeminal nerve
2. Anterior border: mandibular division of the trigeminal nerve
3. Line connecting the foramen rotundum to the foramen ovale
Granger et al. [12]
Posterolateral Triangle Glasscock 1. Medial border: Line between where the GSPN crosses under V3 and the foramen spinosum Posterior and lateral loops of ICA
Dolenc [5] Dolenc [5] 2. Lateral border: Line between the foramen spinosum and geniculate ganglion Greater and lesser petrosal nerves
3. Base: GSPN Tensor tympani muscle
Paullus Isolan et al. [14] Eustachian tube
Wanibuchi [28] Middle meningeal artery
1. Medial border: a line between the points on the lateral surface of the mandibular nerve where the greater petrosal nerve crosses to the foramen spinosum Infratemporal fossa
2. Lateral border: line between the foramen spinosum and the center of the geniculate ganglion Isolan et al. [14]
3. Base: medial margin of the greater petrosal nerve
Watanabe et al. [29]
Posteromedial Triangle Kawase 1. Medial border: GSPN Posterior cavernous sinus
Dolenc [5] Dolenc [5] 2. Lateral border: Line between where the GSPN crosses under V3 and the petrous apex Entry point to the posterior fossa (anterior petrosectomy)
3. Base: Line between the crest of the petrous apex to the geniculate ganglion Lateral apex: Cochlea, anterior wall of the IAC
Kawase-Shiobara Watanabe et al. [29] Anterior margin: Petrous carotid
Kanzaki Medial margin: Clivus and inferior petrosal sinus
Wanibuchi [28] Isolan et al. [14]
1. Anterior border: V3
2. Posterior border: Arcuate Eminence
3. Lateral border: GSPN
4. Medial border: Petrous ridge
Isolan et al. [14]
Paraclival None 1. Posterior clinoid process Dorello’s canal and Gruber’s ligament
Inferomedial 2. Dural entrance of the trochlear nerve Drazin et al. [6]
Dolenc [5] 3. Dural entrance of the abducens nerve
Isolan et al. [14] Dura forming the posterior wall of the cavernous sinus, the abducens nerve, the petrosphenoidal (Grüber’s) ligament,
The posterior genu of the internal carotid artery’s intracavernous segment
1. Posterior clinoid process Dorsal meningeal artery
2. Dural entry of the Trochlear nerve Wysiadecki et al. [32]
3. Dural entry of the abducens nerve
Wysiadecki et al. [32] The abducens nerve
the posterior genu of the ICA
1. Medial: posterior clinoid process the dorsal meningeal artery
2. Supero-lateral: Dural entry of the Trochlear nerve the basilar venous plexus
3. Inferolateral: Dural entry of the abducens n the posterior petroclinoid fold
Dolenc [5] Isolan et al. [14]
Paraclival None 1. Medially: by a line between the dural entrance of the trochlear nerve into the tentorium cerebelli to the dural entry of the abducens nerve Porus trigemini (the Meckel’s cave)
Inferolateral 2. Laterally by a line between the dural entry point of the abducens nerve and the petrosal vein Drazin et al. [6]
Dolenc [5] 3. Petrous apex
Drazin et al. [6]
1. Line between the entry point of CN IV at the tentorium and CN VI at Dorello’s canal Porus trigeminus
2. Line between entry point of CN VI at Dorello’s canal and the superior petrosal vein at the superior petrosal sinus The entrance of the sixth nerve in Dorello’s canal
3. Line between entry point of CN IV at the tentorium and the superior petrosal vein at the superior petrosal sinus The fourth cranial nerve entrance along the incisura into the lateral wall of the cavernous sinus
Isolan et al. [14] Isolan et al. [14]
1. Anterior border: line connecting the dural entry point of the trochlear nerve to the dural entry point of the abducens nerve
2. Posterior border: line connecting the dural entry point of the abducens nerve to the drainage site of the petrosal vein into the superior sagittal sinus
3. Superior border: line connecting the dural entry point of the trochlear nerve to the petrosal vein
Kimball et al. [18]