In the infant the region lateral to the sella turcica which is traditionally termed the ‘cavernous sinus’ is
composed of 3 individual compartments. The aim of this study was to demonstrate a similar
compartmentation of the adult cavernous sinus and to identify and quantify the adipose bodies which are
located within the compartments. The region of the cavernous sinus in 136 adults was analysed by
microdissection and histology. We demonstrate that in 66% of the cavernous sinus in adults is composed of
at least 2 compartments and in 22% it is made up of 3. Assimilating the renaming in infants we termed the
compartments ‘pterygopalatine’, ‘orbital’ and ‘lateral sellar’. The pterygopalatine and orbital compartments
are connected with extracranial tissue spaces via the superior orbital fissure and contain characteristic
adipose bodies. Exact topographic descriptions and measurements of the compartments and their adipose
bodies are provided. Our study clearly defines compartmentation of the adult parasellar space in most
individuals and thus changes the anatomical view of this space. The direct connection of 2 of these
compartments with extracranial tissue spaces and the measurements of their adipose bodies are of interest
for surgeons and neuroradiologists.