Enlarged sella turcica (differential)

Preschooler
with short stature. Lateral radiograph of the skull shows a relatively enlarged sella and multiple Wormian bones.The diagnosis was congenital hypothyroidism.

Pituitary
macroadenoma • Hemorrhagic pituitary macroadenoma - Ganzer Fall bei Radiopaedia

Empty sella
• Empty sella - Ganzer Fall bei Radiopaedia

Enlarged
sella turcica (differential) • Papillary craniopharyngioma - Ganzer Fall bei Radiopaedia

Enlarged
sella turcica (differential) • Enlarged sella turcica - Ganzer Fall bei Radiopaedia

Enlarged
sella turcica (differential) • Pituitary macroadenoma - Ganzer Fall bei Radiopaedia

Enlarged
sella turcica (differential) • Pituitary macroadenoma on sella x-ray (historical) - Ganzer Fall bei Radiopaedia

Rathke cleft
cyst • Rathke's cleft cyst - Ganzer Fall bei Radiopaedia
Enlargement of sella turcica can be seen in situations including the following:
- empty sella syndrome
- slight globular enlargement of the sella with no erosion, destruction or posterior displacement of dorsum sellae
- intracranial hypertension
- enlargement with erosion of anterior cortex of dorsum sellae proceeds to the floor of the sella and may result in complete destruction of the dorsum; erosion of anterior and posterior clinoids can be seen
- pituitary tumors (e.g. macroadenoma)
- ballooned sella with an undercutting anterior clinoid process, unequal downward displacement of the floor (double floor appearance)
- craniopharyngioma
- elongated sella with short curved dorsum is characteristic, but more often indistinguishable from the pituitary lesions
- Rathke's cleft cyst: rarely can cause sellar enlargement if reaches large size
Siehe auch:

