Vergrößerung der Sella turcica

Preschooler
with short stature. Lateral radiograph of the skull shows a relatively enlarged sella and multiple Wormian bones.The diagnosis was congenital hypothyroidism.
pediatricimaging.org • CC-by-nc-sa 4.0
Enlarged
sella turcica (differential) • Papillary craniopharyngioma - Ganzer Fall bei Radiopaedia
Gaillard F, Papillary craniopharyngioma. Case study, Radiopaedia.org (Accessed on 30 May 2024) https://doi.org/10.53347/rID-4722 • CC by-nc-sa 3.0 (modified)
Enlarged
sella turcica (differential) • Enlarged sella turcica - Ganzer Fall bei Radiopaedia
Bickle I, Enlarged sella turcica. Case study, Radiopaedia.org (Accessed on 30 May 2024) https://doi.org/10.53347/rID-45929 • CC by-nc-sa 3.0 (modified)
Enlarged
sella turcica (differential) • Pituitary macroadenoma - Ganzer Fall bei Radiopaedia
Di Muzio B, Pituitary macroadenoma. Case study, Radiopaedia.org (Accessed on 30 May 2024) https://doi.org/10.53347/rID-47575 • CC by-nc-sa 3.0 (modified)
Enlarged
sella turcica (differential) • Pituitary macroadenoma on sella x-ray (historical) - Ganzer Fall bei Radiopaedia
Botz B, Pituitary macroadenoma on sella x-ray (historical). Case study, Radiopaedia.org (Accessed on 30 May 2024) https://doi.org/10.53347/rID-72777 • CC by-nc-sa 3.0 (modified)
Radiopaedia • CC-by-nc-sa 3.0 • de

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:
Assoziationen und Differentialdiagnosen zu Vergrößerung der Sella turcica: