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Imaging the sella and parasellar region
Mark Pisaneschi1, Geetanjali Kapoor
1Department of Radiology, John H. Stroger, Jr. Hospital of Cook County, 1901 West Harrison Street, Chicago, IL 60612, USA. mjpisa@aol.com
Neuroimaging Clinics of North America
|June 2, 2005
Summary
This study reviews the anatomy of the sella and parasellar region, detailing ophthalmologic findings and syndromes. It covers various pathologies like pituitary adenoma and their visual effects.
Area of Science:
- Neuro-ophthalmology
- Endocrinology
- Neurosurgery
Background:
- The sella and parasellar region house critical neurovascular structures.
- Pathologies in this area can lead to significant visual disturbances.
- Understanding the anatomical relationships is key for diagnosis and management.
Purpose of the Study:
- To provide a comprehensive overview of the sella and parasellar anatomy.
- To correlate ophthalmologic findings with specific pathologies in this region.
- To describe the clinical manifestations of common parasellar lesions.
Main Methods:
- Review of anatomical structures of the sella and parasellar region.
- Correlation of clinical ophthalmologic findings with pathological entities.
- Discussion of relevant syndromes and their visual impact.
Main Results:
- Detailed description of the anatomical structures and their proximity to visual pathways.
- Categorization of ophthalmologic findings associated with pituitary adenomas, apoplexy, craniopharyngiomas, Rathke's cleft cysts, and lymphocytic adenohypophysitis.
- Identification of specific visual field defects, visual acuity changes, and other ocular signs related to parasellar lesions.
Conclusions:
- Ophthalmologic examination is crucial for detecting and evaluating parasellar pathologies.
- Knowledge of the anatomy and common lesions aids in timely diagnosis and treatment planning.
- Multidisciplinary approaches involving ophthalmology, endocrinology, and neurosurgery are often necessary.