Fracture of the sella turcica

We report the cases of three patients with fracture of the sella turcica. All three patients developed vascular complications. Patient 1 had a traumatic aneurysm, Patient 2 had stenosis of the intracranial internal carotid artery, and Patient 3 had bilateral carotid-cavernous fistulas. We emphasize that, when fracture of the sella turcica is demonstrated, cerebral angiography is still the method of choice for the detection of intracranial vascular injury.