Somatotroph (GH) Adenomas

Mar 11, 2017 by in NEUROSURGERY Comments Off on Somatotroph (GH) Adenomas

Fig. 12.1 Growth hormone (GH)–secreting adenoma. (a) Axial noncontrast CT scan with bony windowing. (b) Intraoperative endoscopic photo. The CT scan shows the large caliber and prominence of the internal…

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Imaging of the Sellar Region

Mar 11, 2017 by in NEUROSURGERY Comments Off on Imaging of the Sellar Region

Fig. 2.1 CT image in sagittal-plane reformation shows the shape and size of the sella, with the pituitary gland and stalk clearly visualized In evaluating sellar lesions, CT has an…

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Nonfunctioning Pituitary Adenomas

Mar 11, 2017 by in NEUROSURGERY Comments Off on Nonfunctioning Pituitary Adenomas

Fig. 10.1 Nonfunctioning pituitary adenoma. (a) Sagittal T1-weighted post-gadolinium image. (b) Coronal T1-weighted post-gadolinium image. A hypoenhancing sellar mass remodels the sellar floor and abuts the cavernous internal carotid arteries…

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Metastatic Tumors to the Pituitary Gland

Mar 11, 2017 by in NEUROSURGERY Comments Off on Metastatic Tumors to the Pituitary Gland

Fig. 50.1 Metastasis from breast cancer. (a) Sagittal T1-weighted gadolinium-enhanced MR image. (b) Coronal T1-weighted gadolinium-enhanced image. A large, heterogeneously enhancing mass is centered in the sella with suprasellar extension….

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Atypical Pituitary Adenomas

Mar 11, 2017 by in NEUROSURGERY Comments Off on Atypical Pituitary Adenomas

Fig. 18.1 Atypical pituitary adenoma. (a) Sagittal T1-weighted post-gadolinium image. (b) Coronal T1-weighted post-gadolinium image. A large, heterogeneously enhancing sellar mass demonstrates suprasellar extension and encasement of the right cavernous…

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Cerebral Aneurysms with Intrasellar Extension

Mar 11, 2017 by in NEUROSURGERY Comments Off on Cerebral Aneurysms with Intrasellar Extension

Fig. 59.1 The progressive growth pattern of cavernous and clinoid segment internal carotid artery (ICA) (infradiaphragmatic) aneurysms (a–c)medially into the sella, causing compression of the pituitary gland (Courtesy of Dr….

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Meningoceles and Encephaloceles

Mar 11, 2017 by in NEUROSURGERY Comments Off on Meningoceles and Encephaloceles

Fig. 66.1 Encephalocele. Sagittal T1-weighted MR image (a) and sagittal T2-weighted MR image (b) showing a basal encephalocele extending into the nasopharynx (From Chen et al. [10]; with permission) Fig….

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Granulomatous Conditions of the Sellar Region

Mar 11, 2017 by in NEUROSURGERY Comments Off on Granulomatous Conditions of the Sellar Region

Fig. 56.1 Neurosarcoidosis. (a) Sagittal T1-weighted precontrast MR image. (b) Sagittal T1-weighted gadolinium-enhanced image. (c) Axial T1-weighted gadolinium-enhanced image. On (a) and (b), the pituitary stalk and gland are diffusely…

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Sellar Region Arachnoid Cysts

Mar 11, 2017 by in NEUROSURGERY Comments Off on Sellar Region Arachnoid Cysts

Fig. 25.1 Arachnoid cyst. (a) Sagittal T1-weighted post-gadolinium image. (b) Coronal T1-weighted post-gadolinium image. A nonenhancing lesion is located in the sella with suprasellar extension. The signal intensity of the…

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