Double Floor Of Sella Turcica
The empty sella turcica was first described in 1949 as a condition where the sella turcica is only partially filled by the pituitary gland which appears flattened against the sellar floor fig.
Double floor of sella turcica. This condition is known as primary empty sella syndrome ess. 1a indicating an intrasellar mass or parasellar lesion. Empty sella see empty sella syndrome. 2 not surprisingly many patients.
17 individuals 8 5 had pyramidal shape of the dorsum sella 3 irregularity in the posterior part of the sella turcica. Elongated sella with short curved dorsum is characteristic but more often indistinguishable from the pituitary lesions. 1 autopsy studies confirm the high disease prevalence reported to be 5 5 to 20 of the general population. The sella turcica latin for turkish seat is a saddle shaped depression in the body of the sphenoid bone of the human skull and of the skulls of other hominids including chimpanzees orangutans and gorillas it serves as a cephalometric landmark the pituitary gland or hypophysis is located within the most inferior aspect of the sella turcica the hypophyseal fossa.
Sella turcica resembles as saddle like depression which provide place for the pituitary gland. Miller keane encyclopedia and dictionary of medicine nursing and. It is divided into three fragments and consists of an anterior wall a floor and a posterior wall. Sella turcica in the superior aspect of the sphenoid bone.
Lateral skull radiograph showed enlargement of the pituitary fossa and uneven bony structure of the sella turcica with poor alignment of the anterior fossa and sphenoid wings so called the double sellar floor sign fig. Ballooned sella with an undercutting anterior clinoid process unequal downward displacement of the floor double floor appearance craniopharyngioma. Anatomically the sella turcica has been expressed as variable. 32 patients 15 9 had oblique anterior wall.
Sella sel ah l a saddle shaped depression. Rarely can cause sellar enlargement if reaches large. Magnetic resonance mr t2 weighted sagittal image of brain demonstrates a tumor 2 8 cm 2 8 cm 3 8 cm. The buildup of spinal fluid squashes the pituitary gland flat so it looks like your sella turcica is empty.