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The empty sella sign is a radiological finding characterized by the partial or complete filling of the sella turcica with cerebrospinal fluid (CSF), causing the pituitary gland to appear flattened or compressed against the walls of the sella. [1] This results in the sella appearing "empty" on imaging, despite the presence of a compressed ...
The cause of this condition in terms of secondary empty sella syndrome happens when a tumor or surgery damages the gland, this is an acquired manner of the condition. [1] patients with idiopathic intracranial hypertension will have empty sella on MRI [5] The cause of primary empty sella syndrome is a congenital defect (diaphragma sellae) [6]
The key to Phase-contrast MRI (PC-MRI) is the use of a bipolar gradient. [4] A bipolar gradient has equal positive and negative magnitudes that are applied for the same time duration. The bipolar gradient in PC-MRI is put in a sequence after RF excitation but before data collection during the echo time of the generic MRI modality.
Neuroimaging, usually with computed tomography (CT/CAT) or magnetic resonance imaging (MRI), is used to exclude any mass lesions. In IIH these scans typically appear to be normal, although small or slit-like ventricles , dilatation and buckling [ 18 ] of the optic nerve sheaths and " empty sella sign " (flattening of the pituitary gland due to ...
The sella turcica is located in the sphenoid bone behind the chiasmatic groove and the tuberculum sellae.It belongs to the middle cranial fossa. [1]The sella turcica's most inferior portion is known as the hypophyseal fossa (the "seat of the saddle"), and contains the pituitary gland (hypophysis).
The tuberculum sellae (or the tubercle of the sella turcica) is a slight [1] median elevation upon the superior aspect of the body of sphenoid bone (that forms the floor of the middle cranial fossa [2]: 508-509 ) at the anterior boundary of the sella turcica (hypophyseal (pituitary) fossa) [2]: 509 and posterior boundary of the chiasmatic groove.
Axial fluid-attenuated inversion recovery MRI image demonstrating tumor-related infiltration involving lenticular nuclei (Arrow). Axial fluid-attenuated inversion recovery MRI image demonstrating tumor-related infiltration involving both temporal lobes (Short arrow), and the substantia nigra (Long arrow).
The diaphragma sellae or sellar diaphragm is a small, circular sheet of dura mater forming an (incomplete) roof over the sella turcica and covering the pituitary gland lodged therein. The diaphragma sellae forms a central opening to accommodate the passage of the pituitary stalk (infundibulum) [ 1 ] which interconnects the pituitary gland and ...