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Abnormal sella turcica morphology

MedGen UID:
867389
•Concept ID:
C4021754
•
Anatomical Abnormality
Synonym: Abnormality of the sella turcica
 
HPO: HP:0002679

Definition

Abnormality of the sella turcica, a saddle-shaped depression in the sphenoid bone at the base of the human skull. [from HPO]

Professional guidelines

PubMed

Isolated Unilateral Frontosphenoidal Suture Synostosis in Six Patients: Lessons Learned in Diagnosis and Treatment.
Lloyd MS, Rodrigues D, Nishikawa H, White N, Solanki G, Noons P, Evans M, Dover S
J Craniofac Surg 2016 Jun;27(4):871-3. doi: 10.1097/SCS.0000000000002559. PMID: 27152571
Diagnosis and management of pituitary abscess: a review of twenty-four cases.
Vates GE, Berger MS, Wilson CB
J Neurosurg 2001 Aug;95(2):233-41. doi: 10.3171/jns.2001.95.2.0233. PMID: 11780892
Diagnosis, treatment, and outcome of pituitary tumors and other abnormal intrasellar masses. Retrospective analysis of 353 patients.
Gsponer J, De Tribolet N, Déruaz JP, Janzer R, Uské A, Mirimanoff RO, Reymond MJ, Rey F, Temler E, Gaillard RC, Gomez F
Medicine (Baltimore) 1999 Jul;78(4):236-69. doi: 10.1097/00005792-199907000-00004. PMID: 10424206

Recent clinical studies

Etiology

Topographic Anatomy and Pneumatization of the Posterior Clinoid Process in Chiari Type I Malformation.
Alpergin BC, Eroglu U, Zaimoglu M, Kılınç MC, Özpişkin ÖM, Erdin E, Beger O
World Neurosurg 2024 May;185:e767-e773. Epub 2024 Mar 1 doi: 10.1016/j.wneu.2024.02.130. PMID: 38431212
Anatomical features of sella turcica with comprehensive literature review.
Önal V, Evren A, Chatzioglou GON, Tellioğlu AM
Rev Assoc Med Bras (1992) 2023;69(8):e20230402. Epub 2023 Aug 21 doi: 10.1590/1806-9282.20230402. PMID: 37610928Free PMC Article
Sella Turcica Morphology on Cephalometric Radiographs and Dental Abnormalities-Is There Any Association?-Systematic Review.
Jankowski T, Jedliński M, Grocholewicz K, Janiszewska-Olszowska J
Int J Environ Res Public Health 2021 Apr 22;18(9) doi: 10.3390/ijerph18094456. PMID: 33922272Free PMC Article
Sellar meningiomas: an endocrinologic perspective.
Sathananthan M, Sathananthan A, Scheithauer BW, Giannini C, Meyer FB, Atkinson JL, Erickson D
Pituitary 2013 Jun;16(2):182-8. doi: 10.1007/s11102-012-0399-3. PMID: 22644157
Genetic forms of pituitary dwarfism.
Rimoin DL
Birth Defects Orig Artic Ser 1971 May;7(6):12-20. PMID: 4375505

Diagnosis

Neuroimaging of the Pituitary Gland: Practical Anatomy and Pathology.
Chapman PR, Singhal A, Gaddamanugu S, Prattipati V
Radiol Clin North Am 2020 Nov;58(6):1115-1133. Epub 2020 Sep 17 doi: 10.1016/j.rcl.2020.07.009. PMID: 33040852
Pituitary incidentaloma.
Orija IB, Weil RJ, Hamrahian AH
Best Pract Res Clin Endocrinol Metab 2012 Feb;26(1):47-68. doi: 10.1016/j.beem.2011.07.003. PMID: 22305452
Rare sellar lesions.
Glezer A, Paraiba DB, Bronstein MD
Endocrinol Metab Clin North Am 2008 Mar;37(1):195-211, x. doi: 10.1016/j.ecl.2007.10.003. PMID: 18226737
Intrasellar cavernous hemangioma.
Chuang CC, Jung SM, Yang JT, Chang CN, Pai PC
J Clin Neurosci 2006 Jul;13(6):672-5. Epub 2006 Jul 11 doi: 10.1016/j.jocn.2005.08.017. PMID: 16815022
Neuro-osteology.
Kjaer I
Crit Rev Oral Biol Med 1998;9(2):224-44. doi: 10.1177/10454411980090020501. PMID: 9603237

Therapy

Take It with a Grain of Salt.
Phadke N, Lebastchi J, Torre M, Dunn I, Vaidya A
N Engl J Med 2018 Nov 22;379(21):e38. doi: 10.1056/NEJMimc1716086. PMID: 30462930
Sellar Wegener Granulomatosis Masquerading as Cabergoline-Resistant Prolactinoma.
Eli IM, Raheja A, Corn HJ, Simmons DL, Palmer CA, Couldwell WT
World Neurosurg 2016 Nov;95:622.e1-622.e5. Epub 2016 Aug 10 doi: 10.1016/j.wneu.2016.07.108. PMID: 27521731
Hypothalamic type of hypopituitarism and central diabetes insipidus probably linked to Rathke's cleft cyst.
Asano T, Yamada H, Yoshida M, Aoki A, Ikoma A, Kusaka I, Toyoshima H, Kakei M, Ishikawa SE
Intern Med 2015;54(8):935-40. Epub 2015 Apr 15 doi: 10.2169/internalmedicine.54.3289. PMID: 25876576
Maxillary stability after Le Fort I osteotomy with self-setting α-tricalcium phosphate and an absorbable plate.
Ueki K, Okabe K, Marukawa K, Mukozawa A, Moroi A, Miyazaki M, Sotobori M, Ishihara Y, Yoshizawa K, Ooi K, Kawashiri S
Int J Oral Maxillofac Surg 2013 May;42(5):597-603. Epub 2012 Nov 28 doi: 10.1016/j.ijom.2012.10.026. PMID: 23200322
Pituitary incidentaloma.
Orija IB, Weil RJ, Hamrahian AH
Best Pract Res Clin Endocrinol Metab 2012 Feb;26(1):47-68. doi: 10.1016/j.beem.2011.07.003. PMID: 22305452

Prognosis

Clinical and biochemical characteristic features of metastatic cancer to the sella turcica: an analytical review.
Al-Aridi R, El Sibai K, Fu P, Khan M, Selman WR, Arafah BM
Pituitary 2014 Dec;17(6):575-87. doi: 10.1007/s11102-013-0542-9. PMID: 24337713
Ciliated craniopharyngioma--case report and pathological study.
Okada T, Fujitsu K, Miyahara K, Ichikawa T, Takemoto Y, Niino H, Yagishita S, Shiina T
Acta Neurochir (Wien) 2010 Feb;152(2):303-6; discussion 307. Epub 2009 Jul 21 doi: 10.1007/s00701-009-0448-5. PMID: 19626269
A suprasellar and intrasellar lesion.
Lara-Torres HR, Aguirre-Quezada DE, Chávez-Macías LG, Olvera-Rabiela JE
Arch Pathol Lab Med 2005 Sep;129(9):1183-4. doi: 10.5858/2005-129-1183-ASAIL. PMID: 16119997
Surgical management of symptomatic intrasellar arachnoid cysts--two case reports.
Miyamoto T, Ebisudani D, Kitamura K, Ohshima T, Horiguchi H, Nagahiro S
Neurol Med Chir (Tokyo) 1999 Dec;39(13):941-5. doi: 10.2176/nmc.39.941. PMID: 10658457
Neuro-osteology.
Kjaer I
Crit Rev Oral Biol Med 1998;9(2):224-44. doi: 10.1177/10454411980090020501. PMID: 9603237

Clinical prediction guides

Topographic Anatomy and Pneumatization of the Posterior Clinoid Process in Chiari Type I Malformation.
Alpergin BC, Eroglu U, Zaimoglu M, Kılınç MC, Özpişkin ÖM, Erdin E, Beger O
World Neurosurg 2024 May;185:e767-e773. Epub 2024 Mar 1 doi: 10.1016/j.wneu.2024.02.130. PMID: 38431212
Sella turcica morphology in patients with genetic syndromes: A systematic review.
Roomaney IA, Chetty M
Orthod Craniofac Res 2021 May;24(2):194-205. Epub 2020 Sep 28 doi: 10.1111/ocr.12426. PMID: 32920986
Sella turcica morphology and the pituitary gland-a new contribution to craniofacial diagnostics based on histology and neuroradiology.
Kjær I
Eur J Orthod 2015 Feb;37(1):28-36. Epub 2012 Nov 16 doi: 10.1093/ejo/cjs091. PMID: 23159420
Clinical and biochemical characteristic features of metastatic cancer to the sella turcica: an analytical review.
Al-Aridi R, El Sibai K, Fu P, Khan M, Selman WR, Arafah BM
Pituitary 2014 Dec;17(6):575-87. doi: 10.1007/s11102-013-0542-9. PMID: 24337713
Nasolabial soft tissue changes after Le Fort I advancement.
Vasudavan S, Jayaratne YS, Padwa BL
J Oral Maxillofac Surg 2012 Apr;70(4):e270-7. Epub 2012 Jan 28 doi: 10.1016/j.joms.2011.11.022. PMID: 22285331

Recent systematic reviews

Suprasellar Mature Cystic Teratoma Mimicking Rathke's Cleft Cyst: A Case Report and Systematic Review of the Literature.
Jiang S, Wang Z, You Y, Wang R, Bao X
Front Endocrinol (Lausanne) 2021;12:731088. Epub 2021 Sep 30 doi: 10.3389/fendo.2021.731088. PMID: 34659119Free PMC Article
Sella Turcica Morphology on Cephalometric Radiographs and Dental Abnormalities-Is There Any Association?-Systematic Review.
Jankowski T, Jedliński M, Grocholewicz K, Janiszewska-Olszowska J
Int J Environ Res Public Health 2021 Apr 22;18(9) doi: 10.3390/ijerph18094456. PMID: 33922272Free PMC Article
Sella turcica morphology in patients with genetic syndromes: A systematic review.
Roomaney IA, Chetty M
Orthod Craniofac Res 2021 May;24(2):194-205. Epub 2020 Sep 28 doi: 10.1111/ocr.12426. PMID: 32920986
Intrasellar cysticercosis: a systematic review.
Del Brutto OH, Del Brutto VJ
Acta Neurol Belg 2013 Sep;113(3):225-7. Epub 2013 Apr 20 doi: 10.1007/s13760-013-0199-1. PMID: 23605125
Cerebral aneurysms with intrasellar extension: a systematic review of clinical, anatomical, and treatment characteristics.
Hanak BW, Zada G, Nayar VV, Thiex R, Du R, Day AL, Laws ER
J Neurosurg 2012 Jan;116(1):164-78. Epub 2011 Nov 4 doi: 10.3171/2011.9.JNS11380. PMID: 22054212

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