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Springerplus. 2014 Jun 09;3:291. doi: 10.1186/2193-1801-3-291. eCollection 2014.

A radiologic morphometric study of sellar, infrassellar and parasellar regions by magnetic resonance in adults.

SpringerPlus

Seizo Yamashita, Luis Antonio Resende, André Petean Trindade, Marco Antonio Zanini

Affiliations

  1. Department of Radiology, School of Medicine, University of São Paulo State/UNESP, Kragujevac, SP Brazil.
  2. Department of Neurology and Neurosurgery, School of Medicine, University of São Paulo State/UNESP, Kragujevac, SP Brazil.

PMID: 26034660 PMCID: PMC4447716 DOI: 10.1186/2193-1801-3-291

Abstract

OBJECTIVE: To evaluate variations of some anatomic structures of sellar and parasellar regions and their possible differences between genders and age groups.

PATIENTS AND METHODS: Magnetic resonance images (MRI) of 380 patients were performed to analyze the dimensions of the sphenoid sinus, pituitary gland, optic chiasm, intra-cavernous carotid distances, distance between columella nasal - sphenoid sinus; and columella nasal-pituitary gland. The patients age ranged between 20 and 80 years (mean age 48 years). The study included 235 females (mean age 53 years) and 145 males (mean age 40 years).

RESULTS: The transverse length of the pituitary, the inter-carotid distance and the height of the pituitary were similar between genders and age groups. The width and height of the optic chiasm showed differences only between females of different ages. Males presented greater distances between nasal columella and sphenoid sinus. The most common type of pneumatization of the sphenoid sinus was the sellar, and depending on the age group, sphenoid sinus was larger in males than females.

CONCLUSION: The anatomy of the Sellar and parasellar regions is complex and varies widely within the normal range. They are a small area, rich in anatomical details affecting multiple physiological systems in the body and, therefore, have great importance in several medical fields. A better understanding of these complex structures is essential in clinical diagnosis and treatment of disease.

Keywords: Anatomy; MRI; Sella turcica; Sphenoid sinus

References

  1. J Neurosurg. 1975 Sep;43(3):288-98 - PubMed
  2. Arch Otolaryngol. 1961 Jul;74:2-8 - PubMed
  3. J Neurol Neurosurg Psychiatry. 1999 Jun;66(6):703-21 - PubMed
  4. Neurosurg Focus. 2005 Jul 15;19(1):E2 - PubMed
  5. Arq Neuropsiquiatr. 2000 Jun;58(2B):485-93 - PubMed
  6. Surg Neurol. 1979 Jul;12(1):63-104 - PubMed
  7. AJR Am J Roentgenol. 1993 May;160(5):1101-4 - PubMed
  8. AJNR Am J Neuroradiol. 2000 Jan;21(1):179-82 - PubMed
  9. Skull Base. 2008 Jan;18(1):9-15 - PubMed
  10. Eur J Orthod. 2004 Dec;26(6):597-604 - PubMed
  11. Clin Neurosurg. 1976;23:401-16 - PubMed
  12. AJNR Am J Neuroradiol. 1997 Apr;18(4):723-6 - PubMed
  13. J Neurosurg. 1968 Feb;28(2):93-9 - PubMed
  14. Neurosurgery. 2002 Oct;51(4 Suppl):S335-74 - PubMed
  15. Radiology. 1991 Nov;181(2):531-5 - PubMed
  16. Neurosurgery. 2002 Jul;51(1):161-9 - PubMed

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