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ARTICLE |

Large Sella

A. Alan Chambers, MD
JAMA. 1979;242(3):277-278. doi:10.1001/jama.1979.03300030049025.
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Common 

  1. Pituitary tumor (eg, chromophobe adenoma)

  2. Craniopharyngioma

  3. Aneurysm of the internal carotid artery

  4. Empty sella

  5. Increased intracranial pressure

  6. Juxtasellar tumor (eg, chiasmatic glioma)

  7. Osteoporosis

Rare 

  1. Basal encephalocele

  2. Chondroma

  3. Chordoma

  4. Cretinism

  5. Hurler's syndrome

  6. Hypogonadism

  7. Metastatic neoplasm

  8. Mucocele of sphenoid sinus

  9. Sphenoid sinus neoplasm

  10. Neurofibromatosis with dysplastic changes

  11. Osteomyelitis

  12. Postoperative change

Comment  The details of sellar anatomy are essential for diagnosis and treatment of pituitary lesions.1 Roentgenograms of the sella must be carefully taken, since rotated views lead to misinterpretation. On a lateral film, the maximum normal measurements of the sella are 17 mm from tuberculum to dorsum and 14 mm in depth. The floor of the sella is often difficult to see, even on the best quality posteroanterior view. It should measure 10 to 15 mm in transverse diameter. Volumetric measurements

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