Case
About this case
Operative video: the Sella, through the Pterional approach. The background notes below summarise the anatomy, pathology and approach, with published references.
Reference notes
Background
Notes on this case’s cranial location, pathology and surgical approach, with published sources. General education only, not advice for any individual patient.
Cranial Location
Sella
The sella turcica houses the pituitary gland, bounded by the cavernous sinuses laterally, the optic chiasm above and the sphenoid sinus below. Pituitary adenomas, craniopharyngiomas, Rathke cleft cysts and tuberculum/planum meningiomas present with endocrine dysfunction or chiasmal visual loss.
The endoscopic endonasal transsphenoidal route is the workhorse for the region, with transcranial approaches reserved for extensive suprasellar or laterally-projecting disease.
