Atlas of Sellar and Parasellar Lesions Clinical Radiologic and Pathologic Correlations 1st edition by Gabriel Zada, Beatriz Lopes, Srinivasan Mukundan, Edward Laws ISBN 3319228544 978-3319228549
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ISBN 10: 3319228544
ISBN 13: 978-3319228549
Author: Gabriel Zada, Beatriz Lopes, Srinivasan Mukundan, Edward Laws
This book presents, in a stepwise and interactive fashion, approximately 75 cases that reflect the wide spectrum of pathology encountered in this region. Each case description commences with a concise clinical scenario. High-quality radiologic, laboratory, and histopathologic images depicting the differentiating features of the lesion subtype in question are then presented, and key operative and clinical management pearls are briefly reviewed. The interdisciplinary nature of this easy-to-use color atlas and textbook reflects the fact that the management of patients with sellar and parasellar lesions is itself often interdisciplinary. The format is unique in that no similar interdisciplinary book is available on lesions of this region of the brain.
Atlas of Sellar and Parasellar Lesions: Clinical, Imaging, and Pathologic Correlations is of great value for practitioners and trainees in a range of medical specialties, including radiology, neurology, endocriniology, pathology, oncology, radiation oncology, and neurosurgery.
Atlas of Sellar and Parasellar Lesions Clinical Radiologic and Pathologic Correlations 1st Table of contents:
Part I: Basic Principles
1: Anatomy of the Sellar and Parasellar Region
1.1 Introduction
1.2 Endoscopic Anatomy of the Sphenoid Sinus
1.2.1 Basic Concepts
1.2.2 Head Positioning
1.3 Standard Endoscopic Endonasal Approach to the Sellar Region
1.4 Extended Endoscopic Transsphenoidal Approaches
1.4.1 Suprasellar Area
1.4.2 The Parasellar Area
1.4.3 The Clival Area
References
2: Imaging of the Sellar Region
2.1 Imaging Strategies
2.1.1 Computed Tomography (CT)
2.1.1.1 Magnetic Resonance Imaging (MRI)
2.2 Normal Sellar Anatomy on Imaging
2.2.1 Pituitary Gland
2.2.1.1 Normal Gland Size
2.2.1.2 Pituitary Stalk
2.2.1.3 Optic Nerves, Chiasm, and Tracts
2.2.1.4 Cavernous Sinuses
2.2.1.5 Sphenoid Sinuses
2.3 Preoperative Assessment of Lesion Consistency
2.4 Postoperative Imaging
References
3: Pituitary Physiology and Endocrinology
3.1 Anterior Pituitary
3.1.1 Luteinizing Hormone and Follicle-Stimulating Hormone
3.1.2 Thyroid-Stimulating Hormone
3.1.3 Prolactin
3.1.4 Growth Hormone
3.1.5 Adrenocorticotropin Hormone
3.2 Posterior Pituitary
3.2.1 Vasopressin (ADH)
3.2.2 Oxytocin
Conclusion
References
4: Pathology and Molecular Biology of the Pituitary Region
4.1 Introduction
4.2 Pituitary Adenomas
4.2.1 Classification
4.2.2 Grading
4.2.3 Invasiveness and Proliferative Potential of Pituitary Adenomas
4.2.4 Molecular Genetics of Pituitary Adenomas
4.2.5 Conclusions
4.3 Tumors of the Sellar Region of Non-neuroendocrine Origin
4.3.1 Overview
4.3.2 A Common Origin for the Non-neuroendocrine Tumors of the Pituitary Gland
4.3.3 Conclusion
References
5: The Direct Endoscopic Endonasal Transsphenoidal Approach to the Pituitary Gland
5.1 A Brief History of Endoscopic Transsphenoidal Surgery
5.2 Comparison of Endoscopic and Microsurgical Approaches for Pituitary Lesions
5.3 Equipment and Surgical Instrumentation
5.4 Preoperative Assessment of Neuroimaging
5.5 Surgical Technique
5.5.1 Preparation and Positioning
5.5.1.1 Nasal Stage
5.5.1.2 Sphenoid Stage
5.5.1.3 Sellar Stage
5.5.1.4 Reconstruction and Closure
5.6 Complications
5.7 Postoperative Care and Follow-Up
Conclusions
References
6: Transcranial and Skull Base Surgical Approaches to the Sellar and Parasellar Region
6.1 Indications for a Transcranial Approach
6.2 The Range of Approaches
6.3 Frontal Approaches
6.4 Supraorbital Approach
6.4.1 Application to Parasellar Tumors: Tuberculum Sellae Meningiomas
6.4.2 Specific Surgical Principles
6.5 Pterional Approach
6.6 Cranio-Orbitozygomatic Approach
6.6.1 Applications to Parasellar Tumors: Pituitary Macroadenomas (Superior and Lateral Projection
6.6.2 Specific Surgical Principles
Conclusion
References
7: Radiosurgery of the Sellar and Parasellar Region
7.1 Introduction
7.2 Nonfunctioning Pituitary Adenomas
7.3 Cushing’s Disease
7.4 Nelson’s Syndrome
7.5 Acromegaly
7.6 Prolactinomas
7.7 Meningiomas
7.8 Lymphocytic Hypophysitis
7.9 Craniopharyngiomas
Conclusions
References
Part II: The Normal Pituitary Gland
8: The Normal Pituitary Gland
8.1 Imaging
8.1.1 Sellar and Sphenoid Sinus Anatomy on MRI
8.2 Histopathology
8.3 The Adenohypophysis
8.4 The Neurohypophysis
References
Part III: Pituitary Hyperplasia
9: Pituitary Hyperplasia
9.1 Epidemiology and Clinical Presentation
9.2 Etiology and Incidence
9.2.1 Lactotroph Hyperplasia
9.2.2 Thyrotroph Hyperplasia
9.2.3 Corticotroph Hyperplasia
9.2.4 Somatotroph Hyperplasia
9.2.5 Gonadotroph Hyperplasia
9.3 Imaging
9.4 Histopathology
9.5 Clinical Management
References
Part IV: Pituitary Adenomas
10: Nonfunctioning Pituitary Adenomas
10.1 Epidemiology and Clinical Presentation
10.2 Diagnosis
10.2.1 Imaging
10.2.2 Histopathology
10.3 Clinical Management
10.3.1 Surgery
10.3.2 Adjunctive Radiation Therapy and Radiosurgery
10.3.3 Hypopituitarism and Hormonal Replacement
References
11: Prolactinomas
11.1 Epidemiology and Clinical Presentation
11.2 Diagnosis
11.2.1 Imaging
11.2.2 Histopathology
11.3 Clinical Management
11.3.1 Endocrinological Diagnosis
11.3.2 Medical Treatment
11.3.3 Surgical Management
References
12: Somatotroph (GH) Adenomas
12.1 Epidemiology and Clinical Presentation
12.2 Diagnosis
12.2.1 Endocrinological Diagnosis
12.2.2 Imaging
12.2.3 Histopathology
12.3 Clinical Management
12.3.1 Medical Management
12.3.2 Surgical Treatment
12.3.3 Radiosurgical Management
References
13: Corticotroph (ACTH) Adenomas
13.1 Epidemiology and Clinical Presentation
13.2 Diagnosis
13.2.1 Imaging
13.2.2 Inferior Petrosal Sinus Sampling
13.2.3 Histopathology
13.3 Clinical Management
13.3.1 Surgical Management
13.3.2 Medical Management
13.3.3 Stereotactic Radiosurgery
13.3.4 Bilateral Adrenalectomy
References
14: Silent Corticotroph (ACTH) Adenomas
14.1 Epidemiology and Clinical Presentation
14.2 Diagnosis
14.2.1 Imaging
14.2.2 Histopathology
14.3 Clinical Management
References
15: Thyrotroph (TSH) Adenomas
15.1 Epidemiology and Clinical Presentation
15.2 Diagnosis
15.2.1 Imaging
15.2.2 Histopathology
15.3 Clinical Management
References
16: Gonadotroph Adenomas
16.1 Epidemiology and Clinical Presentation
16.2 Diagnosis
16.2.1 Imaging
16.2.2 Histopathology
16.3 Clinical Management
References
17: Pituitary Apoplexy
17.1 Epidemiology and Clinical Presentation
17.2 Diagnosis
17.2.1 Imaging
17.2.2 Histopathology
17.3 Clinical Management
References
18: Atypical Pituitary Adenomas
18.1 Epidemiology and Clinical Presentation
18.2 Diagnosis
18.2.1 Imaging
18.2.2 Histopathology
18.3 Clinical Management
References
19: Pituitary Carcinoma
19.1 Epidemiology and Clinical Presentation
19.2 Diagnosis
19.2.1 Imaging
19.2.2 Pathology
19.3 Clinical Management
References
20: Ectopic Pituitary Adenomas
20.1 Epidemiology and Clinical Presentation
20.2 Diagnosis
20.2.1 Imaging
20.2.2 Histopathology
20.3 Clinical Management
References
Part V: Craniopharyngiomas and Other Epithelial Cystic Lesions of the Sellar Region
21: Craniopharyngiomas
21.1 Epidemiology and Clinical Presentation
21.2 Imaging Features
21.2.1 Adamantinomatous Craniopharyngiomas
21.2.2 Papillary Craniopharyngiomas
21.3 Pathology
21.3.1 Adamantinomatous Craniopharyngiomas
21.3.2 Papillary Craniopharyngiomas
21.4 Clinical Management
21.5 Surgical Management
21.5.1 Postoperative Management
References
22: Rathke Cleft Cysts
22.1 Epidemiology and Clinical Presentation
22.2 Imaging Features
22.3 Histopathology
22.4 Clinical Management
References
23: Xanthogranuloma of the Sellar Region
23.1 Epidemiology and Clinical Presentation
23.2 Imaging Features
23.3 Histopathology
23.4 Clinical Management
References
24: Petrous Apex Cholesterol Granuloma
24.1 Epidemiology and Clinical Presentation
24.2 Imaging Features
24.3 Histopathology
24.4 Clinical Management
References
25: Sellar Region Arachnoid Cysts
25.1 Epidemiology and Clinical Presentation
25.2 Imaging Features
25.3 Histopathology
25.4 Clinical Management
References
26: Sellar Region Epidermoid and Dermoid Cysts
26.1 Epidemiology and Clinical Presentation
26.2 Imaging Features
26.3 Histopathology
26.4 Clinical Management
References
27: Colloid Cysts of the Sellar Region
27.1 Epidemiology and Clinical Presentation
27.2 Imaging Features
27.3 Histopathology
27.4 Clinical Management
References
Part VI: Other Neoplasms of the Anterior Skull Base, Sellar, and Parasellar Regions
28: Meningioma of the Sellar and Parasellar Region
28.1 Epidemiology and Clinical Presentation
28.2 Imaging Features
28.3 Histopathology
28.4 Clinical and Surgical Management
28.4.1 Radiotherapy and Radiosurgery
28.4.2 Clinical Follow-up and Further Treatment
References
29: Hemangiopericytoma
29.1 Epidemiology and Clinical Presentation
29.2 Imaging Features
29.3 Histopathology
29.4 Clinical and Surgical Management
References
30: Schwannomas of the Sellar and Parasellar Region
30.1 Epidemiology and Clinical Presentation
30.2 Imaging Features
30.3 Histopathology
30.4 Clinical and Surgical Management
30.4.1 Radiotherapy and Radiosurgery
30.4.2 Clinical Follow-up and Further Treatment
References
31: Chordoma and Chondrosarcoma
31.1 Epidemiology and Clinical Presentation
31.1.1 Chordoma
31.1.2 Chondrosarcoma
31.2 Imaging Features
31.3 Pathology
31.4 Clinical and Surgical Management
31.4.1 Radiotherapy and Radiosurgery
31.4.2 Clinical Follow-up
References
32: Hemangioblastomas of the Sellar and Suprasellar Region
32.1 Epidemiology and Clinical Presentation
32.2 Imaging Features
32.3 Histopathology
32.4 Clinical and Surgical Management
References
33: Cavernous Sinus Cavernous Hemangiomas
33.1 Epidemiology and Clinical Presentation
33.2 Imaging Features
33.3 Histopathology
33.4 Clinical and Surgical Management
References
34: Optic Pathway (Opticochiasmatic) and Hypothalamic Gliomas
34.1 Epidemiology and Clinical Presentation
34.2 Imaging Features
34.3 Histopathology
34.4 Clinical and Surgical Management
References
35: Pituicytomas and Sellar Ependymomas
35.1 Epidemiology and Clinical Presentation
35.2 Imaging Features
35.3 Histopathology
35.4 Clinical and Surgical Management
References
36: Granular Cell Tumors
36.1 Epidemiology and Clinical Presentation
36.2 Imaging Features
36.3 Histopathology
36.4 Clinical and Surgical Management
References
37: Germ Cell Tumors of the Sellar Region
37.1 Epidemiology and Clinical Presentation
37.2 Imaging Features
37.3 Histopathology
37.4 Clinical and Surgical Management
References
38: Olfactory Neuroblastoma and Sellar Neuroblastoma
38.1 Epidemiology and Clinical Presentation
38.2 Imaging Features
38.3 Histopathology
38.4 Clinical and Surgical Management
References
39: Hypothalamic Hamartoma
39.1 Epidemiology and Clinical Presentation
39.2 Imaging Features
39.3 Histopathology
39.4 Clinical and Surgical Management
References
40: Plasmacytoma
40.1 Epidemiology and Clinical Presentation
40.2 Imaging Features
40.3 Histopathology
40.4 Clinical and Surgical Management
References
41: Lymphoma
41.1 Epidemiology and Clinical Presentation
41.2 Imaging Features
41.3 Histopathology
41.4 Clinical and Surgical Management
References
42: Gangliocytoma and Ganglioglioma
42.1 Epidemiology and Clinical Presentation
42.1.1 Gangliocytoma
42.1.2 Ganglioglioma
42.2 Imaging Features
42.3 Histopathology
42.3.1 Gangliocytoma
42.3.2 Ganglioglioma
42.4 Clinical and Surgical Management
References
43: Spindle Cell Oncocytoma
43.1 Epidemiology and Clinical Presentation
43.2 Imaging Features
43.3 Histopathology
43.4 Clinical and Surgical Management
References
44: Nasopharyngeal Carcinoma and Squamous Cell Carcinoma of the Paranasal Sinuses
44.1 Epidemiology and Clinical Presentation
44.2 Imaging Features
44.3 Histopathology
44.4 Clinical and Surgical Management
References
45: Sinonasal Melanoma
45.1 Epidemiology and Clinical Presentation
45.2 Imaging Features
45.3 Histopathology
45.4 Clinical and Surgical Management
References
46: Sinonasal Adenocarcinoma
46.1 Epidemiology and Clinical Presentation
46.2 Imaging Features
46.3 Histopathology
46.4 Clinical and Surgical Management
References
47: Sinonasal Undifferentiated Carcinoma (SNUC)
47.1 Epidemiology and Clinical Presentation
47.2 Imaging Features
47.3 Histopathology
47.4 Clinical and Surgical Management
References
48: Fibrosarcoma of the Sellar Region
48.1 Epidemiology and Clinical Presentation
48.2 Imaging Features
48.3 Histopathology
48.4 Clinical and Surgical Management
References
49: Juvenile Nasopharyngeal Angiofibroma (JNA)
49.1 Epidemiology and Clinical Presentation
49.2 Imaging Features
49.3 Histopathology
49.4 Clinical and Surgical Management
References
50: Metastatic Tumors to the Pituitary Gland
50.1 Epidemiology and Clinical Presentation
50.2 Imaging Features
50.3 Histopathology
50.4 Clinical and Surgical Management
References
Part VII: Inflammatory and Infectious Lesions of the Anterior Skull Base, Sellar and Parasellar Regi
51: Spontaneous Abscess of the Sellar Region
51.1 Epidemiology and Clinical Presentation
51.2 Imaging Features
51.3 Histopathology
51.4 Clinical and Surgical Management
References
52: Invasive Fungal Sinusitis and Fungal Abscess of the Sella
52.1 Epidemiology and Clinical Presentation
52.2 Imaging Features
52.3 Histopathology
52.4 Clinical and Surgical Management
References
53: Mucocele and Mucopyocele
53.1 Epidemiology and Clinical Presentation
53.2 Imaging Features
53.3 Histopathology
53.4 Clinical and Surgical Management
References
54: Sellar Tuberculosis
54.1 Epidemiology and Clinical Presentation
54.2 Imaging Features
54.3 Histopathology
54.4 Clinical and Surgical Management
References
55: Neurocysticercosis of the Sellar Region
55.1 Epidemiology and Clinical Presentation
55.2 Imaging Features
55.3 Histopathology
55.4 Clinical and Surgical Management
References
56: Granulomatous Conditions of the Sellar Region
56.1 Neurosarcoidosis of the Sellar and Suprasellar Region
56.1.1 Epidemiology and Clinical Presentation
56.1.2 Imaging Features
56.1.3 Histopathology
56.1.4 Clinical and Surgical Management
56.2 Wegener’s Granulomatosis of the Sellar Region
56.2.1 Epidemiology and Clinical Presentation
56.2.2 Imaging Features
56.2.3 Histopathology
56.2.4 Clinical and Surgical Management
56.3 Langerhans Cell Histiocytosis
56.3.1 Epidemiology and Clinical Presentation
56.3.2 Imaging Features
56.3.3 Histopathology
56.3.4 Clinical and Surgical Management
References
57: Inflammatory Hypophysitis
57.1 Epidemiology and Clinical Presentation
57.1.1 Primary Hypophysitis
57.1.2 Secondary Hypophysitis
57.2 Imaging Features
57.3 Histopathology
57.3.1 Lymphocytic Hypophysitis
57.3.2 Granulomatous Hypophysitis
57.3.3 Xanthomatous and Xanthogranulomatous Hypophysitis
57.3.4 IgG4 Hypophysitis
57.4 Clinical and Surgical Management
References
58: Demyelinating Diseases: Multiple Sclerosis and Neuromyelitis Optica
58.1 Epidemiology and Clinical Presentation
58.2 Imaging Features
58.3 Histopathology
58.4 Clinical Management
References
Part VIII: Vascular Disorders of the Anterior Skull Base, Sellar, and Parasellar Region
59: Cerebral Aneurysms with Intrasellar Extension
59.1 Epidemiology and Clinical Presentation
59.2 Imaging Features
59.3 Clinical and Surgical Management
References
60: Arteriovenous Malformations
60.1 Epidemiology and Clinical Presentation
60.2 Imaging Features
60.3 Clinical and Surgical Management
References
61: Cavernous Malformations (Angiomas) of the Sellar and Suprasellar Region
61.1 Epidemiology and Clinical Presentation
61.2 Imaging Features
61.3 Histopathology
61.4 Clinical and Surgical Management
References
62: Vascular Fistulas of the Sellar and Parasellar Region
62.1 Epidemiology and Clinical Presentation
62.1.1 Cavernous-Carotid Fistulas
62.1.2 Cavernous Sinus Dural AVMs
62.2 Imaging Features
62.3 Clinical and Surgical Management
References
63: Carotid Artery Dolichoectasia and Kissing Internal Carotid Arteries
63.1 Epidemiology and Clinical Presentation
63.2 Imaging Features
63.3 Clinical and Surgical Management
References
64: Sheehan’s Pituitary Infarction
64.1 Epidemiology and Clinical Presentation
64.2 Imaging Features
64.3 Histopathology
64.4 Clinical Management
References
65: Persistent Trigeminal Artery of the Sellar Region
65.1 Epidemiology and Clinical Presentation
65.2 Imaging Features
65.3 Clinical and Surgical Management
References
Part IX: Congenital and Developmental Anomalies of the Anterior Skull Base and Sellar Region
66: Meningoceles and Encephaloceles
66.1 Epidemiology and Clinical Presentation
66.2 Imaging Features
66.3 Histopathology
66.4 Clinical and Surgical Management
References
67: Empty Sella Syndrome
67.1 Epidemiology and Clinical Presentation
67.2 Imaging Features
67.3 Clinical and Surgical Management
References
68: Pituitary Hypoplasia and Other Midline Developmental Anomalies
68.1 Epidemiology and Clinical Presentation
68.2 Imaging Features
68.3 Clinical Management
References
69: Duplication of the Pituitary Gland
69.1 Epidemiology and Clinical Presentation
69.2 Imaging Features
69.3 Clinical Management
References
70: Fibrous Dysplasia
70.1 Epidemiology and Clinical Presentation
70.2 Imaging Features
70.3 Histopathology
70.4 Clinical and Surgical Management
References
71: Basilar Impression and Invagination
71.1 Epidemiology and Clinical Presentation
71.2 Imaging Features
71.3 Clinical and Surgical Management
References
Part X: Acquired Anomalies of the Sellar Region
72: Traumatic Injury of the Sellar Region, Pituitary Stalk Disruption, and Posttraumatic Anosmia
72.1 Epidemiology and Clinical Presentation
72.2 Imaging Features
72.3 Histopathology
72.4 Clinical and Surgical Management
References
73: Spontaneous, Traumatic, and Postoperative CSF Rhinorrhea
73.1 Epidemiology and Clinical Presentation
73.1.1 Spontaneous CSF Rhinorrhea
73.1.2 Traumatic CSF Rhinorrhea
73.1.3 Postoperative CSF Rhinorrhea
73.2 Imaging Features
73.3 Clinical and Surgical Management
73.3.1 Diagnosis of CSF Leaks
73.3.2 Management of CSF Rhinorrhea
References
74: Pseudoaneurysms of the Internal Carotid Artery in the Sellar Region
74.1 Epidemiology and Clinical Presentation
74.2 Imaging Features
74.3 Clinical and Surgical Management
References
75: Iatrogenic Pituitary Abscess
75.1 Epidemiology and Clinical Presentation
75.2 Imaging Features
75.3 Histopathology
75.4 Clinical and Surgical Management
References
Index
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Tags: Gabriel Zada, Beatriz Lopes, Srinivasan Mukundan, Edward Laws, Atlas of Sellar, Pathologic Correlations