Department of Neurosurgery, University of Southern California, Los Angeles, CA 90033, USA.
Semin Neurol. 2012 Sep;32(4):320-31. doi: 10.1055/s-0032-1331806. Epub 2013 Jan 29.
The sellar and parasellar region is anatomically complex and encompasses many important vascular, endocrine, and neural structures. Pathology that arises within this region is often similarly complex, and requires a combination of endocrinologic, ophthalmologic, and neurologic examinations combined with advanced neuroimaging modalities. Magnetic resonance imaging (MRI) has become the gold standard for characterization of sellar and parasellar pathology due to the high contrast and detail it provides. Computed tomography (CT) allows for identification of bony involvement of lesions and also the general bony anatomy of the sellar region. Both modalities combined allow for complete characterization of sellar and parasellar pathology.
鞍区和鞍旁区域解剖结构复杂,包含许多重要的血管、内分泌和神经结构。该区域内发生的病变通常也同样复杂,需要结合内分泌、眼科和神经检查以及先进的神经影像学方式来进行诊断。磁共振成像(MRI)由于其提供的高对比度和细节,已成为鞍区和鞍旁病变特征描述的金标准。计算机断层扫描(CT)可用于确定病变的骨累及情况以及鞍区的一般骨性解剖结构。这两种方式结合使用可对鞍区和鞍旁病变进行全面特征描述。