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鞍棘：蝶鞍罕见的骨质变异。

Sellar spine: A rare Bony variant of the Sella Turcica.

作者信息

Metelo-Liquito Luke D, Buthelezi Thandi E

机构信息

Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

SA J Radiol. 2022 Apr 28;26(1):2371. doi: 10.4102/sajr.v26i1.2371. eCollection 2022.

DOI:10.4102/sajr.v26i1.2371
PMID:35548706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9082226/
Abstract

A sellar spine is a rare osseous projection from the dorsum sellae, resulting in variable compression of sellar and suprasellar structures and varied clinical presentations. CT is the diagnostic modality of choice, while variable signal intensity on MRI may mimic a pituitary microadenoma. A patient presented with hypoprolactinaemia and puerperal alactogenesis due to a sellar spine diagnosed on CT Brain. Neurosurgical and endocrine review and pituitary MRI were recommended with subsequent loss to follow-up.

摘要

鞍结节是一种罕见的从鞍背发出的骨性突起，可导致鞍内和鞍上结构的不同程度受压，并产生多样的临床表现。CT是首选的诊断方式，而MRI上的可变信号强度可能会被误诊为垂体微腺瘤。一名因脑部CT诊断为鞍结节的患者出现了低催乳素血症和产后无乳的症状。建议进行神经外科和内分泌科会诊以及垂体MRI检查，但患者随后失访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e887/9082226/9bf4572d42ee/SAJR-26-2371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e887/9082226/009591070e89/SAJR-26-2371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e887/9082226/9bf4572d42ee/SAJR-26-2371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e887/9082226/009591070e89/SAJR-26-2371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e887/9082226/9bf4572d42ee/SAJR-26-2371-g002.jpg

相似文献

1
Sellar spine: A rare Bony variant of the Sella Turcica.鞍棘：蝶鞍罕见的骨质变异。
SA J Radiol. 2022 Apr 28;26(1):2371. doi: 10.4102/sajr.v26i1.2371. eCollection 2022.
2
CT and MRI of sellar spine with upward extension of the pituitary gland: case report.垂体向上延伸的鞍区脊柱的CT和MRI检查：病例报告
Eur Radiol. 1997;7(2):287-8. doi: 10.1007/s003300050152.
3
MR imaging of the sellar spine.蝶鞍脊柱的磁共振成像。
J Comput Assist Tomogr. 1988 Jul-Aug;12(4):644-5. doi: 10.1097/00004728-198807000-00022.
4
Postnatal sellar spine growth: A case report and literature review.产后蝶鞍脊柱生长：一例病例报告及文献综述
Medicine (Baltimore). 2016 Aug;95(33):e4579. doi: 10.1097/MD.0000000000004579.
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Pituitary sellar spine in a pediatric patient with diabetes insipidus.儿童尿崩症患者的垂体鞍突脊
Clin Imaging. 2021 Jan;69:145-147. doi: 10.1016/j.clinimag.2020.07.002. Epub 2020 Jul 17.
6
Computerized tomography of a sellar spine. Case report.蝶鞍脊柱的计算机断层扫描。病例报告。
J Neurosurg. 1982 Sep;57(3):407-9. doi: 10.3171/jns.1982.57.3.0407.
7
Computed tomography of the sellar spine.蝶鞍脊柱的计算机断层扫描。
Neuroradiology. 1983;24(3):173-4. doi: 10.1007/BF00347838.
8
Challenging Diagnosis and Surgical Management of a Symptomatic Sellar Spine.症状性蝶鞍脊柱的诊断挑战与手术治疗
World Neurosurg. 2016 Jul;91:669.e7-669.e10. doi: 10.1016/j.wneu.2016.03.046. Epub 2016 Mar 24.
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Sellar chondroma--case report.
Neurol Med Chir (Tokyo). 1999 Nov;39(12):870-4. doi: 10.2176/nmc.39.870.
10
Relationship between the development of diaphragma sellae and the morphology of the sella turcica and its content.鞍膈发育与蝶鞍形态及其内容物之间的关系。
Surg Radiol Anat. 1992;14(3):233-9. doi: 10.1007/BF01794946.

本文引用的文献

1
Sellar spine: a rare osseous anomaly.蝶鞍棘：一种罕见的骨异常。
Acta Neurol Belg. 2021 Apr;121(2):571-572. doi: 10.1007/s13760-020-01457-5. Epub 2020 Aug 7.
2
Pituitary sellar spine in a pediatric patient with diabetes insipidus.儿童尿崩症患者的垂体鞍突脊
Clin Imaging. 2021 Jan;69:145-147. doi: 10.1016/j.clinimag.2020.07.002. Epub 2020 Jul 17.
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Incidentally detected sellar spine in a patient with Cushing's syndrome: a case report.库欣综合征患者偶然发现的蝶鞍棘：一例报告
J Int Med Res. 2020 Jul;48(7):300060520940159. doi: 10.1177/0300060520940159.
4
Postnatal sellar spine growth: A case report and literature review.产后蝶鞍脊柱生长：一例病例报告及文献综述
Medicine (Baltimore). 2016 Aug;95(33):e4579. doi: 10.1097/MD.0000000000004579.
5
Challenging Diagnosis and Surgical Management of a Symptomatic Sellar Spine.症状性蝶鞍脊柱的诊断挑战与手术治疗
World Neurosurg. 2016 Jul;91:669.e7-669.e10. doi: 10.1016/j.wneu.2016.03.046. Epub 2016 Mar 24.
6
Upward oriented sellar spine. MRI findings. A case report.向上的鞍背。MRI表现。病例报告。
Neuroradiol J. 2010 Sep;23(4):426-8. doi: 10.1177/197140091002300409. Epub 2010 Sep 24.
7
Sellar spine: a rare cause of T1 signal hyperintensity and apparent pituitary enlargement.鞍结节：T1信号高信号及垂体明显增大的罕见原因。
QJM. 2014 Apr;107(4):323. doi: 10.1093/qjmed/hct147. Epub 2013 Jul 2.
8
CT and MRI of sellar spine with upward extension of the pituitary gland: case report.垂体向上延伸的鞍区脊柱的CT和MRI检查：病例报告
Eur Radiol. 1997;7(2):287-8. doi: 10.1007/s003300050152.
9
Sellar spine and pituitary adenoma: MR and CT appearance.鞍背与垂体腺瘤：磁共振成像和计算机断层扫描表现
J Comput Assist Tomogr. 1994 Nov-Dec;18(6):994-5. doi: 10.1097/00004728-199411000-00031.
10
Intrasellar bony spine, a possible cause of hypopituitarism.鞍内骨棘，垂体功能减退的一个可能原因。
Eur J Endocrinol. 1995 Jan;132(1):82-5. doi: 10.1530/eje.0.1320082.