塞勒,鞍上,而星际空间包含了大量的病状,包括肿瘤,先天性,血管,炎症,和传染性病因。症状,如果存在,包括头痛的组合,眼睛疼痛,眼肌麻痹,视野缺损,颅神经病,和内分泌表现。特别关注CT和MRI的关键特征,这些特征可以帮助区分不同的病理。虽然大多数病变最终需要进行组织病理学评估,颅底解剖的专业知识与关键影像学特征的认识相结合,可用于限制鉴别诊断和指导管理。外科技术,包括鼻内镜和经颅神经外科手术入路的详细描述。
The sellar, suprasellar, and parasellar space contain a vast array of pathologies, including neoplastic, congenital, vascular, inflammatory, and infectious etiologies. Symptoms, if present, include a combination of headache, eye pain, ophthalmoplegia, visual field deficits, cranial neuropathy, and endocrine manifestations. A special focus is paid to key features on CT and MRI that can help in differentiating different pathologies. While most lesions ultimately require histopathologic evaluation, expert knowledge of skull base anatomy in combination with awareness of key imaging features can be useful in limiting the differential diagnosis and guiding management. Surgical techniques, including endoscopic endonasal and transcranial neurosurgical approaches are described in detail.