In patients with a known pituitary microadenoma erosion or remodelling of the pituitary floor is a sign of inferior extension.
Erosion sellar floor.
Enlargement with erosion of anterior cortex of dorsum sellae proceeds to the floor of the sella and may result in complete destruction of the dorsum.
Gliomas of the optic nerve and hypothalamus may erode the clinoid processes.
Furthermore osteolysis of the dorsum sellae and clinoids sometimes occur in childhood leukemia and langerhans cell histiocyto.
Another measurement important in transsphenoidal surgery is the thickness of the anterior sellar wall and sellar floor.
Mucocele of the sphenoid sinus.
Erosion or remodelling of the pituitary floor is of limited help since it may be a normal finding.
Erosion of anterior and posterior clinoids can be seen pituitary tumors e g.
Primary or secondary neoplasms including.
Thickening of the tuberculum or of the clinoid processes and blistering of the planum sphenoidale have frequently been reported in association with meningiomas of the sella turcica.
In the sellar type of sinus the thickness of the anterior sellar wall ranged from 0 1 to 0 7 mm mean 0 4 mm compared with 0 3 to 1 5 mm mean 0 7 mm for the presellar type.