Literature DB >> 25963119

The association between petrous apex cephalocele and empty sella.

Dima Z Jamjoom1, Ibrahim A Alorainy2.   

Abstract

PURPOSE: Petrous apex cephalocele (PAC) is a rare lesion that has been linked to empty sella in several case reports. The aim of this study is to document the incidence of empty sella and PAC in consecutive brain MRI studies and study the association between these two lesions to better understand the underlying etiology of PAC.
METHODS: A total of 2410 brain MRI studies were performed in our institution in the period from January 2011 to December 2011. After eliminating duplicated studies, a total of 2093 studies met our inclusion criteria. Retrospective analysis of patients' head MRI was performed by two radiologists independently to identify the presence of empty sella and/or PAC.
RESULTS: Empty sella was found in 322 (15.4 %) patients. PAC was found in 111 (5.3 %) patients (age range 6-81 years) of which 87 were females and 24 were males. Of all the patients with PAC, 77 (69.4 %) patients had associated empty sella. Bilateral PAC was more common and seen in 77 patients.
CONCLUSION: PAC is associated with empty sella, and both lesions are probably related to the same cause.

Entities:  

Keywords:  Arachnoid pits; Cerebrospinal fluid leak; Empty sella; Meckel’s cave; Petrous apex cephalocele; Raised intracranial pressure

Mesh:

Year:  2015        PMID: 25963119     DOI: 10.1007/s00276-015-1489-5

Source DB:  PubMed          Journal:  Surg Radiol Anat        ISSN: 0930-1038            Impact factor:   1.246


  13 in total

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2.  Dilation of the subarachnoid spaces surrounding the cranial nerves with petrous apex cephaloceles in Usher syndrome.

Authors:  T A Stark; A M McKinney; C S Palmer; R H Maisel; C L Truwit
Journal:  AJNR Am J Neuroradiol       Date:  2008-10-22       Impact factor: 3.825

Review 3.  Petrous apex lesions: pictorial review.

Authors:  Philip R Chapman; Ritu Shah; Joel K Curé; Asim K Bag
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4.  Invasive cerebrospinal fluid cysts and cephaloceles of the petrous apex.

Authors:  Brandon Isaacson; Newton J Coker; Jeffrey T Vrabec; Daniel Yoshor; John S Oghalai
Journal:  Otol Neurotol       Date:  2006-12       Impact factor: 2.311

5.  Primary empty sella.

Authors:  Laura De Marinis; Stefania Bonadonna; Antonio Bianchi; Giulio Maira; Andrea Giustina
Journal:  J Clin Endocrinol Metab       Date:  2005-06-21       Impact factor: 5.958

6.  Petrous apex cephalocele and empty sella: is there any relation?

Authors:  Ibrahim A Alorainy
Journal:  Eur J Radiol       Date:  2007-02-15       Impact factor: 3.528

7.  A retrospective analysis of spontaneous sphenoid sinus fistula: MR and CT findings.

Authors:  P G Shetty; M M Shroff; G M Fatterpekar; D V Sahani; M V Kirtane
Journal:  AJNR Am J Neuroradiol       Date:  2000-02       Impact factor: 3.825

8.  Significance of empty sella in cerebrospinal fluid leaks.

Authors:  Rodney J Schlosser; William E Bolger
Journal:  Otolaryngol Head Neck Surg       Date:  2003-01       Impact factor: 3.497

9.  Nontraumatic skull base defects with spontaneous CSF rhinorrhea and arachnoid herniation: imaging findings and correlation with endoscopic sinus surgery in 27 patients.

Authors:  B Schuknecht; D Simmen; H R Briner; D Holzmann
Journal:  AJNR Am J Neuroradiol       Date:  2007-12-13       Impact factor: 3.825

10.  Petrous apex cephalocele and empty sella/arachnoid cyst coexistence: a clue for cerebrospinal fluid pressure imbalance?

Authors:  Hatice Gül Hatipoğlu; Mehmet Ali Cetin; Mehmet Ali Gürses; Ergun Dağlioğlu; Bülent Sakman; Enis Yüksel
Journal:  Diagn Interv Radiol       Date:  2010-01-27       Impact factor: 2.630

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  1 in total

1.  Cavum trigeminale cephalocele associated with intracranial hypertension in an 18-month-old child: illustrative case.

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