Relative Diagnostic Value of Air Study and Angiography in Suprasellar Masses

Autor: Berten C. Bean, Louis Bakay
Rok vydání: 1963
Předmět:
Zdroj: Journal of Neurosurgery. 20:729-739
ISSN: 0022-3085
DOI: 10.3171/jns.1963.20.9.0729
Popis: E XPERIENCE has shown that changes in the size and configuration of the sella turcica associated with visual symptoms with or without endocrinological deficiency indicate the presence of a sellar or suprasellar tumor but these signs do not indicate the exact location, size, or type of the neoplasm. Pneumoencephalography usually will give adequate information as to the size, shape, and degree of suprasellar extension of these tumors. The increasingly routine use of carotid angiography for all supratentorial lesions has not been evaluated properly from the point of view of these small midline basal neoplasms. I t is our purpose to evaluate the relative efficacy of angiography versus encephalography for the delineation of sellar and parasellar tumors. Several authors in the past 6,s,n have considered pneumography more reliable than angiography for the evaluation of the extrasellar extensions of pituitary adenomas. However, Chase and Taveras 2 concluded recently that pneumography was superior in only 48 per cent of cases; both procedures were considered equal in ~7 per cent and arteriography was considered superior in ~5 per cent. E1-Banhawy and E1-Nadi 4 came to the conclusion that both encephalography and angiography are important and complementary procedures for the investigation of sellar and suprasellar space-occupying lesions.
Databáze: OpenAIRE