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Computed Tomography Evaluation of Sella Turcica Dimensions and Relevant Anthropometric Parameters in an African Population

Received: 21 May 2017    Accepted: 5 June 2017    Published: 25 July 2017
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Abstract

A structural change from normal dimensions of sella turcica could be an indication of a pathological condition of the structure itself, the pituitary gland or the extra-sellar structures. The sella turcica is a groove in the sphenoid bone which contains the pituitary gland and this crucial intracranial structure affected both by intrasellar and extrasellar pathological conditions. This study was conducted to find out the normal dimensions of sella turcica among adult Nigerian population in South Western Nigeria with the aid of computed tomography and assess if the dimensions of sella turcica vary with age, gender and some anthropometric parameters. This prospective study evaluated the normal adult sella turcica dimensions from the computed tomography head images of 197 patients that presented at a foremost public tertiary hospital in Lagos State. Other anthropometric data (biparietal diameter, occipito-frontal diameter and patient’s height) were also measured. The data obtained was analyzed with SPSS Windows Version 17.0 (SPSS Inc.). The results shows that the sella turcica has mean length of 9.8 mm, AP diameter of 11.5 mm, and depth of 8.6 mm. The results illustrates that there is no difference between sella turcica dimension and the gender of the patient and there is no relationship between age and sella turcica dimensions. However, a positive correlation was established between sella turcica dimensions and height of the subjects. Linear regression prediction models were developed for the purpose of predicting the dimensions of sella turcica from patients’ height. The baseline sella turcica data obtained would be applied for the more objective evaluation and detection of pathological conditions of the sella turcica and adjacent structures within population studied. The predictive equations established between sella turcica dimensions and height could be used to predict normal sella turcica length and AP diameter in the assessment of the existence of possible intra- and extra-sellar pathologies.

Published in International Journal of Neurosurgery (Volume 1, Issue 1)
DOI 10.11648/j.ijn.20170101.12
Page(s) 7-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sella Turcica, Pituitary Gland, Computed Tomography, Sellar Diseases

References
[1] Nagaraj T, Shruthi R, James S, Keerthi I, Balraj L, Goswami R. (2015) The size and morphology of sella turcica: A lateral cephalometric study. Journal of Medicine, Radiology, Pathology & Surgery. 1: 3-7.
[2] Famini P, Maya M. (2011) Pituitary magnetic resonance imaging for sellar and parasellar masses: ten-year experience in 2598 patients. Journal of Clinical Endocrinology and Metabolism. 96 (6): 1633-41.
[3] Meyer-Marcotty P, Reuther T, Stellzig-Eisenhauer A. (2010) Bridging of the sella turcica in skeletal Class III subjects. European Journal of Orthodontics. 32 (2): 148-53.
[4] Russell B. G and Kjaer, I. (2008). Postnatal structure of sella turcica in Down syndrome. American Journal of Medical Genetics. 87: 183-188.
[5] Muzio B and Mudgal P (2015) Differential diagnosis of enlarged sella turcica. Retrieved from http://radiopaedia.org/ on 20/04/2016.
[6] Lupi I, Zhang J, Gutenberg A (2011), From pituitary expansion to empty sella: disease progression in a mouse model of autoi mmune hypophysitis. Endocrinology. 152 (11): 4190-8.
[7] Bonifacio-Delgadillo D, Aburto-Murrieta Y, Salinas-Lara C, Sotelo J, Montes-Mojarro I, and Garcia-Marquez A, (2014). “Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas,” Case Reports in Medicine, 9619: 13.9.
[8] Sathyanarayana L (2013), Sella turcica - Its importance in orthodontics and craniofacial morphology. Dental Research Journal. 10 (5): 571–575.
[9] Axelsson S, Storhaug K, and Kjær I (2005), Post-natal size and morphology of the sella turcica. Longitudinal cephalometric standards for Norwegians between 6 and 21 years of age. The European Journal of Orthodontics, 31 (9) 613-621.
[10] Alkofide E, (2007) The shape and size of the sella turcica in skeletal Class I, Class II, and Class III Saudi subjects, The European Journal of Orthodontics 55 (9) 457-463.
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[14] Camp J. D. (2005) The normal and pathologic anatomy of sella turcica as revealed by roentgenograms. American Journal of Roentgenology, 140: 197-801.
[15] Ali E (2013) Characterization and Measurement of Sella Turcica among Sudanese using CT. Sudan University of Science and Technology Repository. Department of Medical Radiologic Science. MSc Thesis.
[16] Kari, S and Inger, K (2004) Post-natal size and morphology of the sella turcica in Williams syndrome. European Journal of Orthodontics, 26 (4): 597-604.
[17] Silverman, F. N. (2000). Roentgen Standards for size of pituitary fossa from infancy through adolescence, American Journal of Roentgenology, 28: 451-460.
[18] Choi WJ, Hwang EH, Lee SR (2001), The study of shape and size of normal sella turcica in cephalometric radiographs, Korean Journal of Oral and Maxillofacial Radiology. 31 (1): 43-49.
[19] Melsen B. (1994). The cranial base: the postnatal development of the cranial base studid historical on human autopsy material. Acta odontologica scandinavica, 32: (suppl. 62): 57-71.
[20] Elster, A. D. Chen, M. Y. Williams, D. W. and Key, L. L. (2006) Pituitary gland. MR Imaging of physiology hypertrophy in adolescence Radiology. 72: 754-761.
[21] Kucharczyk and Hazewinkel (2008), Sella Turcica and Parasellar Region, Retrieved from RadiologyAssistant.nl on 10/04/16.
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    Chukwuani Anselm Ejike, Ugwu Anthony, Ginigeme Anita Adimchukwunaka. (2017). Computed Tomography Evaluation of Sella Turcica Dimensions and Relevant Anthropometric Parameters in an African Population. International Journal of Neurosurgery, 1(1), 7-11. https://doi.org/10.11648/j.ijn.20170101.12

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    ACS Style

    Chukwuani Anselm Ejike; Ugwu Anthony; Ginigeme Anita Adimchukwunaka. Computed Tomography Evaluation of Sella Turcica Dimensions and Relevant Anthropometric Parameters in an African Population. Int. J. Neurosurg. 2017, 1(1), 7-11. doi: 10.11648/j.ijn.20170101.12

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    AMA Style

    Chukwuani Anselm Ejike, Ugwu Anthony, Ginigeme Anita Adimchukwunaka. Computed Tomography Evaluation of Sella Turcica Dimensions and Relevant Anthropometric Parameters in an African Population. Int J Neurosurg. 2017;1(1):7-11. doi: 10.11648/j.ijn.20170101.12

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  • @article{10.11648/j.ijn.20170101.12,
      author = {Chukwuani Anselm Ejike and Ugwu Anthony and Ginigeme Anita Adimchukwunaka},
      title = {Computed Tomography Evaluation of Sella Turcica Dimensions and Relevant Anthropometric Parameters in an African Population},
      journal = {International Journal of Neurosurgery},
      volume = {1},
      number = {1},
      pages = {7-11},
      doi = {10.11648/j.ijn.20170101.12},
      url = {https://doi.org/10.11648/j.ijn.20170101.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20170101.12},
      abstract = {A structural change from normal dimensions of sella turcica could be an indication of a pathological condition of the structure itself, the pituitary gland or the extra-sellar structures. The sella turcica is a groove in the sphenoid bone which contains the pituitary gland and this crucial intracranial structure affected both by intrasellar and extrasellar pathological conditions. This study was conducted to find out the normal dimensions of sella turcica among adult Nigerian population in South Western Nigeria with the aid of computed tomography and assess if the dimensions of sella turcica vary with age, gender and some anthropometric parameters. This prospective study evaluated the normal adult sella turcica dimensions from the computed tomography head images of 197 patients that presented at a foremost public tertiary hospital in Lagos State. Other anthropometric data (biparietal diameter, occipito-frontal diameter and patient’s height) were also measured. The data obtained was analyzed with SPSS Windows Version 17.0 (SPSS Inc.). The results shows that the sella turcica has mean length of 9.8 mm, AP diameter of 11.5 mm, and depth of 8.6 mm. The results illustrates that there is no difference between sella turcica dimension and the gender of the patient and there is no relationship between age and sella turcica dimensions. However, a positive correlation was established between sella turcica dimensions and height of the subjects. Linear regression prediction models were developed for the purpose of predicting the dimensions of sella turcica from patients’ height. The baseline sella turcica data obtained would be applied for the more objective evaluation and detection of pathological conditions of the sella turcica and adjacent structures within population studied. The predictive equations established between sella turcica dimensions and height could be used to predict normal sella turcica length and AP diameter in the assessment of the existence of possible intra- and extra-sellar pathologies.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Computed Tomography Evaluation of Sella Turcica Dimensions and Relevant Anthropometric Parameters in an African Population
    AU  - Chukwuani Anselm Ejike
    AU  - Ugwu Anthony
    AU  - Ginigeme Anita Adimchukwunaka
    Y1  - 2017/07/25
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ijn.20170101.12
    DO  - 10.11648/j.ijn.20170101.12
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 7
    EP  - 11
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20170101.12
    AB  - A structural change from normal dimensions of sella turcica could be an indication of a pathological condition of the structure itself, the pituitary gland or the extra-sellar structures. The sella turcica is a groove in the sphenoid bone which contains the pituitary gland and this crucial intracranial structure affected both by intrasellar and extrasellar pathological conditions. This study was conducted to find out the normal dimensions of sella turcica among adult Nigerian population in South Western Nigeria with the aid of computed tomography and assess if the dimensions of sella turcica vary with age, gender and some anthropometric parameters. This prospective study evaluated the normal adult sella turcica dimensions from the computed tomography head images of 197 patients that presented at a foremost public tertiary hospital in Lagos State. Other anthropometric data (biparietal diameter, occipito-frontal diameter and patient’s height) were also measured. The data obtained was analyzed with SPSS Windows Version 17.0 (SPSS Inc.). The results shows that the sella turcica has mean length of 9.8 mm, AP diameter of 11.5 mm, and depth of 8.6 mm. The results illustrates that there is no difference between sella turcica dimension and the gender of the patient and there is no relationship between age and sella turcica dimensions. However, a positive correlation was established between sella turcica dimensions and height of the subjects. Linear regression prediction models were developed for the purpose of predicting the dimensions of sella turcica from patients’ height. The baseline sella turcica data obtained would be applied for the more objective evaluation and detection of pathological conditions of the sella turcica and adjacent structures within population studied. The predictive equations established between sella turcica dimensions and height could be used to predict normal sella turcica length and AP diameter in the assessment of the existence of possible intra- and extra-sellar pathologies.
    VL  - 1
    IS  - 1
    ER  - 

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Author Information
  • Department of Radiology, Reddington Multi-Specialist Hospital, Lagos, Nigeria; Department of Medical Radiography and Radiological Sciences, College of Health Sciences, Nnamdi Azikiwe University, Ifite Awka, Nigeria

  • Department of Medical Radiography and Radiological Sciences, College of Health Sciences, Nnamdi Azikiwe University, Ifite Awka, Nigeria

  • Department of Human Anatomy, Ben Carson College of Medicine, Babcock University, Ilishan-Remo, Nigeria

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