EURORAD ESR

Case 2141

Cavernous sinus invasion by a pituitary adenoma

Author(s)
Rakhtawane E, le Van An JC, Budet C
 
Patient
female, 40 year(s)
 
 
  • Published 15.12.2009
  • DOI 10.1594/EURORAD/CASE.2141
  • Section Neuroradiology
  • Case Type Clinical Cases
  • Difficulty Senior
  • Views 6201
  • Language(s)
  • Figure 1
    A drawing of venous compartments and the intercarotid lines
     

    Venous compartments of the cavernous sinus; 5 = the carotid sulcus venous compartment.

     
    Area of Interest: unknown; Imaging Technique: Drawing of venous compartments and the intercarotid lines ,Drawing of venous compartments and the intercarotid lines;

    The intercarotid lines.

     
    Area of Interest: unknown; Imaging Technique: Drawing of venous compartments and the intercarotid lines ,Drawing of venous compartments and the intercarotid lines;
     
     
  • Figure 2
    CT scans
     

    An axial, non-contrast CT scan showing an intrasellar macro-adenoma with right side expansions.

     
    Area of Interest: unknown; Imaging Technique: CT scans,CT scans;

    An axial post-contrast CT scan showing an enhancing macro-adenoma with ICA encasement.

     
    Area of Interest: unknown; Imaging Technique: CT scans,CT scans;
     
     
  • Figure 3
    MR images
     

    A coronal T2-weighted MR image showing intrasellar and suprasellar macro-adenoma with lateral expansion. The percentage of ICA encasement is estimated to be 30%.

     
    Area of Interest: unknown; Imaging Technique: MRI,MRI;

    A coronal non-enhanced, T1-weighted MR image showing the macro-adenoma extending into the right cavernous sinus; the lateral intercarotid line is crossed.

     
    Area of Interest: unknown; Imaging Technique: MRI,MRI;

    A coronal enhanced, T1-weighted MR image showing the macro-adenoma extending into the right cavernous sinus; the lateral intercarotid line is crossed.

     
    Area of Interest: unknown; Imaging Technique: MRI,MRI;
     
     
Venous compartments of the cavernous sinus; 5 = the carotid sulcus venous compartment.
 
The intercarotid lines.
 
An axial, non-contrast CT scan showing an intrasellar macro-adenoma with right side expansions.
 
An axial post-contrast CT scan showing an enhancing macro-adenoma with ICA encasement.
 
A coronal T2-weighted MR image showing intrasellar and suprasellar macro-adenoma with lateral expansion. The percentage of ICA encasement is estimated to be 30%.
 
A coronal non-enhanced, T1-weighted MR image showing the macro-adenoma extending into the right cavernous sinus; the lateral intercarotid line is crossed.
 
A coronal enhanced, T1-weighted MR image showing the macro-adenoma extending into the right cavernous sinus; the lateral intercarotid line is crossed.
 
 
 
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