Case Challenge

Head and Neck

Neuro

Sella

Stephen J Pomeranz

Gain confidence interpreting Sella MRI Cases with MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME!

Case Review

Neuroradiology

Case 1 - 76-year-old male presents with hemianopia and mass

Case 2 - 43-year-old female presents history of pituitary microprolactinoma

Case 3 - 21-year-old male presents with visual field defect

Case 4 - 42-year-old male presents with moderate to severe headaches

Case 5 - 53-year-old female presents with Rathke's cleft cyst

Case 6 - 46-year-old female presents with papilledema

Case 7 - 78-year-old female presents with headaches and pituitary lesion

Case 8 - 64-year-old female presents with severe intermittent left-sided headaches

Case 9 - 61-year-old male presents with hypogonadism

Case 10 - 9-year-old female presents with intractable headaches

Case 11 - 63-year-old female presents with right retroorbital pain, paresthesia

Case 12 - 67-year-old female presents with enlarged sella with intermittent anosmia

Case 13 - 13-year-old male presents with blurred vision

Case 14 - 63-year-old male presents with dizziness for four weeks

Case 15 - 46-year-old female presents with papilledema

Case 16 - 40-year-old female presents with history of left lower quadrant visual loss

Case 17 - 48-year-old female presents with headache

Case 18 - 54-year-old male presents with pituitary cyst

Case 19 - 35-year-old male presents with mild to moderate dizziness

Case 20 - 38-year-old male presents with pituitary macroadenoma

Case 21 - 33-year-old male presents with headaches

Case 22 - 56-year-old male presents with possible stroke

Case 23 - 61-year-old female presents with memory loss

Case 24 - 63-year-old male presents with benign neoplasm of pituitary gland

Case 25 - 31-year-old male presents with papilledema

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique Sella MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Sella MRI Cases

<div>HISTORY:&#160;This 48-year-old female presents with headache.(QUIZ ANSWER) SUPPORTS THE PRIMARY FINDING:&#160;All of the above.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: Slightly low lying cerebellar tonsils. Otherwise unremarkable craniocervical junction. Partial empty sella turcica.&#160;Normal CP angle cisterns, cochlea, vestibule and 7th and 8th nerve cranial complexes. Mucoperiosteal thickening. Bilateral ethmoid air cells. Unremarkable maxillary antra and mastoid air cells. Prominent optic nerve sheaths. With partial empty sella turcica, low lying cerebellar tonsils and prominent optic nerve sheaths, consideration should be given to diagnosis of benign intracranial hypertension, formally known as pseudotumor cerebri. Does this patient have papilledema?&#160;Normal appearing white matter.&#160;Normal extraaxial spaces with no abnormal fluid collections.&#160;Normal diffusion weighted imaging with no evidence of evolving infarction.&#160;CONCLUSION:&#160;In this patient presenting with headaches, combination of partial empty sella turcica, low lying cerebellar tonsils and prominent optic nerve sheaths raises the question of benign intracranial hypertension. Consider evaluation for possible papilledema. Consider MR venography for evaluation of the dural venous sinuses.</div>

Case

The primary finding in this case is benign intracranial hypertension. Which of the following would support the primary finding?