Erosion or destruction of the sella turcica can arise with any of numerous intracranial tumors including.
Erosion sellar floor.
Gliomas of the optic nerve and hypothalamus may erode the clinoid processes.
Primary or secondary neoplasms including.
In patients with a known pituitary microadenoma erosion or remodelling of the pituitary floor is a sign of inferior extension.
Erosion of anterior and posterior clinoids can be seen pituitary tumors e g.
Chordoma of the clivus is frequently associated with erosion of the dorsum sellae and the sellar floor.
Mucocele of the sphenoid sinus.
In the sellar type of sinus the thickness of the anterior sellar wall ranged from 0 1 to 0 7 mm mean 0 4 mm compared with 0 3 to 1 5 mm mean 0 7 mm for the presellar type.
Furthermore osteolysis of the dorsum sellae and clinoids sometimes occur in childhood leukemia and langerhans cell histiocyto.
Enlargement with erosion of anterior cortex of dorsum sellae proceeds to the floor of the sella and may result in complete destruction of the dorsum.
Erosion or remodelling of the pituitary floor is of limited help since it may be a normal finding.