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Research ArticleBrain

Tentorial Enhancement on MR Images Is a Sign of Cavernous Sinus Involvement in Patients with Sellar Tumors

Yoko Nakasu, Satoshi Nakasu, Ryuta Ito, Ko-ichi Mitsuya, Osamu Fujimoto and Akira Saito
American Journal of Neuroradiology September 2001, 22 (8) 1528-1533;
Yoko Nakasu
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Satoshi Nakasu
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Ryuta Ito
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Ko-ichi Mitsuya
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Osamu Fujimoto
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Akira Saito
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    fig 1.

    Case 1: 46-year-old woman with a growth hormone–secreting adenoma.

    A, Coronal T1-weighted MR image after administration of contrast material shows a large sellar tumor compressing the right cavernous sinus. The left cavernous sinus is enhanced and normal in shape.

    B, T1-weighted MR image shows clearly enhanced tentorium on the right side.

    C and D, Sagittal T1-weighted images show linear enhancement of the tentorium from the posterior portion of the cavernous sinus on the right side (C). Note asymmetric tentorial enhancement sign.

    E, Postoperative T1-weighted MR image after administration of contrast material shows enlarged posterior part of the cavernous sinus; however, no tentorial enhancement was seen preoperatively (C).

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    fig 2.

    Case 2: 26-year-old man with a nonfunctioning adenoma.

    A, Coronal T1-weighted MR image shows a sellar tumor invading the left cavernous sinus.

    B and C, Sagittal T1-weighted MR images show tentorial enhancement in connection with the cavernous sinus, more prominent on the left (C) than on the right (B).

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    fig 3.

    Case 3: 64-year-old man with a chordoma.

    A and B, Coronal T1-weighted MR images show sellar tumor infiltrating into both cavernous sinuses and into the right tentorium.

    C and D, Sagittal T1-weighted MR images show bilateral thick tentorial enhancement with dominance on the right side.

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    TABLE 1:

    Sellar tumors and their cavernous sinus involvement

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    TABLE 2:

    Sellar tumors and dural enhancement

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    TABLE 3:

    Asymmetric tentorial enhancement and cavernous sinus involvement of sellar tumors

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American Journal of Neuroradiology: 22 (8)
American Journal of Neuroradiology
Vol. 22, Issue 8
1 Sep 2001
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Cite this article
Yoko Nakasu, Satoshi Nakasu, Ryuta Ito, Ko-ichi Mitsuya, Osamu Fujimoto, Akira Saito
Tentorial Enhancement on MR Images Is a Sign of Cavernous Sinus Involvement in Patients with Sellar Tumors
American Journal of Neuroradiology Sep 2001, 22 (8) 1528-1533;

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Tentorial Enhancement on MR Images Is a Sign of Cavernous Sinus Involvement in Patients with Sellar Tumors
Yoko Nakasu, Satoshi Nakasu, Ryuta Ito, Ko-ichi Mitsuya, Osamu Fujimoto, Akira Saito
American Journal of Neuroradiology Sep 2001, 22 (8) 1528-1533;
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