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Hyperparathyroidism, with Pseudoerosion of the Sella Turcica
JACK EDEIKEN, M.D.;
WILLIAM NAGLE, M.D.
AMA Arch Intern Med. 1959;104(3):430-432.
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The roentgenographic findings in osteitis fibrosa cystica are well known. These advanced osseous changes due to demineralization and cyst formation are easily recognized in the roentgenograms of the extremities, spine, and skull. We recently observed one such case, which manifested an almost complete lack of visualization of the sella turcica associated with hyperparathyroidism. The disturbance was so marked that an intrasellar tumor was suspected. Although marked demineralization of the skull may occur, the outline of the sella turcica usually is preserved.
Report of Case
A 16-year-old girl fell from her bicycle in June, 1953, and fractured the right tibia. Roentgenograms at another hospital revealed a fracture through a cystic lesion. She was placed in a plaster cast for six months. Interval roentgenograms revealed progressive enlargement of the cyst, although union of the fracture occurred. In June, 1954, she was readmitted to the same hospital and a skeletal survey revealed multiple
. . . [Full Text PDF of this Article]
Author Affiliations
Philadelphia
Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St. (4) and The Pennsylvania Mutual Foundation for the Study of Neoplastic Disease. Clinical Fellow, American Cancer Society (Dr. Nagle).
Footnotes
Submitted for publication Nov. 13, 1958.
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