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Master of all endocrine activity and executive organ of one's
quality of life, the pituitary gland is tightly lodged in the"
turkish saddle. " As a bony container, the sella turcica is to the
hypophysis what the skull is to the brain; it can therefore be
looked upon as a little vault within the cranial vault. Just as the
cranium is moulded by the growth of the brain, so is the sella
fashioned by its content. It becomes locally enlarged in response
to expanding intrasellar lesions, and it tends to return to its
original size and shape upon their removal or destruction.
Pituitary adenomas have in the past been diagnosed upon enlargement
of the sella turcica. In the past decade, as a direct result of
interdisciplinary coopera- tion, we have learned that tiny
adenomas, the immediate cause of some cases of acromegaly,
amenorrhea-galactorrhea syndrome, or Cushing's disease, can exist
with minimal or no observable effect on the size of the sella. The
break- through started when radioimmunoassay, as a new method of
accurately measur- ing specific hormonal output, indicated
selective pituitary oversecretions in pa- tients with normal-sized
sellae. Neurosurgeons highly skilled in the transsphenoi- dal
approach with the surgical microscope were obliged to operate on
some of these patients and confirmed the presence of tiny
oversecreting adenomas in their pituitary glands.
This volume is the latest in the series Exercises in Radio logical
Diagnosis, launched by the Strasbourg School of Radio logy. Further
volumes on the facial bones, senology, and abdominal tomography are
in preparation. Jean-Louis Dietemann has over a decade's experience
of radiodiagnosis of the skull, and has already proven his talents
as a teacher with his earlier books on the sella turcica and on
carotid angiography. The present volume will assuredly be a great
success and will enhance the series. Professor A. W ACKENHEIM
Hospices Civils de Strasbourg Centre Hospitalier Regional Service
de Radiologie I Strasbourg v Contents Part One: Iconography . . . .
. . . . . . . . .. . . 1 . Part Two: Commentary with Corresponding
Schemata. 85 References . . 165 Subject Index 167 VII Part One
Iconography 1 1 a b 3 2 a b 4 3 4 5 6 6 a b 7 7 8 8 a b 9 9 10 10
11 a b 11 12 13 a b 13 a b 14 b 15 16 17 16 17 20 18 21 a b 19 22 a
b 20 21 24 a b 22 b 23 26 27 24 a 25 26 29 27 31 32 28 33 34 29 35
36 30 37 a b 31 38 39 32 40 41 33 42 43 34 44 a b 35 44 c 45 a 36
45 b ~----~------~~ c 37 46 47 38 48 49 39 50 a b 40 41 52 53 a 42
53 b 54 a 43 54 b 55 44 56
Mit der vorliegenden Arbeit von Jean-Louis Dietemann wird die von
der StraBburger radiologischen Schule initiierte Sammlung der
radiodiagnostischen Ubungen vermehrt. Wei tere Bande tiber die
Radiologie des Gesichtsschadels, tiber die Senologie sowie tiber
abdominale Tomographie sind in Vorbereitung. Jean-Louis Dietemann,
der dies en Band der radiologischen Diagnostik des Schadels widmet,
ist seit mehr als einem Jahrzehnt mit diesem Problemkreis
konfrontiert. Seine didak tischen Fahigkeiten hat er bereits in
Btichem tiber die Sella turcica und tiber die zerebrale
Angiographie unter Beweis gestellt. Zweifellos wird auch sein
drittes Werk ein grofier Erfolg werden, ein Glanzlicht in der Reihe
der diagnostischen Ubungen. Professor A. W ACKENHEIM Hospices
Civils de Strasbourg Centre Hospitalier Regional Service de
Radiologie I Strasbourg v Inhaltsverzeichnis 1. Tei1: R6ntgenbilder
. . . 1 2. Teil: Text und Schemata. 85 Literaturverzeichnis . 165
Sachverzeichnis. . . 167 VII 1. Teil Rontgenbllder 1 1 a b 3 2 a b
4 3 4 5 6 6 a b 7 7 8 8 a b 9 9 10 10 11 a b 11 12 a b 12 13 a b 13
14 a b 14 a b 15 16 17 16 18 17 20 18 21 a b 19 20 23 21 24 a b 22
25 a b 23 26 27 24 28 25 28 b c 26 29 30 27 31 32 28 33 34 29 35 36
30 37 a b 31 38 39 32 40 41 33 42 43 34 44 a b 35 44 c 45 a 36 45 b
c"
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