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Neuro-ophthalmology of Sellar Disease

  • Chapter
Diagnosis and Management of Pituitary Disorders

Part of the book series: Contemporary Endocrinology ((COE))

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Summary

The degree to which a patient with sellar pathology has been neurologically affected by the lesion can be best determined with a neuro-ophthalmic examination, which traditionally includes a detailed historical assessment and physical examination. With lesions in the sellar region, the clinical neuro-ophthalmologic examination often reveals neural dysfunction because several important afferent and efferent visual pathways course near this area. The combination of neuroradiological, neuroendocrinological, and neuro-ophthalmological assessment is needed to properly manage the typical patient with a parasellar lesion. This chapter will provide an overview of the relevant anatomy and clinical neuro-ophthalmic features of lesions that affect the sellar region.

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Authors
  1. Dean M. Cestari MD
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  2. Joseph F. Rizzo III MD
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery Massachusetts, General Hospital Harvard Medical School, Boston, MA, USA

    Brooke Swearingen MD

  2. Neuroendocrine Unit Department of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, USA

    Beverly M. K. Biller MD

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© 2008 Humana Press, Totowa, NJ

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Cestari, D.M., Rizzo, J.F. (2008). Neuro-ophthalmology of Sellar Disease. In: Swearingen, B., Biller, B.M. (eds) Diagnosis and Management of Pituitary Disorders. Contemporary Endocrinology. Humana Press. https://doi.org/10.1007/978-1-59745-264-9_5

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  • DOI: https://doi.org/10.1007/978-1-59745-264-9_5

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-922-2

  • Online ISBN: 978-1-59745-264-9

  • eBook Packages: MedicineMedicine (R0)

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