Computed Tomography in the Detection of Juxtasellar Lesions

Authors:
  • NRNorbert E. Reich
    Norbert E. Reich
  • JZJames V. Zelch
    James V. Zelch
  • RARalph J. Alfidi
    Ralph J. Alfidi
  • TMThomas F. Meaney
    Thomas F. Meaney
  • PDPaul M. Duchesneau
    Paul M. Duchesneau
  • MWMeredith A. Weinstein
    Meredith A. Weinstein
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Abstract
One thousand consecutive computed tomograms were reviewed to determine the accuracy of the procedure in the detection of juxtasellar lesions. The detection rate was compared to those of plain skull films, radionuclide studies, angiography, and pneumoencephalography. Computed tomography was slightly superior to angiography and was surpassed only by pneumoencephalography, both of which are invasive procedures which carry a definite risk. The data indicate that computed tomography is the screening method of choice in the detection of juxtasellar masses.