Matskási István (szerk.): A Magyar Természettudományi Múzeum évkönyve 86. (Budapest 1994)

Józsa, L. ; Pap, I.: Hypophyseal tumour on a male skull from the 11-13th centuries period, Hungary

thickening of the cranial vault was visible in the lateral X-ray picture. The parietal bone was 11-13, the occipital bone was 12-15 mm thick and hyperdense. (Normal values: os parietale 4-7 mm, os occipitale 5-8 mm.) Deeper than usual vasal grooves indicated chronic intracranial hypertension. Sella is enlarged in every direction, with markedly protruding processus clinoidalis anterior and posterior (Fig. 8). The floor of the sella turcica is attenuated, 0.5-1 mm wide, continuous. The volume of sinus sphenoidalis is dwindled. The maximum depth of sella is 15 mm, the largest sagittal diameter is 27 mm, its area is 213 mm . The sella depth is 25% more, the sagittal diameter is 60% larger, and its area is 64% larger than the maximum of control values (Fig. 7). This sella had a soft arch contour, similar to that of the recent patient afflicted with chromophob cell adenoma (Figs 4-7). Table 1. Shape and territory of sella turcica in healthy historical and recent controls Shape of sella turcica Territory of sella turcica (mm") I. Round 137 II. Parabolic 107 III. Boat shaped 95 IV. Mature age male from Csíkvár 217 Table 2. Size of sella turcica in recent, hypophyseal tumour afflicted patients and in the case discussed Cases Size of sella turcica Antero-posterior Depth Territory diameter (mm) (mm) (mm ) A. Chromophobic adenoma afflicted 36-year-old male 20 17 254 B. Eosinophilic adenoma afflicted 28-year-old female 21 16 279 C. Mature age male from Csíkvár (1113th c.) 27 16 217 Fig. 7. X-ray picture in lateral projection of the case dicussed