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Radiological Case of the Month

M. Kazim Caglar, MD; Mehmet Ceyhan, MD; D. Ali Senses, MD; Ugur Dilman, MD; Lionel W. Young, MD
Am J Dis Child. 1984;138(6):605-606. doi:10.1001/archpedi.1984.02140440089025.
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A 16-year-old boy was admitted to Hacettepe Children's Hospital, Ankara, Turkey, because of symptoms and signs from a fall on his face from a tractor four days earlier. He had a fever, neck rigidity, positive Kernig's and Brudzinski's signs, facial and periorbital ecchymoses, left peripheral facial nerve paralysis, and rhinorrhea. Electroneuromyography of the left frontalis and orbicularis oris muscles and facial nerve confirmed peripheral nerve involvement. No organisms grew from a CSF culture. Microscopic examination and biochemical values of CSF were consistent with posttraumatic meningitis. Complete blood cell count, urinalysis findings, serum electrolyte determinations, hormonal analysis results (follicle-stimulating, thyroid-stimulating, and growth hormones and corticotropin), visual fields, and an EEG were normal. The lateral skull roentgenogram is shown in the Figure.

Denouement and Discussion 

Fracture of the Sella Turcica 

Lateral skull roentgenogram shows type II sella turcica fracture.  There are few reports in the literature of sella turcica fracture.1-6 Fracture


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