title: Sellar paraganglioma: a unique route to a rare destination case report and literature review.
abstract: OBJECTIVE
  Paragangliomas of the sella are rare; 14 cases have been reported in the literature. We describe here the unique case of a sellar paraganglioma that extended into the orbit through the superior orbital fissure. We have also reviewed all reported cases of sellar paragangliomas to better define best management strategies.
  
  
  METHODS
  A 63-year-old male presented with left eye proptosis and conjunctival vessel dilatation.
  
  
  METHODS
  Resection of the intraorbital component of the tumor was accomplished using a transcranial-transorbital approach.
  
  
  CONCLUSIONS
  This is the first report of a sellar/parasellar paraganglioma extending into the orbit through the superior orbital fissure. While an appropriate treatment paradigm has not been established, a review of all previously reported cases suggests that radiotherapy is an important consideration.
authors.affiliation: Newcastle University, UK.
authors.forename: Angelique
authors.initials: A
authors.lastname: Albert
authors.forename: Juan A Rivera
authors.initials: JA
authors.lastname: Ramirez
authors.forename: Francois
authors.initials: F
authors.lastname: Codere
authors.forename: Kevin
authors.initials: K
authors.lastname: Petrecca
mesh_terms: D002426:Cavernous Sinus / Q000473:pathology; D003229:Conjunctival Diseases / Q000209:etiology; D005094:Exophthalmos / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D009918:Orbital Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D010235:Paraganglioma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D010911:Pituitary Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D012658:Sella Turcica; D014664:Vasodilation