[Compression of the appendix cerebri in the sella turcica in critical states as a possible cause of acute adrenocortical insufficiency].

The paper first describes the phenomenon of pituitary compression in the Turkish saddle--intracellular hypertension--which develops during stresses and morphologically appears as a volumetric conflict between abruptly (acutely) 1.5-2-fold enlargement of the brain appendage (at the expense of adenocytic hypertrophy, hyperemia, colloidal retention) on the one hand, and the poor pliable capsule and Turkish saddle), on the other. Extrapituitary factors (elevated liquor and venous pressure) that compress the pituitary outside may be involved in the formation of the phenomenon. Intracellular hypertension seems to be one of the causes that are encountered in critical conditions (shock, collapse, coma, etc.), of acute pituitary-adrenal failure episodes.