Transsphenoidal Treatment of Secondary Empty Sella Syndrome using Low Field Strength Intraoperative MRI: Case Report

Kubben, Pieter; Cornips, Erwin M. J.; Looij, B.-J.; Beuls, E. A. M.

doi:10.1055/s-0030-1263188

Cited by 3 publications

(2 citation statements)

References 22 publications

(18 reference statements)

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“…Recently, with the technique of intraoperative MRI, the sellar cavity, chiasm, and optic nerves could be visualized directly, and it could achieve maximal safe packing without underpacking or overpacking. 10 In the present case, the patient's visual acuities and visual fields improved remarkably postoperatively; we ascribed it to the relief tension on the chiasm or the increased vascular supply of chiasm. In addition, as Figure 2 shows, the sellar packing may be underpacking.…”

Section: Discussionsupporting

confidence: 49%

Endoscopic Transsphenoidal Treatment of a Prolactinoma Patient With Brain and Optic Chiasmal Herniations

Zhang

Guo

Ge³

et al. 2014

Journal of Craniofacial Surgery

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Bromocriptine has been the most widely used and effective agent to treat macroprolactinoma, and chiasmal herniation in a macroprolactinoma patient following the treatment with bromocriptine is a well-recognized complication. However, herniation of the inferior mesial frontal lobe into the sella has been rarely reported. The present clinical report is the second radiographic demonstration of herniation of the inferior mesial frontal lobe into the sella. After the treatment with transsphenoidal endoscopic chiasmopexy, the patient's visual disturbance improved dramatically. We suggest that transsphenoidal endoscopic chiasmopexy is an effective treatment option for the prolactinoma patient with brain and chiasmal herniations following the treatment with bromocriptine.

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Section: Discussionsupporting

confidence: 49%

Endoscopic Transsphenoidal Treatment of a Prolactinoma Patient With Brain and Optic Chiasmal Herniations

Zhang

Guo

Ge³

et al. 2014

Journal of Craniofacial Surgery

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“…On the other hand, another report introduced a novel technique for the precise reconstruction of the sellar floor, using a heterologous bone block to restore the anatomic elements of the sella turcica; the technique was simple and reproducible, and allowed for nearly exact and persistent elevation of sellar content [22]. Furthermore, intraoperative MRI scans help to achieve adequate sellar packing while avoiding both insufficient packing and overpacking [36]. According to some reports, bariatric surgery may be effective in intracranial hypertension treatment; however, no data exists regarding ESS [18].…”

Section: Discussionmentioning

confidence: 99%

Adrenal Insufficiency due to Total Primary Empty Sella Syndrome

et al. 2020

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A 64-year-old woman was transported suffering from persistent lower abdominal pain, vomiting, and low-grade fever. Magnetic resonance imaging revealed an empty sella (ES) and hormone tests revealed a disappearance of diurnal variation of cortisol, low cortisol and adrenocorticotropic hormone (ACTH) secretion especially in the morning, and poor ACTH-cortisol axis reaction, as well as normal hypothalamus-pituitary gland-thyroid or adrenal gland axis hormone reaction. The cause of ES remained unclear; however, based on a diagnosis as adrenal insufficiency due to inappropriate ACTH secretion caused by total primary ES syndrome, we started hydrocortisone (15 mg/ day). Afterwards, she immediately became symptom-free and was discharged.

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Empty Sella Syndrome

Aghi

2013

Pituitary Disorders

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Transsphenoidal Treatment of Secondary Empty Sella Syndrome using Low Field Strength Intraoperative MRI: Case Report

Abstract: Intraoperative MRI helps to achieve adequate sellar packing while avoiding insufficient packing as well as overpacking.

Cited by 3 publications

References 22 publications

Endoscopic Transsphenoidal Treatment of a Prolactinoma Patient With Brain and Optic Chiasmal Herniations

Endoscopic Transsphenoidal Treatment of a Prolactinoma Patient With Brain and Optic Chiasmal Herniations

Adrenal Insufficiency due to Total Primary Empty Sella Syndrome

Empty Sella Syndrome

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