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

P. L. Kubben*, E. M. J. Cornips, B-J Looij, E. A. M. Beuls

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: The purpose of this study is to demonstrate the added value of intraoperative MRI in treating secondary empty sella syndrome. Case Report: We describe the case of a 66-year-old woman who was diagnosed with a prolactinoma stage IIIb. During treatment with cabergoline she presented with a secondary empty sella syndrome resulting in visual symptoms. We performed intraoperative MRI-guided packing of the secondary empty sella. We explain why this is useful in surgical treatment of secondary empty sella syndrome. Conclusion: Intraoperative MRI helps to achieve adequate sellar packing while avoiding insufficient packing as well as overpacking.
Original languageEnglish
Pages (from-to)198-202
JournalMinimally Invasive Neurosurgery
Volume53
Issue number4
DOIs
Publication statusPublished - Aug 2010

Keywords

  • secondary emtpy sella syndrome
  • pituitary surgery
  • neuroendoscopy
  • intraoperative MRI
  • image guidance
  • endoscopy

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