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

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.