Primary empty sella in association with superior sagittal sinus thrombosis and dural arteriovenous malformation. Case report.
A 61-year-old woman under treatment with oral medroxyprogesterone acetate following surgery for breast cancer developed diplopia and papilledema due to raised intracranial pressure (ICP). Radiological studies disclosed an empty sella turcica, a dural arteriovenous malformation (AVM), and superior sagittal sinus thrombosis. The sinus thrombosis was considered to have been a side effect of the medroxyprogesterone acetate medication. The association between a primary empty sella and raised ICP is briefly discussed, along with the cause-and-effect relationship between a dural AVM and venous sinus thrombosis.
Haisa
T
T
Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan.
Yoshida
S
S
Ohkubo
T
T
Yoshikawa
K
K
Machida
T
T
D001165:Arteriovenous Malformations / Q000150:complications*; D004388:Dura Mater / Q000098:blood supply*; D004652:Empty Sella Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D007427:Intracranial Pressure; D017258:Medroxyprogesterone Acetate / Q000009:adverse effects; D008576:Meningeal Arteries / Q000002:abnormalities; D008875:Middle Aged; D012851:Sinus Thrombosis, Intracranial / Q000139:chemically induced / Q000150:complications*; D013699:Temporal Arteries / Q000002:abnormalities
D017258:Medroxyprogesterone Acetate