title: Transsphenoidal extradural chiasmapexy in the management of the symptomatic primary empty sella syndrome.
abstract: When patients with the usually clinically silent primary empty sella syndrome become symptomatic through visual field defects or hormonal deficits the condition was frequently treated by a transsphenoidal intradural procedure with a risk of consecutive CSF leak or meningitis. We present 3 cases in which we performed a transsphenoidal extradural procedure packing the sella and sphenoid sinus with fat tissue and discuss the procedure and results.
authors.affiliation: Department of Neurosurgery, George Papanicolaou General Hospital, Thessaloniki, Greece.
authors.forename: K S
authors.initials: KS
authors.lastname: Polyzoidis
authors.forename: M
authors.initials: M
authors.lastname: Fylaktakis
mesh_terms: D000328:Adult; D004652:Empty Sella Syndrome / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009897:Optic Chiasm / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D013101:Sphenoid Sinus / Q000473:pathology / Q000601:surgery; D014794:Visual Fields / Q000502:physiology