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.


METHODS
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.


CONCLUSIONS
Intraoperative MRI helps to achieve adequate sellar packing while avoiding insufficient packing as well as overpacking.
Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands. pieter@kubben.nl
P L
PL
Kubben
E M J
EM
Cornips
B-J
BJ
Looij
E A M
EA
Beuls
D000368:Aged; D000077465:Cabergoline; D004652:Empty Sella Syndrome / Q000139:chemically induced / Q000473:pathology* / Q000601:surgery*; D004873:Ergolines / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010911:Pituitary Neoplasms / Q000188:drug therapy*; D015175:Prolactinoma / Q000188:drug therapy*; D016896:Treatment Outcome; D014794:Visual Fields / Q000187:drug effects
D004873:Ergolines; D000077465:Cabergoline