Persistence of primary empty sella syndrome despite obesity surgery: report of two unusual cases.
Primary empty sella syndrome (ESS) shares with idiopathic intracranial hypertension (IIH) high intracranial pressure (ICP) and association with obesity. Bariatric surgery is effective in IIH treatment; no data, however, exist about ESS. We report two overweight ESS patients in whom bariatric surgery resolved obesity but failed in curing ESS, requiring cerebrospinal fluid (CSF) shunt placement.
Institute of Neurosurgery, Catholic University School of Medicine, Largo A. Gemelli 8, Rome, Italy. giorgiodal@hotmail.it
Quintino Giorgio
QG
D'Alessandris
Nicola
N
Montano
Federico
F
Bianchi
Francesco
F
Doglietto
Eduardo
E
Fernandez
Roberto
R
Pallini
Liverana
L
Lauretti
D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D004652:Empty Sella Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009765:Obesity / Q000601:surgery*; D011559:Pseudotumor Cerebri / Q000601:surgery*; D016896:Treatment Outcome