Minim Invasive Neurosurg 2010; 53(4): 198-202
DOI: 10.1055/s-0030-1263188
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

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

P. L. Kubben1 , E. M. J. Cornips1 , B.-J. Looij2 , E. A. M. Beuls1
  • 1Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands
  • 2Department of Internal Medicine, Orbis Medical Center, Sittard-Geleen, The Netherlands
Further Information

Publication History

Publication Date:
03 December 2010 (online)


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.


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P. L. KubbenMD 

Department of Neurosurgery

Maastricht University Medical


PO box 5800

6202 AZ Maastricht

The Netherlands

Phone: +31/43/387 6052

Fax: +31/43/387 6038