Abstract
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.
Key words
secondary emtpy sella syndrome - pituitary surgery - neuroendoscopy - intraoperative
MRI - image guidance - endoscopy
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Correspondence
P. L. KubbenMD
Department of Neurosurgery
Maastricht University Medical
Center
PO box 5800
6202 AZ Maastricht
The Netherlands
Phone: +31/43/387 6052
Fax: +31/43/387 6038
Email: pieter@kubben.nl
