Kubben P L, Cornips E M J, Looij B-J, Beuls E A M
Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Minim Invasive Neurosurg. 2010 Aug;53(4):198-202. doi: 10.1055/s-0030-1263188. Epub 2010 Dec 3.
The purpose of this study is to demonstrate the added value of intraoperative MRI in treating secondary empty sella syndrome.
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.
Intraoperative MRI helps to achieve adequate sellar packing while avoiding insufficient packing as well as overpacking.