CSF rhinorrhea associated with the empty-sella syndrome.
Arch Otolaryngol
; 106(5): 302-5, 1980 May.
Article
em En
| MEDLINE
| ID: mdl-7369927
ABSTRACT
The empty-sella syndrome consists of the abnormal extension into the sella turcica of an arachnoid diverticulum filled with CSF, which displaces and compresses the pituitary gland. Such a diverticulum can erode through the sellar floor and lead to CSF rhinorrhea through the sphenoidal sinus. Empty-sella syndrome should be considered a diagnostic possibility in patients with nontraumatic CSF rhinorrhea. Diagnosis and treatment are best accomplished with a team approach involving the otolaryngologist, neurosurgeon, neuroradiologist, and neuroendocrinologist. Definitive diagnosis requires pneumoencephalography and thin-section polytomography. Attention should be directed to the possibility of a coexisting pituitary adenoma. Treatment can be accomplished by a transseptal, transsphenoidal approach with localization and repair of the leak.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Rinorreia de Líquido Cefalorraquidiano
/
Síndrome da Sela Vazia
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Arch Otolaryngol
Ano de publicação:
1980
Tipo de documento:
Article