Transsphenoidal treatment of secondary empty sella syndrome using low field strength intraoperative MRI: case report.

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.