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Updated: Jun 6, 2026
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Transsphenoidal treatment of secondary empty sella syndrome using low field strength intraoperative MRI: case report
P L Kubben1, E M J Cornips, B-J Looij
1Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands. pieter@kubben.nl
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.
