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Related Experiment Videos

Persisting recessus infundibuli and empty sella. Case report

B Vallee, G Besson, H Person

    Journal of Neurosurgery
    |September 1, 1982
    PubMed
    Summary

    This study reports a rare case of central retinal artery thrombosis associated with unusual empty sella and Sylvian aqueduct stenosis. These combined anomalies offer new insights into complex neurovascular and sellar pathologies.

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    Area of Science:

    • Neurology
    • Radiology
    • Ophthalmology

    Background:

    • Central retinal artery thrombosis is a critical condition affecting vision.
    • Empty sella and Sylvian aqueduct stenosis are rare sellar and cerebrospinal fluid pathway abnormalities, respectively.

    Observation:

    • A patient presented with central retinal artery thrombosis.
    • Radiological imaging revealed an enlarged sella turcica and ventricular dilatation.
    • Neuroradiological examination identified Sylvian aqueduct stenosis and an uncommon empty sella variant.

    Findings:

    • The empty sella was characterized by intrasellar persistence of the recessus infundibuli and an intrasellar arachnoidocele.
    • This specific combination of intrasellar anomalies, particularly the persistence of the recessus infundibuli with an arachnoidocele, has not been previously reported.

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  • The co-occurrence of these findings in the context of central retinal artery thrombosis is unique.
  • Implications:

    • This case expands the spectrum of known sellar and cerebrospinal fluid pathway abnormalities.
    • Understanding these rare associations may improve diagnostic accuracy for complex neurological presentations.
    • Further research is warranted to explore the potential pathophysiological links between these conditions.