Chiasmapexy for secondary empty sella syndrome: diagnostic and therapeutic considerations

Graillon, Thomas; Passeri, Thibault; Meyer, Mikaël; Abritti, Rosaria; Bernat, Anne-Laure; Labidi, Moujahed; Dufour, Henry; Froelich, Sébastien

doi:10.1007/s11102-020-01104-5

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…The most common complication described in secondary ESS is the onset of gradual visual disturbance secondary to egress of the optic chiasm into the sella. [ 6 , 7 ] Welch and Stears, in 1971, reported the first surgical treatment of this condition with a transcranial chiasmapexy. [ 15 ] The first chiasmapexy performed through the transsphenoidal route was reported by Olson et al .…”

Section: Discussionmentioning

confidence: 99%

Radiographic pituitary stalk disruption: A rare sequela of secondary empty sella syndrome

Winograd¹,

Kortz²,

Lillehei³

2021

Surgical Neurology International

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Background: This two-patient case series describes a rare sequela of postoperative empty sella syndrome (ESS) following transsphenoidal resection of pituitary macroadenomas. This is characterized by progressive hormone dysfunction, diabetes insipidus (DI), and associated MRI evidence of pituitary stalk disruption. Case Description: This phenomenon was retrospectively evaluated in a review of 2000 pituitary tumor resections performed by a single neurosurgeon (KOL). Chart review was retrospectively conducted to gather data on demographics, pituitary hormone status, tumor characteristics, and management. We identified 2 (0.1%) cases of progressive pituitary endocrine dysfunction occurring in the postoperative period associated with MRI evidence of pituitary stalk disruption within 6 weeks of discharge from the hospital. This was felt to be caused by the rapid descent of the residual normal pituitary gland down to the floor of the postoperative empty sella, causing relatively swift stalk stretching. Both patients developed DI, and one patient demonstrated increased pituitary hormone dysfunction. Conclusion: This phenomenon is a rare manifestation of postoperative ESS, secondary to surgical resection of a pituitary macroadenoma. We discuss the associated potential risk factors and strategies for avoidance in these two cases. Routine instillation of intrasellar fat in patients at risk is felt to be protective.

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Section: Discussionmentioning

confidence: 99%

Radiographic pituitary stalk disruption: A rare sequela of secondary empty sella syndrome

Winograd¹,

Kortz²,

Lillehei³

2021

Surgical Neurology International

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“…Jeigu esant antriniam TSS (pvz. dėl makroadenomos gydymo) yra ir regos blogėjimas bei MRT vaizduose matomas regėjimo trakto tempimas, galima atlikti chiazmapeksiją [16]. Kitas ryškaus regėjimo pablogėjimo gydymo metodas yra lum-boperitoninis šuntas.…”

Section: Tuščiojo Turkiabalnio Sindromas: Etiologija Patogenezė Diagnostika Ir Gydymas Asta Mozūrėunclassified

Tuščiojo Turkiabalnio Sindromas: Etiologija, Patogenezė, Diagnostika Ir Gydymas

Mozūrė¹

2021

Health Sciences

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Tuščiojo turkiabalnio sindromas yra subarachnoidinio tarpo išvarža į turkiabalnį, kitaip dar vadinama arachnoidocelė. Ji dažnai būna atsitiktinis radinys MRT vaizduose. Tyrimo tikslas − aprašyti tuščiojo turkiabalnio sindromą, aptarti jo etiologiją, atsiradimo mechanizmus, simptomatiką, diagnostikos ir gydymo galimybes. Mokslinių darbų paieška atlikta PubMed, Google Scolar duomenų bazėse. Neįtraukti straipsniai, parašyti kita nei anglų kalba, atmesti ne viso teksto straipsniai, bei tie, kurių turinys neatspindėjo analizuojamos temos. Tyrimo rezultatai parodė, kad šis sindromas dažnai asimptomis, tačiau kartais sukelia nespecifinius simptomus (galvos skausmą, regos sutrikimą, rinorėją). Galima hiperprolaktinemija arba hormonų trūkumas iki hipopituitarizmo. Kol kas nėra visuotinai priimtų tuščiojo turkiabalnio sindromo diagnostikos ir gydymo gairių, o antrinio tuščiojo turkiabalnio diagnostika, gydymas bei patogenezės mechanizmai apsiriboja tik klinikinių atvejų aprašymais. Šio sindromo vienas pagrindinių diagnostikos metodų yra magnetinio branduolių rezonanso tyrimas.

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A Comprehensive Review of Empty Sella and Empty Sella Syndrome

Lundholm,

Yogi-Morren

2024

Endocrine Practice

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Chiasmapexy for secondary empty sella syndrome: diagnostic and therapeutic considerations

Cited by 3 publications

References 32 publications

Radiographic pituitary stalk disruption: A rare sequela of secondary empty sella syndrome

Radiographic pituitary stalk disruption: A rare sequela of secondary empty sella syndrome

Tuščiojo Turkiabalnio Sindromas: Etiologija, Patogenezė, Diagnostika Ir Gydymas

A Comprehensive Review of Empty Sella and Empty Sella Syndrome

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