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KMID : 0378019750180060839
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New Medical Journal
1975 Volume.18 No. 6 p.839 ~ p.843
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The Empty Sella Syndrome
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Abstract
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A 22 years old man was admitted to the= Department of Neurosurgery, Capital Armed General Hospital, Seoul, Korea. complaining of a sudden visual disturbance 8 months before admission. Fifteen days later itis vision became diploic and was followed by general weakness and progressive loss of libido.
On neurological examination he was fully conscious. Both optic fundi were normal. But his visual fields were bilaterally constricted, more in the temporal ones. His visual acuity was; OS, 20/40 and OD; 20/200. No other neurological abnormality was noted.
Cerebrospinal fluid was normal. Skull X-ray showed a slightly enlarged pituitary fossa. PEG showed air-filling in the postchiasmatic cistern but no air shadow was seen in the sella.
Right frontotemporal approach was done and a large empty sella was found, in which optic chiasma was sunken. Gelfoam tagged with a silver clip was placed in the empty sella for the elevation of the sunken optic chiasm.
Postoperatively his vision was much improved.
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