KMID : 0942820120110010053
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Journal of Korean Brain Tumor Society 2012 Volume.11 No. 1 p.53 ~ p.56
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Surgical Treatment of Panhypopituitarism Caused by Intrasellar Arachnoid Cyst Mimicking Empty Sella Syndrome
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Park Jun-Sang
Park Ik-Seong Jo Kwang-Wook
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Abstract
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Differentiating between empty sella syndrome (ESS) and isolated intrasellar arachnoid cysts (ISAC) in cases of panhypopituitarism is critical for determining appropriate treatment strategies. However, the radiological properties of these lesions are quite similar on computed tomography (CT) and magnetic resonance imaging (MRI). CT cisternography using radiopaque dye is a useful modality for identifying symptomatic ISAC without para- or suprasellar extension. We present a successful case of surgically treated symptomatic ISAC, which had been previously diagnosed and treated medically without improvement.
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KEYWORD
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Cisternography, Empty sella syndrome, Intrasellar arachnoid cyst
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