| Extradural balloon obliteration of the empty sella report of three cases (intrasellar balloon obliteration). | |
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MedLine Citation:
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PMID: 10392204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Empty sella syndrome is an anatomical and clinical entity composed of intrasellar reposition of the CSF and compression of the pituitary tissue, resulting in a clinical picture of headache, visual field defect, CSF rhinorrhea and some mild endocrinological disturbances. While some cases are primary with no appreciable aetiology, secondary cases are associated with prior operation or radiotherapy of the region. In our series, 3 patients with primary empty sella syndrome were treated by the current approach of extradural filling of the sellar cavity. This technique was first described by Guiot and widely accepted thereafter. We used a detachable silicon balloon filled with HEMA or liquid silicone for obliteration of the sellar cavity and obtained clinically satisfactory results without complications. Visual symptoms regressed and headache disappeared. But at long term follow-up all the balloons were found to be deflated. Despite the facility and efficacy of the technique we do not recommend it in the treatment of the empty sella because the filling of the sella is only transient and relapses may occur. |
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Authors:
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N Gazioğlu; Z Akar; H Ak; C Işlak; N Koçer; M S Seçkin; C Kuday |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta neurochirurgica Volume: 141 ISSN: 0001-6268 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 1999 |
Date Detail:
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Created Date: 1999-08-19 Completed Date: 1999-08-19 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: AUSTRIA |
Other Details:
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Languages: eng Pagination: 487-94 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, University of Istanbul Cerrahpaşa Medical Faculty, Turkey. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Balloon Dilatation* Empty Sella Syndrome / complications, surgery* Female Follow-Up Studies Humans Middle Aged Neurosurgical Procedures / methods* Recovery of Function Recurrence Treatment Outcome Vision Disorders / etiology Visual Fields |
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