A Case of Empty Sella Syndrome with Cerebrospinal Fluid Rhinorrhea.
- Author:
Jong Cheol CHOI
1
;
Jong Yeup KIM
;
Byung Gun PARK
;
Seung Min IN
Author Information
1. Department of Otorhinolaryngology, College of Medicine, Konyang University, Daejeon, Korea. entcjc@mdhouse.com
- Publication Type:Case Report
- Keywords:
Empty sella syndrome;
Cerebrospinal fluid rhinorrhea
- MeSH:
Brain;
Cerebrospinal Fluid Rhinorrhea*;
Cerebrospinal Fluid*;
Empty Sella Syndrome*;
Female;
Humans;
Meningioma;
Middle Aged;
Sphenoid Sinus
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2006;49(2):216-220
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The empty sella syndrome is defined as the intrasella herniation of the chiasmal cistern resulting from a congenitally incompetent diaphragma sellae. In idiopathic or primary empty sella syndrome, sella remodelling occurs as a result of an anatomical variation in the diaphragma sella. The secondary empty sella syndrome occurs following surgery or irradiation of an intrasellar lesion. Empty sella syndrome is known to be rarely associated with Cerebrospinal fluid (CSF) rhinorrhea. We experienced a case of secondary empty sella symdrome with CSF rhinorrhea in a 56-year old female who complained of persistent rhinorrhea through the roof of the sphenoid sinus after brain surgery due to meningioma. The CSF rhinorrhea was treated successfully with transseptal trans-sphenoidal approach.