Chiasmapexy for secondary empty sella syndrome: diagnostic and therapeutic considerations

ConclusionT2-weighted or CISS/FIESTA sequence MRI is mandatory to visualize adhesions, ON kinking and neurovascular conflict. TS approach is the most commonly used approach. The literature review could not conclude on the need for an intra or extradural approach suggesting case by case adapted strategy. Intrasellar packing with non-absorbable material such as bone should be considered. Severity of the visual loss clearly decreases the visual outcome suggesting early chiasmapexy. In case of severe and long standing symptoms before surgery, benefits and surgical risks should be carefully balanced.

http://link.springer.com/10.1007/s11102-020-01104-5

Source: Pituitary - November 2, 2020 Category: Endocrinology Source Type: research