Obliteration of empty sella for therapy of empty sella syndrome by transsphenoidal and tranfrontal approach

作者报道７例空蝶鞍综合征，其中原发性２例，继发性５例。经蝶窦进路充填法手术治疗５例，经额进路治疗２例。除１例因有原发性脑积水未愈外，余６例治愈。本病与鞍隔缺损、良性颅内高压、长期服用嗅隐亭、垂体手术或放疗后有关。临床以头痛、视力视野损害和垂体功能低下为主要特点。经蝶窦充填法治疗是简单有效的方法。

Obliteration of empty sella for therapy of empty sella syndrome by transsphenoidal and tranfrontal approach

In seven cases of empty sella syndrome (ESS),2 cases were primary empty sella syndrome,5 cases were secondary empty sella syndrome.Five cases were operated upon for transsphenoidal obliteration and 2 cases by transfrontal approach.Six cases were cured,the symptoms in one case were not improved owing to the primary hydrocephalus.This syndrome is associated with defect of the sella diaphragm,benign intracranial hypertension,long term administration of Bromocriptine,surgery and radiotherapy of the pituitary gland.The main clinical features consist of headache,damage of vision and visual fields and hypopituitarism.Obliteration of the empoty sella by transsphenoidal approach is a simple and effective method.