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Primary empty sella syndrome and benign intracranial hypertension

✍ Scribed by W. A. E. J. Vries-Knoppert


Publisher
Springer-Verlag
Year
1986
Tongue
English
Weight
704 KB
Volume
61
Category
Article
ISSN
0012-4486

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✦ Synopsis


The combination of the empty sella syndrome (ESS) and benign intxacranial hypertension (BIH) is illustrated by two case histories. The causal relationship between the ESS and the BIH can be explained by two mechanisms. Raised intracranial pressure could produce a herniation of the subarachnoid cistern into the sella turcica, if the diaphragma sellae is incomplete. Alternatively an infarction in a pituitary adenoma could result in both an ESS and cerebrospinal fluid flow obstruction, which could lead to BIH.


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## Abstract Two cases are outlined of patients with visual deterioration due to papilloedema that may have easily been attributed to an anterior ischaemic optic neuropathy if a lumbar puncture diagnostic of benign intracranial hypertension (cerebrospinal fluid pressure > 200mm) had been omitted, wi