Neurological Surgery 脳神経外科34巻6号

2006年06月発行

症例

ラトケ嚢胞術後に発生したsecondary empty sella syndromeに対する経鼻的内視鏡下鞍底挙上術

著者： 芳村憲泰¹ 久保重喜² 永島宗紀² 長谷川洋² 富永紳介² 吉峰俊樹³

所属機関： ¹医誠会病院脳神経外科 ²富永病院脳神経外科・神経内視鏡センター ³大阪大学医学部脳神経外科

ページ範囲：P.605 - P.610

Ⅰ．は じ め に

　症候性ラトケ嚢胞に対する治療法としては経蝶形骨洞的開窓術が一般的であり，症候性の再発例に対しても通常は同様の処置が行われる．また，開窓術後にsecondary empty sella syndromeを発症する症例は稀であり，これに対する治療法として確立されたものはない．今回われわれは，2度の開窓術後に視野障害で発症したsecondary empty sella syndromeの症例を経験した．Secondary empty sella syndromeの発症機序に対して考察を加え，治療法に関してはわれわれの工夫を報告する．

参考文献

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