医学
视力
空蝶鞍综合征
体格检查
神经系统检查
乳头水肿
苍白
病理学
眼病
放射科
外科
病理
疾病
作者
A Niutta,Giovanni Scorcia,Pietro Princi,E Palombi,Roberto Perilli,Giuseppe Mannino,C. Balacco Gabrieli
出处
期刊:PubMed
日期:1992-02-01
卷期号:24 (2): 56-63
被引量:2
摘要
After describing the main clinical features of primary empty sella syndrome and the main hormonal alterations in chronic renal failure, the authors report the results obtained in a group of 33 patients undergoing dialysis three times a week. Each patient had a complete ophthalmologic examination, with electroretinography and visual-evoked potentials, a complete radiologic examination, including skull stratigraphy (particularly of the sellar and parasellar bony structures), and a computed tomographic scan. In the whole group, visual acuity, ocular and lid motility, and visual fields were normal. In two patients, a slight bilateral papilledema, associated with a P100 latency increase and normal morphology and visual-evoked potentials, was reported. Two patients had initial unilateral papillary pallor associated with P100 amplitude alterations. In all four of these patients, radiologic examination showed a markedly pathologic sellar widening with thickening and double contour image of the floor. The report of a primary empty sella was confirmed by computed tomography in all four cases. The authors discuss the possible etiopathogenic mechanisms of the neuroophthalmologic symptoms associated with this syndrome.
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