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Images in Neurology
July 2012

“Blinding” Empty Sella: Can Lumbar Puncture Be Avoided?

Author Affiliations

Author Affiliations: Institute of Neurosurgery (Drs Frassanito, De Bonis, Mangiola, Pompucci, Nucci, Trevisi, and Anile), and Institute of Ophthalmology (Dr Caputo), Catholic University, Rome, Italy.

Arch Neurol. 2012;69(7):932-933. doi:10.1001/archneurol.2011.2137

Primary empty sella syndrome is an anatomicoclinical condition characterized by radiological evidence of sellar arachnoidocele (unrelated to previous surgical or radiotherapeutic treatment of this region) and is associated with endocrine disturbances and signs of intracranial hypertension (headache, visual disturbances, and papilledema), especially in young women.1 We report on an unusual case of empty sella disguising the diagnosis of an ocular inflammatory disease.

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