Erschienen in:
07.07.2020 | Case Report - Pediatric Neurosurgery
Non-communicating hydrocephalus with a primary empty sella presenting with growth hormone deficiency and delayed puberty successfully treated by endoscopic third ventriculocisternostomy
verfasst von:
Tomáš Krejčí, Ondřej Krejčí, Michael Mrůzek, Ivana Röschlová, Radim Lipina
Erschienen in:
Acta Neurochirurgica
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Ausgabe 2/2021
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Abstract
The authors present the unusual case of a 15-year-old boy with a primary empty sella caused by non-communicating hydrocephalus due to fourth ventricle outflow obstruction whose secondary symptoms of growth hormone deficiency and delayed puberty were successfully treated by endoscopic third ventriculocisternostomy (ETV). Hypopituitarism occurs only rarely in cases of hydrocephalus; rarer still are cases where hypopituitarism is the sole symptom of hydrocephalus. A primary empty sella may indicate elevated intracranial pressure; if the cause is non-communicating hydrocephalus, ETV is indicated as the preferred treatment modality.