We report the case of a 37-year-old female in which the removal of a suprasellar neoplasm was accompanied by the disappearance of a longstanding olfactory delusion syndrome. In primary care the patient condition was exclusively thought to be psychic in origin, neglecting the possible, not infrequent, organic contribution. The delayed diagnosis produced neurological impairment, only partially re...

.. Objectives: To obtain and compare the exact visual status before and after excision of sella supra sellar tumors using the computerized perimetry as a standard measuring tools and then compare with the international studies. Background: Sella suprasellar tumors are though not so common but affect visual acuity of patients and their quality of life drops. These tumors include pituitary adenom...

BACKGROUND We present a rare complication of bilateral caudate infarcts and necrosed nasoseptal flaps after endoscopic transsphenoidal resection of tuberculum sellae meningioma. This case highlights the importance of early and accurate diagnosis and treatment of a postoperative cerebrospinal fluid (CSF) leak and associated bacterial meningitis, and reviews any existing guidelines regarding its ...

The purpose of this study was to compare the relative merits of MR imaging, CT, and angiography in the preoperative evaluation and postoperative follow-up of patients with juxtasellar meningiomas. High-resolution MR studies in nine patients with juxtasellar meningiomas were evaluated and compared with CT and angiography. The techniques were compared for the evaluation of suprasellar, parasellar...

To cite: Garg K, Satyarthee GD, Singh M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201738 DESCRIPTION A 40-year-old woman presented with bilateral painless progressive visual diminution and left-sided spastic haemiparesis (power 2/5). Visual acuity in her left eye was 1/60 and she could not perceive light in the right eye. A fundus examination rev...

Several theories have been proposed to account for the complex cognitive mechanisms underlying the various forms and manifestations of confabulation. As regards the content of confabulations, deficit accounts explain what is lacking in the confabulations, but accounts of the positive features of the content may also be required to explain what remains. There is reason to believe that the conten...

The transsphenoidal transplanum, transtuberculum approach to the suprasellar cistern, also called the “extended” transsphenoidal approach, has been used during the past 10 years by experienced transsphenoidal surgeons to remove a limited number of well-circumscribed suprasellar lesions (7, 8, 10, 17, 20–23, 29). Initially, a sublabial approach was generally used and visualization was provided w...

OBJECTIVE Cerebrospinal fluid rhinorrhea, pneumocephalus and meningitis are serious complications following transsphenoidal excision of sellar, suprasellar and parasellar lesions. This study evaluates the use of a new bioadhesive, Bioglue as an adjunct in reconstructing the sellar floor and preventing CSF fistula and investigates the possible complications associated with its use. METHODS In ...