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Spontaneous rhinorrhea, empty sella, and residual pituitary adenoma: a case report

The case of a 39-years-old patient with an one-year duration rhinorrhea is reported. An headache episode was related at hers 20 years of life, followed by amenorrhea. The sella diameters were increased at X-rays examination and parcial aeration inside the turcic sella was seen by pneumoencephalography. Residual portion of pituitary adenoma was found over the right optic nerve during the surgical procedure. The turcic sella was filled by leptomeningeal tissue, cerebrospinal fluid and rests of pituitary tissue. No sellar diaphragm was seen. This case fournishes creditable elements to the assumption that the so-called empty sella may be explained by pituitary tumor degeneration secondary to apoplexies.


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