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Secondary empty sella (acquired) may be caused by a medical procedure, such as surgery or radiation for a pituitary tumor. Disease or trauma may also reduce the size of the pituitary, or eliminate it completely.
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Can a head injury cause empty sella syndrome?
yes
What is the cause of primary empty sella syndrome?
Primary empty sella syndrome is thought to be congenital (present at birth) in most cases, and is caused by a failure or opening of the diaphragma sella. This may be an accidental occurrence, with no known triggering or causative factors.
What is the treatment of symptomatic empty sella syndrome?
Treatment of symptomatic empty sella syndrome would typically involve replacement therapy for any deficient hormones.
Empty sella syndrome?
DefinitionEmpty sella syndrome is a condition in which the pituitary gland shrinks or becomes flattened.Causes, incidence, and risk factorsThe pituitary gland is a small gland located at the base of the brain. It sits in a saddle-like compartment in the skull called the "sella turcica," which in Latin means "Turkish saddle."When the pituitary gland shrinks or becomes flattened, it cannot be seen on MRIscans, giving the appearance of an "empty sella." This is referred to as empty sella syndrome.The pituitary makes several hormones that control the other glands in the body, including the:Adrenal glandsOvariesTesticlesThyroidPrimary empty sella syndrome occurs when a hole in the membrane covering the pituitary gland allows fluid in, which presses on the pituitary.Secondary empty sella syndrome occurs when the sella is empty because the pituitary gland has been damaged by:A tumorRadiation therapySurgeryEmpty sella syndrome may be seen in a condition called pseudotumor cerebri. This is a condition seen most commonly in obese women.SymptomsOften, there are no symptoms or loss of pituitary function.Patients with empty sella syndrome may have symptoms caused by a partial or complete loss of pituitary gland function. For more information, see hypopituitarism.Symptoms include:Erectile dysfunction (impotence)HeadachesIrregular or absent menstruationLow sexual desire (low libido)Nipple dischargeSigns and testsPrimary empty sella syndrome is most often discovered during radiological imaging of the brain. Pituitary function is usually normal.The health care provider may test pituitary gland function to make sure that the gland is working normally.Sometimes tests for high pressure in the brain will be done, such as:Examination of the retina by an ophthalmologistLumbar puncture (spinal tap)The hormone prolactin is a little high in a small percentage of patients, which may interfere with the normal function of the testicles or ovaries.TreatmentFor primary empty sella syndrome:There is no specific treatment if pituitary function is normal.Medications, such as bromocriptine, which lower prolactin levels, may be prescribed if the prolactin levels are high and interfering with function of the ovaries or testes.For secondary empty sella syndrome:Treatment involves replacing the hormones that are lacking.Expectations (prognosis)Primary empty sella syndrome does not cause health problems, and it does not affect life expectancy.ComplicationsComplications of primary empty sella syndrome include mild hyperprolactinemia.Complications of secondary empty sella syndrome are related to the cause of pituitary gland disease or to the effects of too little pituitary hormone.Calling your health care providerContact your health care provider if you develop symptoms of abnormal pituitary function, such as a disrupted menstrual cycle or impotence.ReferencesMelmed S, Kleinberg D. Anterior pituitary. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. Philadelphia, PA: Saunders Elsevier; 2008:chap 8.
You had a mri it saidflattened appearance of the sella turcica with effaced pituitary gland along the inferior margin the sella turcica what does this mean?
you have what is known as Empty Sella Syndrome. Its not a life threatening condition but you must have your hormonal levels investigated as 10% of ESS cases are associated with hypopituitarism which would require hormonal supplementation
What is the birth name of Marshall Sella?
Marshall Sella's birth name is Marshall Louis Sella.
Why you have breast milk your last time with breast milk was 8 years ago?
You might have a pituary growth. This is called empty sella syndrome.
When was Starksia sella created?
Starksia sella was created in 2003.
When was Banca Sella created?
Banca Sella was created in 1886.
When was Aviem Sella born?
Aviem Sella was born in 1946.
What is Philippe Sella's birthday?
Philippe Sella was born on February 14, 1962.
When was Philippe Sella born?
Philippe Sella was born on February 14, 1962.
