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empty sella syndrome

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empty sella syndrome
Etymology: AS, oemettig, unoccupied; L, sella, saddle
an abnormal enlargement of the sella turcica filled with cerebrospinal fluid. The pituitary gland may be smaller than normal and flattened, or it may be absent. Signs and symptoms of hormonal imbalance (for example, hypopituitarism) may be present, as may headache, but some patients are asymptomatic. The diagnosis may be made by computed axial tomography scan, skull radiographic study, or pneumoencephalography.

Empty Sella Syndrome
The finding of a moderately enlarged sella turcica, due to a partial/complete absence of the sellar diaphragm. ESS is an anatomic state characterised by an invagination of the arachnoid membrane space into the pituitary fossa, resulting in compression of the pituitary against the floor and posterior wall of the sella, by the extended suprasellar cisterns and expanded sella. It may be accompanied by pituitary hypofunction, although TSH, gonadotropin, and prolactin levels may be decreased and/or accompanied by diabetes insipidus

empty sella syndrome 
a syndrome diagnosed radiologically in which the diaphragm of the sella turcica is vestigial, the sella turcica forms an extension of the subarachnoid space and is filled with cerebrospinal fluid, and the pituitary fossa appears to be empty, although the pituitary gland is present in a flattened form.

empty sella syndrome
Empty sella turcica, intrasellar arachnocele Neuroradiology The finding of a moderately enlarged sella turcica, due to a partial/complete absence of sellar diaphragm; it is most common in obese, middle-aged ♀; compression of hypophysis against the floor and posterior wall of the sella, by the extended suprasellar cisterns may be accompanied by pituitary hypofunction, although TSH, gonadotropin, and prolactin levels may be ↓ and/or accompanied by diabetes insipidus Clinical Vague headaches, systemic HTN, pseudotumor cerebri; if secondary, CSF rhinorrhea, but may be asymptomatic


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1-7) Arachnoid cysts that arise within the sella are less common and tend to cause pituitary hypofunction by virtue of the empty sella syndrome, as well as slow development of visual problems as the cysts expand into the suprasellar area.
 
 
 
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