Men with empty sella syndrome had significantly higher prolactin (PRL), compared with men who had normal MRIs (21.
Men with empty sella syndrome had significantly higher prolactin, compared with men who had normal MRIs (21.
4,5,6,7) Empty sella syndrome
, panhypopituitarism, diabetes insipidus, short stature and obesity in a 18 months old baby probably secondary to obstetrics insult was also reported.
12(7%) cases of complete/partial empty sella syndrome were seen.
Pathologic hyperprolactinaemia may be due Microadenoma, Macroadenoma and empty sella syndrome (partial or complete).
MRI findings were grouped as Normal, Microadenomas, Macroadenomas, Complete empty sella syndrome and Partial empty sella syndrome.
3%) showed macro adenoma, 6 (7%) showed empty sella syndrome and 6 (7%) showed partially empty sella syndrome.
It develops from bilateral involvement of the uncrossed fibers at the chiasma such as bilateral internal carotid artery atherosclerosis or aneurysm, olfactory groove meningioma, empty sella syndrome
, chronic raised intracranial pressure, and neurosyphilis affecting both optic nerves.
But it is doubtful that they would know diseases such as West Syndrome, Whipple's disease, Buerger's disease, yellow-nail syndrome, empty sella syndrome
, or Job (as in the Old Testament) syndrome.
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.
d/h Hypo pituitarism has varied etiology, most common being pituitary adenomas (Macro 75 % and others 20%), Sheehan syndrome, familial hypopituitarism, idiopathic, hypophysitis, empty sella syndrome
, snake bite being other causes.
37, 8 Ectopic production Breastfeeding Breast stimulation Hypothyroidism Medications Empty sella syndrome
Pituitary adenoma Autoimmune Chemotherapy Galactosemia Genetic 17-hydroxylase deficiency syndrome Idiopathic Mumps Pelvic radiation Chronic liver disease Chronic renal insufficiency Diabetes Immunodeficiency Inflammatory bowel disease Thyroid disease Severe depression or psychosocial stressors Acromegaly Androgen-secreting tumor (ovarian or adrenal) Cushing's disease Exogenous androgens Polycystic ovary syndrome Thyroid disease Asherman's syndrome Cervical stenosis TABLE 4: Causes of secondary amenorrhea in study group.