Empty Sella Syndrome: A case report

Raju PV; Jagadeesan M; Halleys Kumar; Magesh Kumar S; Hemachandrika C

doi:10.5005/NJP-11056-05_01_09

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Empty Sella Syndrome: A case report

Raju PV, Jagadeesan M, Halleys Kumar, Magesh Kumar S, Hemachandrika C

Keywords : empty sella, Empty Sella Syndrome, hypopituitarism, pituitary dysfunction

Citation Information : PV R, M J, Kumar H, S MK, C H. Empty Sella Syndrome: A case report. 2017; 5 (1):46-48.

DOI: 10.5005/NJP-11056-05_01_09

License: CC BY-NC 4.0

Published Online: 01-06-2017

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Abstract

A 55 year old female patient presented with history of giddiness and fatigue of one year duration. She had pallor, diffuse hyperpigmentation of skin and mucosal surfaces, low blood pressure (90/60 mm Hg), hypoglycemia, hyponatremia (118 mEq/L), hypokalemia (2.7 mEq/L) and elevated serum ACTH levels (21 pmol/L) suggestive of hypocortisolism. On imaging, MRI Brain showed features suggestive of an empty sella. In the absence of any other inciting factors, a diagnosis of Primary Empty Sella (PES) syndrome was made. The patient was treated with levothyroxine, steroids, hypertonic saline and potassium supplements following which she recovered rapidly. An empty sella occurs due to herniation of the arachnoid membrane through an incompetent diaphragma sellae. Primary empty sella syndrome is considered as a less common entity and is usually asymptomatic and can be an incidental finding.

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Deshpande PK, Deoke S, Yesankar V, Banait A, Sawarkar S, Dhande S. Empty sella syndrome: A case report. Panacea Journal of Medical Science 2015;5(1);52-3
Agrawal JK, Sahay RK, Bhadada SK, Reddy VS, Agrawal NK. Empty sella syndrome. Journal, Indian Academy of Clinical Medicine 2001;2(3):198-202
Olson, DR, Guiot G, Dereme P. The Symptomatic Empty Sella: Prevention and Correction via the Transsphenoidal Approach. J Neurosurg. 1972;37:533-7.
Arlot S, Lalau JD, Galibert P, Quichaud J. Primary Empty Sella Turcica. Analysis of 14 Cases and Review of Literature. Ann Endocrinol (Paris).1985; 46:99-105.
Bragagni G, Bianconcini G, Mazzali F, Baldani A, Brogna R, Iori I et al 43 Cases of Primary Empty Sella Syndrome: A Case Series. Ann Itai Med lnt.l995;10:138-42
Ghatnatti V, Sarma D, Saikia U. Empty Sella Syndrome–Beyond Being an Incidental Finding. Indian J Endocrinol Metab. 2012; 16 (Suppl 2):S321-3.
De Marinis L, Bonadonna S, Bianchi A, Maira G, Giustina A. Primary Empty Sella. J Clin Endocrinol Metab. 2005; 90(9):5471-7
Aruna P, Sowjanya B, Reddy PA, Krishnamma M, Naidu JN. Partial Empty Sella Syndrome: A Case Report and Review. Indian J Clin Biochem. 2014;29(2):253-6.

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