![]() The sella turcica or pituitary fossa is a midline saddle‑shaped bony depression in the body of the sphenoid bone located in the middle cranial fossa. Key words: Diverse symptoms, empty sella, empty sella syndrome In a resource poor setting like ours, empty sella should be considered in obese female subjects with chronic headaches. Most of the symptoms can be explained by increased pressure on structures around the sella which control various organs in the body. One subject had features of chronic venous infarct.Ĭonclusion: Empty sella syndrome presents in complex ways. Imaging finding showed empty sella in all subjects. The most common symptoms were headaches ( n = 8, 100%), visual disturbances ( n = 3, 37.5%), chronic fatigue ( n = 3, 37.5%), galactorrhea ( n = 2, 25%), secondary infertility ( n = 2, 25%), weight gain ( n = 2, 25%) and psychotic symptoms ( n = 2, 25%). Results: Eight female subjects between the ages of 34-56 years with a mean age of 45.0 ± 11.0 years presented with chronic symptoms. The essence of the imaging was to demonstrate or to rule out a structural cause for the clinical symptoms of the subjects. The subjects presented for brain magnetic resonance imaging for diverse, chronic clinical symptoms such as chronic headaches, visual disturbances and galactorrhoea and empty sella was found on imaging. Methods: This is a retrospective study done over a three-year period between May 2016- May 2019 in a private radiodiagnostic center. Studies have documented various clinical manifestations which we are beginning to see in our environment. It has been classified into primary empty sella which is related to increased intracranial pressure and secondary empty sella which is considered a sequel of previous pituitary lesions. Saudi J Health Sci 2019 8:172-5.īackground: Empty sella is an imaging finding previously thought to be of no clinical consequence in our environment. ![]() Diverse clinical manifestations of empty sella syndrome: An imaging based study. The significance of the MRI finding of an empty sella turcica can be determined using a combination of clinical and imaging findings.Citation: Nwafor NN, Akhigbe AO. Age modestly correlated with the width of the diaphragm sella (r = 0.53) in the IIH group only. The patients with IIH were significantly younger than the patients with incidental empty sella turcica (mean age, 36.1 vs 54.3 years, respectively p < 0.05) were more likely to report headache (93.3% vs 32.6% p < 0.05) and visual complaints (66.2% vs 28.3% p < 0.05) showed greater mean scalp thickness (9.0 vs 6.4 mm p < 0.05) and neck soft-tissue thickness (19.5 vs 13.8 mm p < 0.05) and were more likely to have an orbital finding suggestive of IIH (93% vs 14%). The IIH and incidental empty sella turcica groups had statistically similar sellar, pituitary, and infundibular measurements. Measurements on MRI were correlated with patient age in each group. These measurements, age, sex, clinical symptoms, and frequency of previously reported orbital findings of IIH were compared between the IIH and incidental empty sella turcica groups. Measurements of the sella turcica, diaphragm sella, pituitary gland, infundibulum, and scalp and neck soft tissues were made on MR images. This study evaluated which clinical and MRI findings could be used to differentiate patients with chronically elevated ICP from those with incidental empty sella turcica.įorty-five patients with definite IIH and 92 patients with "empty sella" reported on brain MRI were evaluated. It is particularly common in the setting of idiopathic intracranial hypertension (IIH). Although often incidental, the "empty" sella turcica can reflect chronically elevated intracranial pressure (ICP).
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