ABSTRACT
An Empty Sella occurs due to herniation of the arachnoid throughan incompetent diaphragma sellae. Over time, cerebrospinal fluid [CSF] pulsations may enlarge the sella and compress the gland against the floor of the sella. Empty Sella Syndrome is a considered a less common entity and is usually asymptomatic and an incidental finding. However, it can be a manifestation of increased intracranial pressure and can be occasionally severe. Compression of the pituitary gland may affect function, or traction on the optic chiasm and nerves may cause visual symptoms. An empty sella may be classified as primary when this occurs in persons who have not received pituitary radiation or pituitary surgery, while an empty sella discovered following such procedures is classified as secondary empty sella. We had a 41 year old patient who came to us with symptoms of headache and left sided hemi-sensory disturbance. An evaluation revealed multiple comorbid illnesses with MRI showing features of Empty Sella