Symptomatic empty sella syndrome - a case report and review of the literature

ABSTRACT

The pituitary gland is a hormone-responsive gland and is known to vary in size depending on the hormonal status of the patient and the multifaceted positive and negative hypothalamic-pituitary-gonadal axis. We are reporting on a case of symptomatic empty sella syndrome occurring in 68 years old Sudanese woman with a long history of hypothyroidism. Concepts and definitions of the empty-sella [ESS] syndrome, origins of primary and secondary empty-sella syndrome [ESS] including defect of the Turkish saddle diaphragm, pituitary abnormality, and disease states [development frequency, symptom, and test result] are reviewed. In addition, preventive strategies of late diagnosis are suggested