Empty sella Syndrome as a Cause of Hypopituitarism Case study

Background:Empty sella syndrome is the radiological appearance of an enlarged or deformed sella turcica which is partially or completely filled with cerebrospinal fluid .In 20-50% of patients there may be endocrinologic dysfunction, pan hypopituitarism is present  in 25% of cases and isolated one i...

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Main Author: Yousif Baha'addin Ahmed
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2018-10-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/159
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author Yousif Baha'addin Ahmed
author_facet Yousif Baha'addin Ahmed
author_sort Yousif Baha'addin Ahmed
collection DOAJ
description Background:Empty sella syndrome is the radiological appearance of an enlarged or deformed sella turcica which is partially or completely filled with cerebrospinal fluid .In 20-50% of patients there may be endocrinologic dysfunction, pan hypopituitarism is present  in 25% of cases and isolated one in 10%. Objective: To present a patient in with features of hypopituitarism caused by empty sella syndrome, with related literature review. Patients and Methods: A Case of 16 years adolescent male was presented with short stature, the height of the patient was less than 3% percentile for his age and sex, weakness,  and lack of secondary sexual characters and delayed puberty  due to empty sella syndrome, the  patient has deficiency of all important anterior pituitary hormones in addition to corresponding  target hormones, total hypopituitarism is the diagnosis and it is the cause of short stature. Results: He has delayed puberty , the  laboratory findings of the patient  clearly indicate pan hypopituitarism and the MRI confirmed empty sella syndrome. Conclusion: Empty sella syndrome can cause panhypopituitarism, and adequate pituitary imaging is required for cases with isolated pituitary hormone deficiency or panhypopituitarism.
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spelling doaj.art-0e5778e8a4404d55a1f7f1a7e9a2f2f82023-11-24T23:24:36ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822018-10-01151Empty sella Syndrome as a Cause of Hypopituitarism Case studyYousif Baha'addin Ahmed Background:Empty sella syndrome is the radiological appearance of an enlarged or deformed sella turcica which is partially or completely filled with cerebrospinal fluid .In 20-50% of patients there may be endocrinologic dysfunction, pan hypopituitarism is present  in 25% of cases and isolated one in 10%. Objective: To present a patient in with features of hypopituitarism caused by empty sella syndrome, with related literature review. Patients and Methods: A Case of 16 years adolescent male was presented with short stature, the height of the patient was less than 3% percentile for his age and sex, weakness,  and lack of secondary sexual characters and delayed puberty  due to empty sella syndrome, the  patient has deficiency of all important anterior pituitary hormones in addition to corresponding  target hormones, total hypopituitarism is the diagnosis and it is the cause of short stature. Results: He has delayed puberty , the  laboratory findings of the patient  clearly indicate pan hypopituitarism and the MRI confirmed empty sella syndrome. Conclusion: Empty sella syndrome can cause panhypopituitarism, and adequate pituitary imaging is required for cases with isolated pituitary hormone deficiency or panhypopituitarism. http://djm.uodiyala.edu.iq/index.php/djm/article/view/159Empty sella, Hypopituitarism, Delayed puberty.
spellingShingle Yousif Baha'addin Ahmed
Empty sella Syndrome as a Cause of Hypopituitarism Case study
Diyala Journal of Medicine
Empty sella, Hypopituitarism, Delayed puberty.
title Empty sella Syndrome as a Cause of Hypopituitarism Case study
title_full Empty sella Syndrome as a Cause of Hypopituitarism Case study
title_fullStr Empty sella Syndrome as a Cause of Hypopituitarism Case study
title_full_unstemmed Empty sella Syndrome as a Cause of Hypopituitarism Case study
title_short Empty sella Syndrome as a Cause of Hypopituitarism Case study
title_sort empty sella syndrome as a cause of hypopituitarism case study
topic Empty sella, Hypopituitarism, Delayed puberty.
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/159
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