What is Empty Sella Syndrome?
Empty Sella Syndrome is an passing rare pathological condition of the brain characterized by enlargement of a structure located in the brain cry the sella turcica . This structure is located in the bone at the foot of the skull conterminous of the pituitary gland and is in the form of a slim economic crisis .
What encounter with Empty Sella Syndrome is that either it is partially filled with CSF with a small constituent of the adjoining pituitary secretor present on the floor of the social system or it is entirely fill with CSF without any portion of the pituitary gland seeable within the sella turcica .
In majority of the cause of Empty Sella Syndrome , the affected mortal will have not symptom associated with it and the condition is fundamentally an consequent finding found when envision is done of the brain to rule out sure other medical conditions associated with the brain .
Empty Sella Syndrome may occur as a single entity or primary disorder or may come as a result of sure underlying medical stipulation of the brain like a pituitary tumor . A aesculapian condition called as intracranial hypertension is also establish to be one of the cause of Empty Sella Syndrome .
What are the Causes of Empty Sella Syndrome?
The root causal agency of Empty Sella Syndrome has still not been identified as is believed to occur due to unknown reasons termed as idiopathic Empty Sella Syndrome .
Some researchers believe that Empty Sella Syndrome may occur as a consequence of a defect in the outermost liner of the level of membranes in the brain and spinal cord . This outermost layer is termed as diaphragma sellae . This in most typesetter’s case is a congenital abnormality .
This layer covers the sphenoid ivory which contains the sella turcica and the pituitary secreter . Some researchers think that a binge in the diaphragma sellae cause the underlying membranes to bulge allowing the CSF to infiltrate within the sella turcica get Empty Sella Syndrome .
The percolation of the CSF into the sella turcica causes pressure to be exerted on the empty sella which tends to flatten or enlarge the sella turcica which may also stimulate the pituitary gland to flatten or enlarge .
While the diaphragma sellae may be abstracted in some person at birth but whether this is a definite cause for Empty Sella Syndrome has not yet been proved as of yet .
In cases of secondary Empty Sella Syndrome , it is usually do due to a brain tumor or a pituitary secretor neoplasm which may cause the empty sella to be filled with CSF . Certain infection , direct harm or louse up to the capitulum , operative procedure , radioactivity therapy for sealed genus Cancer may also be the causes of lower-ranking Empty Sella Syndrome .
What are the Symptoms of Empty Sella Syndrome?
The symptom of Empty Sella Syndrome are extremely variable . While in legal age of typeface of elementary Empty Sella Syndrome there are no discrete symptoms and most of the affected individual remain symptomless .
The condition is unremarkably identify incidentally when radiographic sketch are being done to rule out other status of the learning ability . The only symptoms which can be do due to Empty Sella Syndrome are continuing head ache .
Hypertension is yet another symptom that is experience in most of the affected individual with Empty Sella Syndrome . In some cases , increased intracranial pressure is seen in individual with Empty Sella Syndrome . Papilledema and fall visual acuity is also believed to be assort with Empty Sella Syndrome
How is Empty Sella Syndrome Diagnosed?
In majority of the cases as stated above , a diagnosing of Empty Sella Syndrome is made only due to an incidental determination when a radiological field of study is done to rein in or reign out some other aesculapian condition of the brain .
Other than this , if an individual presents with complaints of headaches and has high blood pressure and further investigations reveals increase intracranial pressure and increased pressure in the optic nerve in the oculus then a diagnosis of Empty Sella Syndrome may be potential .
Advanced studies of the head in the shape of MRI or CT scan will clearly show the presence of CSF within the sella turcica confirming the diagnosis of Empty Sella Syndrome .
How is Empty Sella Syndrome Treated?
In majority of the case of Empty Sella Syndrome , the discourse for Empty Sella Syndrome is purely symptomatic . In compositor’s case if pituitary secretory organ gets sham , then intervention is directed towards supplant the internal secretion that get affected as a upshot of Empty Sella Syndrome . Surgical intervention may be required in type of CSF rhinorrhea which can at meter occur due to Empty Sella Syndrome .
