Doctor insights on:
Partially Empty Sella Syndrome
Primary ESS: Primary empty sella syndrome is the result of herniation of the arachnoid into the sella tursica causing the pituitary gland to be compressed against the floor of the sella and enlargement of the bone, resulting in an 'empty' appearance on imaging. It is more common in women and the most common symptom is headache. ...Read more
Primary empty sella syndrome is a description given when a pituitary gland (which normally sits in a region called the "sella turcica") cannot be visualized on mri. This can be because the pituitary glad is small or flattened for some reason.
Often no symptoms will be present, but can include headache, impotence, or nipple discharge due to changes in the hormones normally produced by the gland. ...Read more
Test and reassure: Hi. Empty sella syndrome is most often associated with normal pituitary function. You should see an endocrinologist to be tested for pituitary hormone insufficiency (and/or elevated prolactin due to pituitary stalk effects). Empty sella may be associated with increased intracranial pressure, and the "empty sella" is due to CSF pushing into the sella from above. Usually not a problem. ...Read more
I have recently been diagnosed with chairi 1 and empty sella syndrome. Very symptomatic. My PC doesn't beleive chairi is a real problem. What now?
See below: It's time for a second opinion with a doctor more apt to listening. ...Read more
Diagnosed arthritis of spine, causing hip pain also partial empty sella syndrome & swollen optic disc by neurologist, could they be connected?
Partly filled sella: In empty sella syndrome, the malformed sella turcica is often either partially or completely filled with cerebrospinal fluid. As a result, the pituitary gland is often compressed and flattened so that the sella turcica appears empty. Most individuals with empty sella syndrome do not have any associated symptoms. ...Read more
Had MRI which showed small amount of fluid within the optical sheath and a partially empty sella turcica. What does this mean?
MRI of head:
Cannot relate "fluid in optical sheath" with the report of a "partially empty sella tursica" without knowing more of why the MRI was indicated. The sella tursical houses the pituitary gland, and is most often "partially empty".
I would ask the healthcare provider who ordered the MRI to explain in detail the reasons for the MRI and the report findings you have described. ...Read more
About my head pressure symptom and a partially empty sella. I also have a low thyroid function. Is this last related at my symptoms?
Possibly.: "empty sella" is a radiologic description of a sella not completely filled by pituitary gland. The function of the pituitary gland may or may not be normal. Your low thyroid function could be related but may also be unrelated. Please see your doc. ...Read more
Multiple suggestive MR signs of pseudotumor cerebri, including partially empty sella along mild ectatic dilatation of the optic nerves' sheaths means?
Frequent headaches and had ct of sinuses for unrelated issue it showed partially empty sella. Empty sella with headaches concerning? What causes this?
Primary? IIH? Pseudo: A partially empty sella means that the pituitary gland (which usually sits in the sella) has shrunken. The key is to figure out if it is from primary or secondary causes. Primary means pituitary - you would've been left with hormone abnormalities. However, most secondary causes are from idiopathic intracranial hypertension, which causes headaches & is common in obese females. TTYD for confirm test ...Read more
Are hypertension and idiopathic intracranial hypertension related? Bp elevates suddenly (i'm sitting quietly reading). Ct-partially empty sella?
See your physician:
With these problems you need to see your
physician. ...Read more
Now is been 3 month s experiencing constant head pressure after a CT and MRI found partially empty sella turcica. Is this related of my symptom?
Empty sella headache: The "empty sella" is often discovered incidentally in people with no symptoms. Sometimes hormonal problems, but usually not. There are several causes of empty sella. Some involve increased pressure in the brain, such as pseudotumor cerebri, which can cause headaches. Presumably your scans would have seen a tumor. Talk to your neurologist about the best next steps in diagnosis/treatment. ...Read more
4.5 CM left frontal convexity arachnoid cyst small arachnoid cyst right temporal lobe gliosis left occipital lobe partially empty sella turcica means?
Hx of Trauma?: These could potentially be caused by a traumatic event earlier in life. ...Read more
Probably normal: An empty sella refers to the case when, typically on mri, not is made that the sella turcica is filled with cerebrospinal fluid and the pituitary gland is not seen. This typically has no significance. If there is a specific endocrinologic problem, particularly with the pituitary, then an empty sella may be significant but this would be a rare case. ...Read more
Symptomatic?: Often, there are no symptoms or loss of pituitary function. With empty sella syndrome. Patients may have symptoms caused by partial or complete loss of pituitary gland function. Symptoms can include: erectile dysfunction.irreular menstration, headache, low sexual desire etc. See Dr. If symptomatic. ...Read more
Usually not: As long as you have no symptoms of decreased pituitary function, this is not likely a problem. Your doctor may order some blood tests to confirm. ...Read more
Can: Empty sella syndrome is radiologic finding of cerebrospinal fluid filling space at base of brain where pituitary gland normally resides. Usually happens when opening to sella is large allowing excessive fluid to flatten pituitary gland. Headaches are most common symptom. Most pituitary hormonal functions are normal. Sometimes congenital, tumors and tumor like conditions are causes, supportive rx ...Read more
Unusual: Empty sella syndrome, radiological finding where spinal fluid is found within space created for the pituitary. Sella turcica is bony structure at the base of the brain that surrounds and protects the pituitary gland. Pituitary gland plays critical role in regulating growth and development, metabolism. Spinal fluid pressure flattens gland. Ptuitary function and thyroid function usually normal. ...Read more
Neuro and Endocrine: For evaluation of an empty sella, a neurologist and an endocrinologist are the doctors one may see. One can ask his primary care doctor for names or referrals. ...Read more
Can one have an empty sella but normal pituitary function?, or will empty sella cause some type of dysfunction in body always? I ve lots of fatigue
Empty sella: Low levels of TSH and ACTH will cause low thyroid levels and also cortisol levels which causes fatigue. Luckily, you can be prescribed replacement hormones to help you feel better. ...Read more
Years ago my pituitary was normal. Now I have empty sella. My doctor do not pay attention to this. Let me wondering is really important this finding?
Usually not: An "empty sella" is a bit of a misnomer as the sella is not really empty. The sella is where the pituitary gland sits and sometimes the covering of the sella is lacking in patients permitting spinal fluid to enter. The fluid can push the pituitary gland around (and sometimes compress it) but it is rare that this causes any pituitary problems. ...Read more
My shortterm memory is very bad, and I get tired quickly after even speaking for long;empty sella was seen on my mri, is forgetfulness caused by this?
If probably empty sella is normal. Why I feel too much headache pressure on my top of head & forehead vomiting dizziness weekness please help me.
I had CT scan done which showed enlarged pineal gland and was ordered MRI with contrast to interrogate it. Mri showed nothing but partial empty sella with no mention of pineal gland on report. Why?
You sure not pit: Uitary. The pituitary gland sits in the sella turcica and not the pineal gland. Make sure to get a copy of the report. If the cat scan does report a problem with the pineal gland then you may need to call the radiology department at the hospital where the MRI was performed to make sure the MRI addresses this gland. Good luck and well wishes. ...Read more
Empty sella was seen on my Mri of head and neck, symptoms are fatigue, low female harmones, repetative infections, is there a link, ?
See an endocrine doc: If you have an empty sella that means your pituitary gland may not be functioning normally which can result in fatigue from low cortisol and/or low thyroid hormones as well as low female hormones. If you have not seen one, please arrange to see an endocrinologist who can check out your hormone levels and start you on hormone replacement if needed. ...Read more