PITUITARY-EMPTY SELLA

SUMMARY

1. An apparent empty sella may be caused by loss of the pituitary, but it may also be normal.

2. 90% of the patients with empty sella syndrome are multiparous women whose pituitary has been displaced by CSF but functions normally.

3. No treatment is needed for empty sella syndrome if no hormone deficiencies are associated.

4. Rerely, the sella may actually be "empty," and the patient may have hypopituitarism.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].