61. Endocrinology - Empty Sella Syndrome What are the symptoms of empty sella syndrome? Treatment for empty sella syndrome. Specific treatment for empty sella syndrome will be determined by http://www.southeastmissourihospital.com/health/ADULT/endocrin/sella.htm

Endocrinology Empty Sella Syndrome What is empty sella syndrome? Empty sella syndrome is common in women who are overweight or have high blood pressure. Characterized by an enlarged bony structure (sella turcica) that houses the pituitary gland at the base of the brain, the disorders sometimes results in high fluid pressure inside the skull. The pituitary gland is usually normal size or small. What are the symptoms of empty sella syndrome? Each individual may experience symptoms differently. Besides high fluid pressure in the skull, which occurs in about 10 percent of patients, another symptom is a chronically runny nose. How is empty sella syndrome diagnosed? In addition to a complete medical history and medical examination, diagnostic procedures for empty sella syndrome may include: x-ray of the skull computed tomography (CT or CAT scan) - a non-invasive procedure that takes cross-sectional images of the brain or other internal organs; to detect any abnormalities that may not show up on an ordinary x-ray magnetic resonance imaging (MRI) - a non-invasive procedure that produces two-dimensional views of an internal organ or structure, especially the brain or spinal cord

62. Case Of Empty Sella Syndrome Syndrome Mistakenly Diagnosed As If an endocrinologist had not caught empty sella syndrome in this patient, she would have returned to the emergency department repeatedly with electrolyte http://www.pslgroup.com/dg/24d94e.htm

63. Empty Sella Syndrome Detailed information on empty sella syndrome, including symptoms, diagnosis, and treatment Bon Secours Health System headquarters in Marriottsville, MD. http://bonsecourshamptonroads.greystone.net/Content.asp?PageID=P00428

64. Empty Sella Syndrome empty sella syndrome is the absence of the pituitary gland on radiological Primary empty sella syndrome occurs when a small anatomical defect above the http://www.shands.org/health/information/article/000349.htm

Disease Injury Nutrition Poison ... The pituitary gland Empty sella syndrome Definition: Empty sella syndrome is the absence of the pituitary gland on radiological imaging of the sella turcica, a bony structure that normally partly surrounds the gland. Causes, incidence, and risk factors: The pituitary gland is a small gland located at the base of the brain. It makes several hormones that control the function of other glands in the body, including the thyroid, the adrenal glands, and the ovaries or testes. The pituitary gland is partly surrounded by a bony structure called the sella turcica ("Turkish saddle"). When the pituitary gland is not visible on CT or MRI scans of the sella turcica, the condition is referred to as empty sella syndrome. Primary empty sella syndrome occurs when a small anatomical defect above the pituitary gland increases pressure in the sella turcica and causes the gland to flatten out along the walls of the sella. When the sella is empty because the pituitary gland has regressed following an injury such as head trauma or an event such as surgery or radiation therapy, the condition is called secondary empty sella syndrome. Primary empty sella syndrome is most often an incidental finding during radiological imaging of the brain . Pituitary function is usually normal, and patients do not have any symptoms. The hormone prolactin is mildly elevated in 10% to 15 % of patients, and the elevated prolactin may interfere with normal function of the testes or ovaries.

65. Primary Empty Sella Syndrome And Amenorrhea -- Shreefter And Friedlander 46 (5): The empty sella syndrome is defined anatomically and radiologically. A case report of an amenorrheic patient who was diagnosed as having the primary empty http://www.greenjournal.org/cgi/content/abstract/46/5/535

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Shreefter, M. Articles by Friedlander, R. Articles Primary empty sella syndrome and amenorrhea MJ Shreefter and RL Friedlander The empty sella syndrome is defined anatomically and radiologically. A case report of an amenorrheic patient who was diagnosed as having the primary empty sella syndrome is presented. Its pathogenesis, clinical profile, and endocrine relationships are discussed. Specific reference is directed toward the capability of the empty sella syndrome to produce pituitary impairment and possibly amenorrhea. HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS

66. Primary Empty Sella Syndrome With Elevated Serum Prolactin -- Bryner And Greenbl Primary empty sella syndrome with elevated serum prolactin. Bryner JR and RB Greenblatt. A young, adult, white female with longstanding http://www.greenjournal.org/cgi/content/abstract/50/3/375

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Bryner, , JR Articles by Greenblatt, R. Articles Primary empty sella syndrome with elevated serum prolactin Bryner JR and RB Greenblatt A young, adult, white female with long-standing amenorrhea-galactorrhea syndrome and known pituitary enlargement since 1969 is presented. Further evaluation revealed PRL levels elevated in the microadenoma range and an empty sella. The presence of a pituitary adenoma, however, could not be confirmed by our studies. The question now arisesin a young woman desirous of pregnancy, should an induction of ovulation be attempted in view of the elevated serum PRL and an empty sella? HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS

67. EMPTY SELLA SYNDROME First Previous Next Last Index Text. Slide 36 of 42. http://www.mcl.tulane.edu/classware/pathology/medical_pathology/New_for_99/endoc

68. Disabilityexchange.org - Taxonomy empty sella syndrome is a rare congenital disorder that occurs when an empty empty sella syndrome may also be caused by other disorders or a problem http://www.disabilityexchange.org/taxonomy/index.php?fid=3&path=3_223

69. Empty Sella Syndrome - Synonyms Of Augusta, Georgia empty sella syndrome Synonyms - University Health Care System of Augusta, Georgia. http://www.universityhealth.org/13763.cfm

About University About Augusta Business and Industry Contact UHCS ... Nutrition Search Information on diseases and health concerns, including symptoms, treatment options, and prevention. Empty Sella Syndrome Synonyms Disorder Subdivisions General Discussion Resources ... For a Complete Report Important It is possible that the main title of the report Empty Sella Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report. Synonyms Empty Sella Turcica Disorder Subdivisions None General Discussion The primary from of empty sella syndrome is a rare inherited disorder of the brain that is transmitted as an autosomal dominant trait. The disorder is characterized by an empty space filled with cerebrospinal fluid in the sella turcica area of the brain. The area fills with fluid as a result of a defect in the sella diaphragm. Symptoms and findings may include unusual facial features, a highly-arched palate, moderate short stature, increased bone density (osteosclerosis), and normal pituitary function. The secondary form of this disorder is caused by another underlying disorder or defect (e.g., surgery, radiation therapy, etc.). In the idiopathic form of the disease, the exact cause in not known. This form of the disorder affects mostly obese, middle-aged women.

70. BENIGN INTRACRANIAL HYPERTENSION - RARE CAUSE OF EMPTY SELLA SYNDROME BENIGN INTRACRANIAL HYPERTENSION RARE CAUSE OF empty sella syndrome. S Ghosh IN Scobie. Department of Endocrinology Diabetes, Medway Maritime Hospital http://www.endocrine-abstracts.org/ea/0002/ea0002p9.htm

Endocrine Abstracts previous abstract next abstract Abstract BENIGN INTRACRANIAL HYPERTENSION - RARE CAUSE OF EMPTY SELLA SYNDROME Further enquiry revealed past neurological events: he had presented in 1981 with an idiopathic sixth nerve palsy (CT scan, carotid angiography normal) and in 1991 with benign intracranial hypertension thought to be secondary to a sagittal sinus thrombosis: he was treated with dexamethasone but it proved necessary to insert a lumbar peritoneal shunt. An association between benign intracranial hypertension and the empty sella syndrome is rare but recognised. A causative mechanism has been proposed. We postulate that this was the causation in our patient. Endocrine Abstracts previous abstract next abstract

71. Geneticalliance.org (6) Genetic Information (1)......empty sella syndrome Support Groups. 0 organization(s) found. Articles (0) Arts and Literature (0) Clinical http://www.geneticalliance.org/ws_display.asp?filter=support_groups_by_disease&t

72. Geneticalliance.org National Organization for Rare Disorders (NORD) empty sella syndrome University of Maryland Medicine - empty sella syndrome http://www.geneticalliance.org/ws_display.asp?filter=resources_by_disease&keywor

73. Best Dx/Best Rx Amenorrhea empty sella syndrome (can cause hypopituitarism and amenorrhea by compression of pituitary). Highresolution MRI or CT of pituitary http://www.acpmedicine.com/dxrx/dxrx1601.htm

Amenorrhea Robert L. Barbieri, M.D. Harvard Medical School Definition/Key Clinical Features Best Tests Best Therapy Best References Definition/Key Clinical Features Primary: menses does not begin by age 16 yr (or if patient misses important pubertal milestones, e.g., no breast development by age 14 yr) Most common causes Gonadal dysgenesis resulting from chromosome abnormality Physiologic delay of puberty Müllerian agenesis Obstructed outflow Absence of GnRH secretion Secondary (adult onset): previously menstruating woman has no menses for > 3 cycles or for 6 mo In nonpregnant women, most common causes of secondary amenorrhea Hypothalamic dysfunction (low GnRH secretion associated with stress, intensive exercise, low body mass index (BMI), low-fat diet, or combination of these) Pituitary dysfunction (prolactin-secreting pituitary tumor, empty sella syndrome, Sheehan syndrome, Cushing disease, or GH-secreting tumor) Loss of ovarian follicles (premature ovarian failure) Polycystic ovary syndrome Asherman syndrome (intrauterine adhesions) Thyroid disease Best Tests Primary Amenorrhea Serum FSH Breast exam Pelvic ultrasound or MRI to determine presence of cervix and uterus Elevated FSH level indicates gonadal dysgenesis; obtain karyotype for presence of Y chromosome

74. Disease - Empty Sella Syndrome - Detroit, Michigan Disease empty sella syndrome - courtesy of Henry Ford Health System of Detroit, Michigan. http://www.henryfordhealth.org/14230.cfm

3D Tour of the Vattikuti Institute About the Institute The Vattikuti Institute Prostatectomy Prostate Cancer ... Health Encyclopedia Health Encyclopedia Back to main Health Information page Disease - Empty sella syndrome The pituitary gland Definition: Empty sella syndrome is the absence of the pituitary gland on radiological imaging of the sella turcica, a bony structure that normally partly surrounds the gland. Causes And Risk: The pituitary gland is a small gland located at the base of the brain. It makes several hormones that control the function of other glands in the body, including the thyroid, the adrenal glands, and the ovaries or testes. The pituitary gland is partly surrounded by a bony structure called the sella turcica ("Turkish saddle"). When the pituitary gland is not visible on CT or MRI scans of the sella turcica, the condition is referred to as empty sella syndrome. Primary empty sella syndrome occurs when a small anatomical defect above the pituitary gland increases pressure in the sella turcica and causes the gland to flatten out along the walls of the sella. When the sella is empty because the pituitary gland has regressed following an injury such as head trauma or an event such as surgery or radiation therapy, the condition is called secondary empty sella syndrome. Primary empty sella syndrome is most often an incidental finding during radiological imaging of the brain . Pituitary function is usually normal, and patients do not have any symptoms. The hormone prolactin is mildly elevated in 10% to 15 % of patients, and the elevated prolactin may interfere with normal function of the testes or ovaries.

75. Empty Sella Syndrome Information Diseases Database empty sella syndrome, Disease Database Information. http://www.diseasesdatabase.com/ddb31523.htm

Diseases Database Index Sponsors Contact ... Previous Page Empty sella syndrome information Search Empty sella syndrome belong(s) to the category of (Follow link for list.) Empty sella syndrome: Definition(s) via UMLS Code translations and terms via UMLS Empty sella syndrome: specific web sites Send Empty sella syndrome to medical search engines (JavaScript enabled browsers only.) If your browser has no JavaScript you can still use these: Search using Internet medical databases Search using Internet search engines (non-specialist) We subscribe to the HONcode principles of the Health On the Net Foundation Valid XHTML 1.0 Served 2005-09-09 04:04:23 View metadata Last major update 2005-09-03. The medical information here is presented for education, background reading and general interest. The Diseases Database is not a diagnostic or clinical decision-making tool. Please consult your own licensed physician regarding diagnosis and treatment of any medical condition! Content is not asserted complete or error free, please see also our

76. The Endocrinologist - UserLogin Cushing s syndrome in a patient with an empty sella turcica and a Case of Cushing s syndrome associated with empty sella syndrome and anterior pituitary http://www.theendocrinologist.org/pt/re/endocrinologist/fulltext.00019616-200503

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77. AANS.org | Education And Meetings | AANS Scientific Journals | Neurosurgical Foc The empty sella syndrome (ESS) is well documented in adults and although the same 16 empty sella syndrome has been found in association with a http://www.aans.org/education/journal/neurosurgical/august99/7-2-cp2.asp

Search: Article ID Home About AANS Annual Meetings ... Public Resources: NeurosurgeryToday.org Residents Practice Management About NREF and Medical Research Young Neurosurgeons Subspecialty Sections / Affiliated Organizations Site Map Links View Printer Friendly Home ... AANS Scientific Journals Neurosurg Focus 7 (2): Clinical Pearl 2, 1999 Empty sella syndrome: does it exist in children? Ahmed Ammar, M.B., Ch.B., D.M.Sc., Ali Al-Sultan, M.D., F.R.C.P.(C), Fatma Al Mulhim, M.B., Ch.B., and Abdulla Yousef Al Hassan, D.M.R.D. Departments of Neurosurgery, Internal Medicine, and Radiology, King Fahd University Hospital, Al Khobar, Saudi Arabia The empty sella syndrome (ESS) is well documented in adults and although the same phenomenon of herniation of the arachnoid space into the enlarged sella turcica has been noted in children, it is not widely known that children suffer from this syndrome. Therefore, the aims of this paper are to increase neurosurgeons' awareness of the existence of this phenomenon in children and to add to the scant body of literature on the subject. The authors treated 12 children, ranging in age between 2 and 8 years in whom neuroradiological studies demonstrated an enlarged sella turcica filled with cerebrospinal fluid and herniation of suprasellar and arachnoid spaces. The causes of ESS in these children were high intracranial pressure, neglected or improperly treated hydrocephalus, and suprasellar arachnoid cyst. Primary ESS was found as well. Most of the children presented with headache, abnormal body weight (the majority being underweight), and short stature. The results of hormone assays were normal in all children.

78. Medical Image Database, Radiology Teaching Files And Cases, MedPix™: Single More Like This ? empty sella syndrome Factoid 5561 Created 2004-03-22 184753-05 - Modified 2004-11-04 042507-05 http://rad.usuhs.mil/synapse/radpix.html?mode=single&comebackto=mode=geo_browse&

79. Penn State Faculty Research Expertise Database (FRED) empty sella syndrome, Secondary. Empty Sella Turcica Syndrome, Primary empty sella syndrome. Secondary empty sella syndrome, empty sella syndromes http://fred.hmc.psu.edu/ds/retrieve/fred/meshdescriptor/D004652

80. Empty Sella Syndrome The pituitary gland is partially surrounded by a bony structure called the sella turcica. Normally, it is visible during a CT scan or MRI. In empty sella http://www.pennhealth.com/ency/article/000349.htm

Appointments Medical Services Health Information Find a Doctor Search: Search Encyclopedia: List of Topics Print This Page  Endocrinology Empty sella syndrome The pituitary gland Definition: The pituitary gland is partially surrounded by a bony structure called the sella turcica. Normally, it is visible during a CT scan or MRI. In empty sella syndrome, the pituitary gland is not visible either because it has become flattened or has shrunk. Causes, incidence, and risk factors: The pituitary gland is a small gland located at the base of the brain. It makes several hormones that control the function of other glands in the body, including the thyroid, the adrenal glands, and the ovaries or testes. The pituitary gland is partly surrounded by a bony structure called the sella turcica ("Turkish saddle"). When the pituitary gland is not visible on CT or MRI scans of the sella turcica, the condition is referred to as empty sella syndrome. Primary empty sella syndrome occurs when a small defect above the pituitary gland increases pressure in the sella turcica and causes the gland to flatten out along the walls of the sella. Secondary empty sella syndrome occurs when the sella is empty because the pituitary gland has shrunk following an injury, surgery, or radiation therapy. Primary empty sella syndrome is most often found during radiological imaging of the brain . Pituitary function is usually normal, and patients do not have any symptoms. The hormone prolactin is mildly elevated in 10-15% of patients, and the elevated prolactin may interfere with normal function of the testes or ovaries.

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