41. NORD - National Organization For Rare Disorders, Inc. empty sella syndrome. To purchase fulltext report ($7.50) View Cart/Checkout. Copyright1989, 1998, 1999 Synonyms of empty sella syndrome Empty Sella Turcica. http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Empty Sella S

42. Health Ency.: Disease: Empty-sella Syndrome Emptysella syndrome. When the pituitary gland is not visible on CT or MRI scans ofthe sella turcica, the condition is referred to as the empty sella syndrome. http://www.austin360.com/shared/health/adam/ency/article/000349.html

SEARCH: The Web Yellow Pages HOME Illustrated Health Encyclopedia Important notice Ency. home Disease E Empty-sella syndrome Overview Symptoms Treatment Prevention Definition: Absence of the pituitary gland on radiological imaging of the sella turcica, a bony structure that partly surrounds the gland. Causes and Risks The pituitary gland is a small, oval gland at the base of the brain. It makes several hormones that control the function of other glands in the body including the thyroid gland, adrenal glands, and gonads (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 the 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 (e.g., surgery, head trauma, radiation therapy), the condition is called secondary empty sella syndrome. Primary empty sella syndrome is most often an incidental finding on 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. Medications that suppress prolactin production (e.g., bromocriptine) are effective in correcting the problem.

43. Ask NOAH About Endocrine Disorders Acromegaly Adrenal Gland Disorders Amyloidosis Diabetes empty sella syndrome GalactorrheaGrowth Disorders Hirsutism Hyperinsulinemia Hyperparathyroidism http://www.noah-health.org/english/illness/thyroid/endocrine.html

Ask NOAH About: Endocrine Disorders What are Endocrine Disorders? Care and Treatment The Basics Anatomy of the Endocrine System Glossary ... Clinical Trials Specific Endocrine Disorders Acromegaly Adrenal Gland Disorders Amyloidosis Diabetes ... Information Resources What are Endocrine Disorders The Basics Endocrinology and Short Stature - The Endocrine Society Endocrinology and Stress Related Disorders - The Endocrine Society Anatomy of the Endocrine System Anatomy of the Endocrine System - Methodist Healthcare System, Houston TX (also in Spanish The Endocrine System - American Medical Association The Endocrine System - The American Medical Women's Association Women's Complete Healthbook ... Thyroid Gland Glossary of the Endocrine System Endocrine Health Guide: Glossary - University of Maryland Endocrine System: Glossary - Kidshealth Glossary of Terms - Pituitary Network Association Glossary of Endocrine Terms - University of Michigan Health System Diagnosis and Symptoms Endocrine Disruptor Screening Program Web Site - Environmental Protection Agency What are the Diagnostic Procedures for Heavy Menstrual Bleeding - UCDavid Health System Specific Endocrine Disorders Acromegaly Acromegaly - NIDDK Acromegaly - The Pituitary Foundation Acromegaly - University of Maryland Acromegaly - Methodist Healthcare System, Houston TX

44. Health A-Z empty sella syndrome What is empty sella syndrome? What are the symptoms of emptysella syndrome? Each individual may experience symptoms differently. http://www.lvhhn.org/health_az/endocrin/sella.shtml

Find a Doctor Being Healthy Educational Programs Calendar of Events Locations Near You About Us/Donations Employment Press Room Search Being Healthy index Vitality Plus Calendar of Events Sleep Center Women's Health ... Health Info A-Z Being Healthy Health A-Z 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

45. Empty Sella Syndrome Endocrinology empty sella syndrome from Advocate's Health InformationReference Library. empty sella syndrome. What is empty sella syndrome? http://www.advocatehealth.com/system/info/library/reference/adult/endocrin/sella

About Us Health Info Programs and Services Jobs and Education ... 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

46. Endocrinology - Empty Sella Syndrome empty sella syndrome What is empty sella syndrome? empty sella syndromeis common in women who are overweight or have high blood pressure. http://www.fhshealth.org/health/endocrin/sella.htm

47. Health Library Find Information On Empty-sella Syndrome At Find information on Emptysella syndrome at MerckSource. Primary empty sella syndromeis most often an incidental finding on radiological imaging of the brain. http://www.mercksource.com/pp/us/cns/cns_hl_adam.jspzQzpgzEzzSzppdocszSzuszSzcns

48. Mioti: Medical Condition Condition empty sella syndrome. MEDLINEplus empty sella syndrome.MEDLINEplus NINDS empty sella syndrome Information Page. Information http://www.mioti.com/cat/condition/condition.asp?Cat=EmptySella

49. Searchalot Directory For Empty Sella Syndrome Related Web Sites. empty sella syndrome Methodist Health Care System explainswhat this syndrome is, the symptoms, diagnosis and its treatment. http://www.searchalot.com/Top/Health/ConditionsandDiseases/EndocrineDisorders/Pi

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50. Images In Clinical Practice Indian Pediatrics 2000;37 103104. Primary empty sella syndrome. Hence,a diagnosis of pri-mary empty sella syndrome (PESS) was made. Fig. http://www.indianpediatrics.net/jan2000/images1.htm

Home Past Issue About IP About IAP ... Subscription Images in Clinical Practice Indian Pediatrics 2000;37: 103-104 Primary Empty Sella Syndrome A 12½-year-old girl presented with polyuria, polydipsia and poor gain in height for 4 years. She had average scholastic performance. She had constipation. Menarche had not been attained. There was no history of head injury, seizures, alteration of sleep, visual symptoms, headache or polyphagia. There had been no perinatal problems. She weighed 24.5 kg and was 128 cm tall. Arm span was normal. Upper and lower segments were equal. There was no goiter. Vital signs were normal while BP was 100/60. Carrying angle was normal. Puberty staging was Tanner stage 1. Ankle jerks showed delayed relaxation. Perimetry and acquity of vision were normal. Bone age was approxi-mately 10 years. Water deprivaton test was suggestive of central diabetes insipidus. Hormo-nal assay showed low T , T and TSH. Skull X -ray showed an enlarged sella. CT scan head ( Fig. 1

51. Pituitary Diseases Pituitary Diseases. Back to previous level empty sella syndrome Search PUBMED forempty sella syndrome All Review Therapy Diagnosis; empty sella syndrome Med. http://www.ohsu.edu/cliniweb/C19/C19.700.html

Pituitary Diseases Back to previous level Empty Sella Syndrome Search PUBMED for Empty Sella Syndrome: All Review Therapy Diagnosis ... Hyperpituitarism [2 more specific term/s, 6 more link/s] Search PUBMED for Hyperpituitarism: All Review Therapy Diagnosis ... Hypopituitarism [2 more specific term/s, 3 more link/s] Search PUBMED for Hypopituitarism: All Review Therapy Diagnosis ... Septo-Optic Dysplasia: Med. Coll. of Wisconsin Inappropriate ADH Syndrome Search PUBMED for Inappropriate ADH Syndrome: All Review Therapy Diagnosis ... Hyponatremia and Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH) - Overview: Virtual Hospital, U. of Iowa Pituitary Apoplexy Search PUBMED for Pituitary Apoplexy: All Review Therapy Diagnosis ... Pituitary Neoplasms [1 more specific term/s, more link/s] Search PUBMED for Pituitary Neoplasms: All Review Therapy Diagnosis ... Somatotrophic adenoma: Med. Coll. of Wisconsin

52. Directory :: Look.com empty sella syndrome (6) Sites. Empty Sella empty sella syndrome A brieflook at this disease, the causes and symptoms. Empty Sella http://www.look.com/searchroute/directorysearch.asp?p=432082

53. MemorialCare - Online Health Screenings By MyElectronicMD.com empty sella syndrome. Under normal conditions, the dura surrounds the brain. Generallythere are no symptoms associated with empty sella syndrome. http://mymd.i2net.com/mc_mymd/refr.php?Id=845

54. Dental World: The Empty Sella Syndrome Analysis Of 10 Cases. The empty sella syndrome analysis of 10 cases. Basauri L, Castro M, Garcia JA,Palma A, Palma L. Ten cases of the empty sella syndrome are presented. http://www.dent-links.de/science/1977/1977_197801.htm

Dental-World: TMD - Scientific Bibliography Acta Neurochir (Wien) The empty sella syndrome analysis of 10 cases. Basauri L, Castro M, Garcia JA, Palma A, Palma L. Ten cases of the empty sella syndrome are presented. In four a pituitary adenoma had been treated by surgery with or without radiotherapy. In three women there was a close relation pregnancy, and two boys had congenital malformations. Five cases presented with appearances of pseudotomour, and the remainder had cerebrospinal fluid (CSF) fistula. Four fistulas were spontaneous, one was post-traumatic aggravated by the intrasellar implantation of YT-90. Two were occult CSF fistulas causing recurrent meningitis. Gamma cisternography and iodocisternography proved to be good diagnostic tests, both for the empty sella and for CSF fistulas. Nine cases were operated on. In four na intrasellar cyst was present. In the other five an empty sella with deficient or absent diaphragm was found. Treatment of most cases consisted of covering the floor of the sella with lyophilized dura, which was fixed in place with biological glue. PMID: 197801 [PubMed - indexed for MEDLINE] Besuchen Sie auch multi MED vision.de

55. THE MERCK MANUAL, Sec. 2, Ch. 7, Pituitary Disorders The enlarged sella may represent the empty sella syndrome if no endocrineor visual disorder exists. Diagnosis can be confirmed by CT or MRI. http://www.merck.com/pubs/mmanual/section2/chapter7/7a.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 2. Endocrine And Metabolic Disorders Chapter 7. Pituitary Disorders Topics [General] Anterior Lobe Disorders Posterior Lobe Disorders [General] Pituitary structure and function and relationships between the hypothalamus and the pituitary gland are discussed in Ch. 6. Patients with hypothalamic-pituitary disorders present with some combination of (1) symptoms or signs of a mass lesion (eg, headaches, visual field defects) or (2) hypersecretion or hyposecretion of one or more pituitary hormones. Other hypothalamic functions also may be affected. Symptoms of hypo- or hyperpituitary secretion are the most common complaints of patients presenting with pituitary or hypothalamic neoplasms, but the symptoms may have other causes. A mass involving the hypothalamus or pituitary also should be suspected if the sella turcica is enlarged on skull x-ray or if neurologic symptoms and signs suggest compression of the optic chiasm (especially bilateral hemianopia). The enlarged sella may represent the empty sella syndrome

56. The Egyptian Society Of Otorhinolaryngology empty sella syndrome Anatomical, Rsadiological and Clinical Correlations.Abdel Hamid ElNashar, M. El-Begermy and MZ Helal. The http://www.egyorlsoc.com/journ/v17-1/1.htm

Empty Sella Syndrome: Anatomical, Rsadiological and Clinical Correlations. Abdel Hamid El-Nashar, M. El-Begermy and M.Z. Helal In this study 16 patients with empty sella syndrome were operated upon by transsphenoidal route; transseptal transsphenoidal in 11 cases and transethmoidal transsphenoidal in 5 cases. Filling of the empty sella was done by application of autogenous muscle graft together with fat in all cases. In 10 cases, cartilage was applied in addition and tucked over remnants of the bony sellar floor with much better results. Key Words: Empty sella - Anatomical - Radiological - Clinical Ain Shams University The Egyptian Society of Otorhinolaryngology All rights are reserved. Powered by DOT IT

57. Un Caso De Coma Hipotiroideo Con Silla Turca Vacía En El 6. Brismar K, Efendic S. Pituitaryfunction in the empty sella syndrome. Neuroendocrinology 1981; 32 70-77. http://www.cfnavarra.es/salud/anales/textos/vol20/biblio2/bnotas3.html

1. Shore RN, DeCherney AH, Stein KM, Heaton CL. The empty sella syndrome. JAMA 1974; 227: 69-70. 3. Bragagni G, Bianconcini G, Mazzali F, Baldini A, Brogna R, Iori Y, Sarti G. Quarantatre casi di "empty sella syndrome" primitiva: contributo casistico. Ann Ital Med Interna 1995; 10: 138-142. 4. Buchfelder M, Brokmeier S, Pichl J, Schrell U, Fahlbusch R. Results of dinamic endocrine testing of hipotalamic pituitary function in patients with a primary empty sella syndrome. Horm Metab Res 1989; 21: 573-576. 6. Brismar K, Efendic S. Pituitary function in the empty sella syndrome. Neuroendocrinology 1981; 32: 70-77. 7. Bergland RM, Ray BS, Torack RM. Anatomical variations in the pituitary gland and adjacent structures in 225 human autopsy cases. J Neurosurg 1968; 28: 93-99. 8. Domingue JN, Wing SD, Wilson CB. Coexisting pituitary adenomas and partially empty sellas. J Neurosurg 1978; 48: 23-28. 10. Komatsu M, Kondo T, Yamauchi K et al. Antipituitary antibodies in patients with the primary empty sella syndrome. J Clin Endocrinol Metab 1988; 67: 633-638. 11. Lees PD, Fahlbusch R, Zrinzo A, Pickard JD.

58. Endocrinology Links photo); empty sella syndrome; EMPTY SELLA TURCICA, PRIMARY, WITHGENERALIZED DYSPLASIA; Endocrine Diseases (Karolinska Instututet); http://www.geocities.com/medcin/endocrn.html

ENDOCRINOLOGY LINKS OF INTEREST [This image is provided by Yahoo-Geocities] Forest Park Hospital Department of Medical Education 6150 Oakland Avenue St. Louis, MO 63139 (314) 768-5632 (FAX) Note: These links are provided as a service to diabetics and their health providers. We are not responsible for the content of the links presented and do not necessarily endorse the ideas or advice presented therein. Privacy Policy PRIVACY ALERT: Anyone using the internet for medical information should be aware that personal information such as identity, interests, and surfing habits may not be secure or private. Although many health information sites claim that they do not release information about those visiting the site, numerous commercial entities may have access to sensitive personal information by mechanisms such as cookies and banners. Please read the Report on the "Privacy Policies and Practices of Health Web Sites" monograph from the California Healthcare Foundation for their detailed discussion on consumer health care on the internet. Privacy Policies and Practices of Health Web Sites Also, please refer to the guidelines for safe surfing published by the Federal Trade Commission:

59. Infertility - A Couple's Survival Guide (6) empty sella syndrome. The sella turcica is a depression in the spenoidbone (a bone at the base of the skull) that contains the pituitary gland. http://www.drdaiter.com/18.html

Ovualtory Dysfunction: Pituitary Causes The pituitary causes for ovulatory dysfunctions include: hypothyroidism The mechanism for the ovulatory dysfunction associated with hypothyroidism has not been entirely worked out. Hypothyroidism probably interferes with ovulation via an increase in circulating active estrogen. Increased bioactive estrogen may be due to decreased metabolism of estrogen in the liver (seen with both hypothyroidism and hyperthyroidism) or due to decreased levels of the protein that binds estrogen in the circulation. Sex hormone binding globulin (SHBG) decreases the bioactivity of bound hormones by reducing the "free" (bioactive) fraction of the hormone. Persistent elevations of bioactive estrogen can interfere with follicular growth and can disrupt the midcycle preovulatory LH and FSH surges that are required for normal ovulation. Hypothyroidism may also interfere with ovulation through an elevation in TRH. With decreased circulating thyroid hormone there is enhanced secretion of hypothalamic thyrotropin releasing hormone (TRH) which acts on the brain's pituitary gland to release thyrotropin or thyroid stimulating hormone (TSH). This TSH then stimulates the synthesis and release of thyroid hormone in a normal thyroid gland. Elevated TRH can "crosstalk" within the pituitary gland to release other pituitary hormones such as prolactin. Elevated prolactin levels are known to interfere with ovulation . hyperthyroidism The mechanism for the ovulatory dysfunction associated with hyperthyroidism is not entirely clear.

60. Infertility - A Couple's Survival Guide the empty sella syndrome, which The empty sella syndrome is associated with elevatedprolactin and suppression of the other pituitary hormone concentrations. http://www.drdaiter.com/49.html

Hyperprolactinemia (detailed) Hyperprolactinemia (persistent excess in circulating prolactin concentration) may be associated with significant pathology. The system of communication within the brain that regulates prolactin concentration is predominantly inhibitory. We know this because lesions obstructing the ability of the hypothalamus to communicate with the pituitary gland result in enhanced secretion of prolactin. Dopamine is widely accepted as the major prolactin inhibiting factor, is secreted from the hypothalamus, and specifically binds to prolactin producing cells in the pituitary gland (lactotrophs) to inhibit prolactin secretion. Medications used to suppress prolactin in the circulation rely on their ability to "act like dopamine" (dopamine agonists). An effort should be made to rule out a structural lesion in the brain for any woman with a persistently elevated prolactin concentration. If the woman has significant galactorrhea with an ovulatory dysfunction, then radiologic imaging of the brain is also suggested. This is because structural lesions that obstruct the blood flow from the hypothalamus to the pituitary will result in release of prolactin and pituitary prolactin secreting tumors (prolactinomas) are commonly found with persistent significant elevations of prolactin concentrations.

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