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Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 55-59

Empty Sella Syndrome: Management of 34 Cases

1 Professor, Dept. of Neurosurgery, IGIMS, Patna, India
2 Assistant Professor, Dept. of Neurosurgery, IGIMS, Patna, India
3 Associate Professor, Dept. of Neurosurgery, IGIMS, Patna, India

Correspondence Address:
Om Prakash Gupta
Dept. of Neuro Surgery, IGIMS, Patna
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Source of Support: None, Conflict of Interest: None

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Empty sella syndrome (ESS) is an anatomical/ radiological entity, in which the pituitary fossa is enlarged and is filled with Cereberospinal fluid (CSF) owing to arachnoids’ herniation, while pituitary gland is compressed. This retrospective study was done to evaluate the clinical features, medical and surgical management and outcome in 34 cases with ESS presented to our department for a period of seven years (2011- 2017). ESS is divided into primary and secondary type, depending on the presence or absence of pituitary pathology. 21 Patients presented with primary ESS and 13 had secondary ESS. 4 patients were asymptomatic. 30 patients presented with headache, 15 patients with endocrinological dysfunction, 12 patients with visual manifestation and 8 patients with CSF rhinorrhea. 10 patients (29.4%) underwent surgical treatment and the remaining 24 patients (70.6%) underwent medical management. CSF rhinorrhea, visual disturbances and persistent raised ICP were the main indications of surgery. The type of surgery depended on clinical presentation and radiological finding. The outcomes in the surgical cases were favorable.

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