Empty sella syndrome is a condition in which the pituitary gland narrows or becomes flattened.
Empty sella syndrome is common among women who are excessive weight or have hypertension. The pituitary gland is a small gland located at the basis of the brain. It makes several hormones which order other glands in the body, including the thyroid one, the glands adrénales, the ovaries, and the testicles. There are two types of primary and secondary ESS. Primary ESS occurs when a small anatomical defect above pituitary gland increases the pressure in the turcica of sella and makes flatten gland outside along the interior walls of the cavity of turcica of sella.
Primary ESS is associated obesity and hypertension among women. Secondary ESS is the result of pituitary gland regressing in the cavity after damage, a surgery, or a radiation therapy. In the children, ESS can be associated the beginning early puberty, insufficiency of growth hormone, tumours pituitary, or pituitary gland dysfunction. The empty sella syndrome can not produce any symptom of the whole and seldom produces serious symptoms. In rare cases, there is escape of the fluid cérébro-spinal nose or problems with the vision. Primary educations as well as the syndrome empties secondary sella is usually the benign conditions not requiring any treatment.
Treat the primary empty drugs of syndrome of sella such as the bromocriptine, that prolactin lower bubble, can be prescribed if the levels of prolactin are raised and interfering the function of the ovaries or the testicles. In certain cases the clinical statute and endocrinien make necessary the hormonal therapy of replacement. The surgery should be reserved for cases with progressive deterioration and the radiological obviousness of traction or the angular form of the nerves and the chiasm optical. Empty sella syndrome does not have unfavourable consequences of health, and it does not change the life expectancy.
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