Silla turca vacía primaria: clínica, fisiopatología y tratamiento

Abstract

Bibliographical review on the primary empty sella: concept, symptomatology, diagnosis, physiopathology and management.

Empty Sella and Sagittal Sinus Thrombosis in a Woman with Subaortic Stenosise

“…The panel of blood routine determinations related to prothrombotic disorders revealed unremarkable results. Therefore, idiopathic CVST with obstruction of the sagittal sinus was considered the most probable diagnosis; hypothesis that is in accordance with the literature about this condition affecting obese young females [3,5,[7][8][9][10]12]. Worthy of note were the psychiatric manifestations that might be associated with the empty sella syndrome [6].…”

“…Secondary IH (SIH) may be due to tumor, infection, obstruction of CSF flow, and arteriovenous fistula [1][2][3][6][7][8][9][10]. CVT cab be confirmed by images of triangle and empty delta signs, and loss of flow void [1,10,11].…”

“…The sella turcica may be partially or totally filled with cerebrospinal fluid and the hypophysis is compressed; in cases of shrinking or flattening of the gland, Magnetic Resonance (MR) study can show the sella appearing totally or partially empty -the empty sella syndrome [3,4,[6][7][8][9][10][11][12][13]. This condition may be related to SIH or Idiopathic IH (IIH), but the gland volume has no correlation with Intracranial Pressure (ICP) [3,4,9].…”

“…This condition may be related to SIH or Idiopathic IH (IIH), but the gland volume has no correlation with Intracranial Pressure (ICP) [3,4,9]. IIH (or pseudotumor cerebri), affects up to 35% of population, mainly middle aged obese and hypertensive women (5:1 compared to men) [3][4][5][6][7][8][9][10]12]. Obesity is one major risk factor of IIH, and has growing prevalence in Western countries; with visual involvement in up to 90% of cases, causing severe deficits in up to 24% of them [12].…”