Empty sella

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Incidental finding on CT for ? stroke

Patient Data

Age: 75 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

Enlarged fluid (CSF) filled pituitary fossa.

The stalk (arrow) is present and the atrophic gland plastered up against the posterior wall; typical of this condition.  

Case Discussion

In general patients are not hypopituitary.  The diaphragma sellae is deficient allowing CSF to enter the sella however not enough to allow the chiasm or hypothalamus to prolapse.  CSF pulsation enlarges the sella.

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