Presentation
Headache and vertigo
Patient Data
Age: 55 years
Gender: Female
From the case:
Empty sella
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Intrasellar extension of the subarachnoid space into the cavity of the sella turca, i.e. an empty sella.
Case Discussion
An empty sella is frequently and incidentally observed in MRI scans. The hallmark of the finding is, as the name suggests, a pituitary fossa which is largely empty of tissue, replaced by CSF.
Most patients with empty sella are entirely asymptomatic and endocrinologically normal; however, some patients could have complaints of dizziness, vertigo, headache and visual alterations, and also could have some pituitary hormonal disorders.
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