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Scholars Journal of Medical Case Reports | Volume-5 | Issue-08
Empty Sella Syndrome with Varied Clinical Presentation: A Case Report
Sumit Mukherjee, Selim Malik, Ranjan Das, Arijit Mondal, Uday Sankar Mandal, Sk.Ashik Uzzaman
Published: Aug. 30, 2017 | 157 174
DOI: 10.36347/sjmcr.2017.v5i08.008
Pages: 478-480
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Abstract
Empty Sella Syndrome is a condition where the pituitary gland is partially or totally absent from the pituitary fossa. It is asymptomatic in most of the cases and found accidentally in brain imaging. In symptomatic cases it presents with widespread manifestations like endocrine abnormality, visual difficulty, headache and Cerebrospinal fluid (CSF) leakage from nose. Here we report a case of 28 year old married female presented with brief episodes of alteration in consciousness, headache, low mood, menstrual irregularity and decreased libido. Several investigations were performed like Thyroid Stimulating Hormone, Prolactin estimation, Electroencephalogram (EEG), Magnetic Resonance Imaging (MRI) of brain. She was treated with Escitalopram, Thyroxine and Oxcarbazepine and responded well with the treatment.