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The cause of this condition in terms of secondary empty sella syndrome happens when a tumor or surgery damages the gland, this is an acquired manner of the condition. [1] patients with idiopathic intracranial hypertension will have empty sella on MRI [5] The cause of primary empty sella syndrome is a congenital defect (diaphragma sellae) [6]
The empty sella sign occurs due to herniation of the subarachnoid space into the sella turcica, displacing the pituitary gland and allowing CSF to occupy the space. [3] This phenomenon is often linked to the following mechanisms: [4] Primary empty sella syndrome occurs without an underlying cause or pituitary pathology. It is associated with a ...
Sheehan's syndrome, also known as postpartum pituitary gland necrosis, occurs when the pituitary gland is damaged due to significant blood loss and hypovolemic shock (ischemic necrosis) or stroke, originally described during or after childbirth leading to decreased functioning of the pituitary gland (hypopituitarism). [1]
The best-studied medical treatment for intracranial hypertension is acetazolamide (Diamox), which acts by inhibiting the enzyme carbonic anhydrase, and it reduces CSF production by six to 57 percent. It can cause the symptoms of hypokalemia (low blood potassium levels), which include muscle weakness and tingling in the fingers.
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
Patients with extra-renal salt losses complicated by hyponatremia were found to be common-place, and consistent with McCance's description, they excreted urine virtually free of sodium. [22] In 1950, Sims et al, published their work that suggest observed relation between hyponatremia and pulmonary tuberculosis.
The sella turcica is located in the sphenoid bone behind the chiasmatic groove and the tuberculum sellae.It belongs to the middle cranial fossa. [1]The sella turcica's most inferior portion is known as the hypophyseal fossa (the "seat of the saddle"), and contains the pituitary gland (hypophysis).
A fracture through the sella can lead to profuse blood aspiration. A common mechanism for transverse fractures is a sharp blow to the chin, such as a fall onto a hard surface. The impact energy transfers to the skull base via the mandibular rami and temporomandibular joints. The chin injury may appear minor, often just a small abrasion or ...