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Related Experiment Videos

The empty sella.

W W Atherton1, N W Kettner

  • 1Diagnosis Imaging, Logan College of Chiropractic, Chesterfield, Mo 63006-1065, USA.

Journal of Manipulative and Physiological Therapeutics
|October 16, 1999
PubMed
Summary
This summary is machine-generated.

An enlarged empty sella, often found incidentally on imaging, may not cause symptoms. Further evaluation is recommended if an enlarged sella is observed on cervical spine radiographs.

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Area of Science:

  • Radiology
  • Neurology
  • Endocrinology

Background:

  • Discusses diagnostic imaging of empty sella, focusing on Magnetic Resonance Imaging (MRI) of the pituitary.
  • Highlights normal and abnormal pituitary appearances on MRI.

Observation:

  • A 44-year-old woman presented with headache, dizziness, nausea, vomiting, and diarrhea following a stressful event.
  • Initial treatment was for acute torticollis; subsequent MRI revealed an enlarged empty sella.
  • No prior history of pituitary tumor or sellar disease was noted.

Findings:

  • The patient experienced complete symptom remission after a single additional dizzy spell.
  • No medical intervention was required; stress reduction was noted as a factor.
  • An enlarged empty sella can be an incidental finding on radiography and MRI.

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Implications:

  • An enlarged sella on cervical spine radiographs warrants further investigation for pituitary disease.
  • Normal pituitary gland appearance on MRI varies with age and pregnancy.
  • Emphasizes the importance of comprehensive evaluation for sellar abnormalities.