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[Primary empty sella syndrome (ESS). Clinical observations on 20 cases]
1I Divisione Medica, U.S.L. n.9, Arcispedale S. Maria Nuova, Reggio Emilia.
Minerva Medica
|May 1, 1990
Summary
This study reviewed 20 cases of primary empty sella syndrome (ESS), a condition affecting the pituitary gland. Most patients had no clinical signs, highlighting the importance of understanding this rare disorder.
Area of Science:
- Endocrinology
- Neurology
- Ophthalmology
Background:
- Primary empty sella syndrome (ESS) is a condition where the pituitary gland is flattened or empty within the sella turcica.
- ESS can be primary (idiopathic) or secondary (due to other causes).
- While often asymptomatic, ESS can present with endocrine, neurological, or ophthalmological symptoms.
Purpose of the Study:
- To report and analyze 20 cases of primary empty sella syndrome (ESS) over a 5-year period.
- To discuss the classification of ESS, including primary and secondary types.
- To compare observed clinical data with existing literature and outline diagnostic/therapeutic procedures.
Main Methods:
- Retrospective case series analysis of 20 patients diagnosed with primary ESS.
- Review of clinical data, including symptoms and diagnostic findings.
- Literature review for comparison of findings and classification of ESS.
Main Results:
- Twenty cases of primary empty sella syndrome (ESS) were identified over 5 years.
- The majority of observed cases were asymptomatic.
- Clinical presentations, when present, involved endocrine, ophthalmological, and neurological symptoms.
Conclusions:
- Primary empty sella syndrome (ESS) is often asymptomatic, as observed in this case series.
- Accurate classification and understanding of potential symptoms are crucial for diagnosis.
- Standard diagnostic and therapeutic approaches are applicable to ESS management.