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Primary empty sella with isolated ACTH deficiency and microprolactinoma
N K Agrawal1, Pankaj Jain, Sunny Garg
1Department of Endocrinology and Metabolism, Varanasi, India. drnkavns@gmail.com
Summary
Empty sella turcica, a condition affecting 20% of the population, requires careful assessment when associated with prolactinoma. This includes visual field testing and hypopituitarism screening, even for microadenomas.
Area of Science:
- Neuroendocrinology
- Radiology
- Endocrinology
Background:
- Empty sella turcica involves subarachnoid space herniation into the sella, displacing the pituitary gland.
- Autopsy studies indicate a prevalence of approximately 20% in the general population.
- The co-occurrence of prolactinoma and empty sella is infrequent and often considered coincidental.
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