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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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Empty sella syndrome in an adolescent.

S S Allen, K M Saxena

Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine

|May 1, 1986

Summary

Empty sella syndrome (ESS) is rare in adolescents and can present with growth issues. While often benign in adults, ESS in younger individuals may indicate more serious health concerns.

Area of Science:

Neurology
Endocrinology
Pediatrics

Background:

Empty sella syndrome (ESS) involves cerebrospinal fluid filling the sella turcica, displacing the pituitary gland.
While generally benign and common in adults, ESS is rare and potentially more severe in children and adolescents.

Observation:

This report details an adolescent case of ESS with initial growth retardation and normal endocrine function.
Diagnosis was confirmed via CT scan, revealing findings consistent with ESS.

Findings:

The adolescent patient experienced an improved growth rate during follow-up.
Despite the lack of overt symptoms in this case, the literature suggests ESS is less benign in pediatric populations.

Implications:

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ESS in children and adolescents warrants careful monitoring due to potential associated skeletal and endocrine abnormalities.
This case highlights the importance of considering ESS in pediatric growth disturbances, even with seemingly normal endocrine function.