Empty sella

Case contributed by Dr Huda B. Gharbia

Presentation

Headache.

Patient Data

Age: 17 years
Gender: Female
MRI

There is mild widening of the sella tursica , filled with CSF, with little enhanced pituitary tissue.  The pituitary infundibulum is dipping in floor of the sella.

Also noted prominent optic nerve sheath more on left side is seen in axial T2W and sagital T2W images.

Case Discussion

The finding of an enlarged sella, filled with CSF, with the infundibulum traverse it is in keeping with an empty sella rather than a cystic lesion. 

The prominent optic nerve sheath and relatively plump dural venous sinuses raise the possibility of underlying benign intracranial hypertension.

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Case information

rID: 62357
Published: 17th Aug 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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