Reading: A post menopausal female with empty sella syndrome

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A post menopausal female with empty sella syndrome

Authors:

R. Vithiya ,

Teaching Hospital Jaffna, LK
About R.
Registrar in Medicine, Professorial Medical unit
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N. Suganthan,

Teaching Hospital Jaffna, LK
About N.
Consultant Physician and senior Lecturer, Professorial Medical unit
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G. Selvaratnam,

Teaching Hospital Jaffna, LK
About G.
Consultant Chest Physician and Senior Lecturer, Professorial Medical unit
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T. Kumanan

Teaching Hospital Jaffna, LK
About T.
Consultant Physician and senior Lecturer, Professorial Medical unit
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Abstract

Empty sella syndrome is an incidental anatomical finding which can occasionally present as hypopituitarism. Here we report a post-menopausal female with emptysella syndrome and anterior pituitary hormone deficiency. She is a 69 year-old mother of four children presented with progressively worsening lethargy and constipation. Her last pregnancy at 24 years was complicated with post-partum haemorrhage. She had breastfed her last child for an year. She attained menopause at the age of 45. Investigations revealed normocytic anemia, and hyponatremia. Hormonal profile showed a normal TSH level(2.09mu/l)and low free T4 (<0.07 ng/dl) suggestive of secondary hypothyroidism. She also had low level of 9am cortisol, and inappropriately low FSH and LH levels. Non-contrast computerized tomography of the brain revealed cerebrospinal fluid(CSF) within sella-turcica, suggestive of empty-sella syndrome. She was treated with replacement doses of hydrocortisone and thyroxine and with that her symptoms improved.
How to Cite: Vithiya R, Suganthan N, Selvaratnam G, Kumanan T. A post menopausal female with empty sella syndrome. Jaffna Medical Journal. 2016;28(2):51–2. DOI: http://doi.org/10.4038/jmj.v28i2.52
Published on 27 Nov 2016.
Peer Reviewed

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