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.
Vithiya, R., N. Suganthan, G. Selvaratnam, and T. Kumanan. 2016. “A Post Menopausal Female with Empty Sella Syndrome”. Jaffna Medical Journal 28 (2): 51–52. DOI: http://doi.org/10.4038/jmj.v28i2.52
Vithiya, R., N. Suganthan, G. Selvaratnam, and T. Kumanan. “A Post Menopausal Female with Empty Sella Syndrome”. Jaffna Medical Journal 28, no. 2 (2016): 51–52. DOI: http://doi.org/10.4038/jmj.v28i2.52