Acromegaly in Primary Empty Sella

Authors

  • Farzana Shumy Postgraduate trainee, Department of Medicine, Sir Salimullah Medical College and Mitford Hospital, Dhaka
  • M Azizul Kahhar Professor, Department of Medicine, Sir Salimullah Medical College and Mitford Hospital, Dhaka

DOI:

https://doi.org/10.3329/jom.v10i2.2827

Keywords:

Acromegaly, empty sella syndrome, growth hormone

Abstract

Acromegaly has occasionally been found in patients with an empty sella secondary to prior pituitary irradiation and/or surgery. Active acromegaly, on the other hand, has only rarely been found in patients with a primary empty sella. The two most commonly held hypotheses concern-ing the aetiology of the primary empty sella are hydrodynamic transmission of cerebrospinal fluid pressure through a congenital defect in the diaphragm sella, and infarc-tion of the pituitary contents. Pituitary masses may undergo clinically silent infarction with development of a partial or totally empty sella by cerebrospinal fluid filling the dural herniation. Here we describe a patient who has empty sella without any prior pituitary procedures.

Keywords: Acromegaly, empty sella syndrome, growth hormone.  

doi: 10.3329/jom.v10i2.2827  

J MEDICINE 2009; 10 : 119-120

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How to Cite

Shumy, F., & Kahhar, M. A. (2009). Acromegaly in Primary Empty Sella. Journal of Medicine, 10(2), 119–120. https://doi.org/10.3329/jom.v10i2.2827

Issue

Section

Case Reports