ESS is a disorder where CSF builds up between the pituitary gland itself and the sella turcia, which houses the pituitary gland. This build up of CSF then places stress or pressure on the pituitary and compresses the gland so that it looks as if there is an "empty space" or an abcence of a pituitary within the sella turcia space on an MRI, CT, or radiographic image. ESS can also be caused by tumors pressing on the pituitary to cause that "empty" looking area on an image.
Diagnosis?
This disorder is most often times detected while the patient is being tested or imaged for pathology that is totally unrelated to ESS. In most cases, pitutary function is normal and is not compromised by the pinning of the pituitary gland. In some cases though paitients will have symptoms of headache, vision problems, and hyperprolactinemia. Hyperprolactinemia causes irregular mentral cycles and spontaneous breast milk flow in women, and in men, causes hypogonadism (low testosterone), infertility, and erectile disfunction.
Treatment?
As far as treatment for this disorder, there is not any one specific treatment across the board. Treatment is dependant on the symptoms of the individual and they are handled case by case. In some cases though, surgury maybe needed.
Information retreived from: www.pituitary.org/disorders/empty_sella_syndrome.aspx
Picture retreived from: www.googleimages.com
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