Abstract
Empty sella turcica is a condition in which the pituitary gland is absent completely or partially from the sella turcica or pituitary fossa. The patient may be asymptomatic with empty sella turcica as an incidental finding, or may have symptoms of pituitary hormones deficiency. Perioperative management of these patients depends on the symptoms and signs of hormonal deficiencies and the hormonal replacement treatment.
Highlights
The Sella turcica is a depression in the sphenoid bone where the pituitary gland is situated
Characteristic manifestations include failure to lactate or to resume menses, genital and axillary hair loss, asthenia and weakness, fine wrinkles around the eyes and lips, signs of premature aging, dry skin, hypopigmentation and other evidence of hypopituitarism.[4]. It may sometimes present with acute circulatory collapse, severe hyponatremia, diabetes insipidus, hypoglycemia, congestive cardiac failure or psychosis.5,6 70% of the patients with s syndrome (SS) has empty sella image on MRI
A patient with SS diagnosed after more than 20 years of disease onset poses a great challenge for the anaesthesia team
Summary
Empty sella turcica is a condition in which the pituitary gland is absent completely or partially from the sella turcica or pituitary fossa.
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