Sacco Vinci V, Maioli A, Citro G, De Marca S, Vinci M L
Reparto di Endocrinologia, Ospedale S. Carlo, USL 2, Potenza.
Medicina (Firenze). 1990 Jul-Sep;10(3):273-7.
Primary empty sella is an anatomical entity in which an enlarged pituitary fossa is partially filled with cerebrospinal fluid owing to the arachnoid herniation and the pituitary gland is compressed against the fossa. This condition can be due to an inherent weakness of the diaphragma of the sella as well as to an increase in intracranial pressure. Empty sella can be associated with neuroradiological and endocrine symptoms and the present study reports the clinical, endocrine and radiological features in 10 patients with primary empty sella syndrome. We conclude that the endocrine alterations are frequent in the empty sella syndrome and that the most specific and sensible neuroradiological investigation is N.M.R.
原发性空蝶鞍是一种解剖学实体,其中扩大的垂体窝由于蛛网膜疝而部分充满脑脊液,垂体被挤压在窝内。这种情况可能是由于蝶鞍膈的固有薄弱以及颅内压升高所致。空蝶鞍可伴有神经放射学和内分泌症状,本研究报告了10例原发性空蝶鞍综合征患者的临床、内分泌和放射学特征。我们得出结论,空蝶鞍综合征中内分泌改变很常见,最具特异性和敏感性的神经放射学检查是核磁共振成像。