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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Emptiness In The Sella?

What is the cause and its effect if found two small nodular foci of subcortical hyperintensity in Flair images in right high frontal region - Deviated nasal septum towards left side with hypertrophied left middle and inferior turbinates - Sella is empty with flattened pituitary gland along the floor
Fri, 17 Nov 2017
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Internal Medicine Specialist 's  Response
Hello

Thank you for trusting HCM

Dear thank you for asking this question. Dear empty sella may be accidental finding on MRI brain. In MRI scans pituitary gland not visible so it appears like empty so it is called empty sella.

In primary empty sella aracnoid layer extends below the pituitary cause compress pituitary cause empty sella.
Secondary empty sella due to tumor or trauma or infection or in pregnancy induced hypertension may cause pituitary aloplexy mayead to empty sella.

Usually turbinates hypertrophy seen apposite side of deviation of deviated nasal septum. For DNS can consult Ent surgeon he will examine and treat you accordingly.
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What Causes Emptiness In The Sella?

Hello Thank you for trusting HCM Dear thank you for asking this question. Dear empty sella may be accidental finding on MRI brain. In MRI scans pituitary gland not visible so it appears like empty so it is called empty sella. In primary empty sella aracnoid layer extends below the pituitary cause compress pituitary cause empty sella. Secondary empty sella due to tumor or trauma or infection or in pregnancy induced hypertension may cause pituitary aloplexy mayead to empty sella. Usually turbinates hypertrophy seen apposite side of deviation of deviated nasal septum. For DNS can consult Ent surgeon he will examine and treat you accordingly.