Protocolo diagnóstico del síndrome de la silla turca vacía

Abstract

Empty sella is a radiologic finding in which the sella turcica appears empty due to cerebral spinal fluid within the subarachnoid space herniating. Today, this finding is relatively common, this proportion increases with aging, and is more prevalent in women. It has been historically thought that empty sella is an incidental finding without clinical significance that does not require further monitoring or treatment. However, some patients will have endocrine or neurologic consequences. Symptoms in this clinical condition can include headache or vision loss associated with idiopathic intracranial hypertension, hyperprolactinemia or hypopituitarism. Symptomatic patients should be treated with pharmacologic to surgical therapies.