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Empty sella syndrome (ESS) may occur if you have an enlarged sella turcica. This is a bony structure where the pituitary gland sits at the base of the brain. During an imaging test of the area, the pituitary gland may first look like it is missing.
There are 2 types of ESS: primary and secondary.
Health experts don’t know what causes primary ESS. Secondary ESS may be caused by injury, radiation therapy, or surgery. ESS is not a life-threatening illness.
You may not have any symptoms. If symptoms occur, they may include:
Symptoms vary from person to person. They also depend on your age and what caused the syndrome. Symptoms may look like other health problems. Always see your healthcare provider for a diagnosis.
Your healthcare provider will ask about your medical history and do a physical exam. You may also need these tests:
Your healthcare provider will figure out the best treatment for you based on:
You may not need treatment if you do not have any symptoms, and if your pituitary gland is not enlarged. Your healthcare provider will treat any hormone problems with hormone replacement.
Tips to help you get the most from a visit to your healthcare provider:
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