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Case No. 689
2024-06-01~2024-06-30
출제자 : 이경식
Hit : 622
| Period | 2024-06-01~2024-06-30 |
|---|---|
| Diagnosis | Empty sella syndrome (defect of diaphragm sella and partial empty sella) |
| Gender |
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| Age | 35 |
| Clinical information | 고프로락틴혈증 및 희발월경 (oligomenorrhea)가 있는 35세 여자의 Sella MRI이다. 가능한 진단은? |
| Discussion | Definitions • Herniation of suprasellar arachnoid and CSF through wide diaphragm sellae into bony sella turcica • Sella turcica is partially filled with CSF Pituitary gland – Almost never completely absent – Thin, flattened rim of residual pituitary tissue – Generally at posteroinferior sellar floor Presentation - Incidental, asymptomatic: most common sign/symptoms - Headache, visual disturbances if caused by idiopathic intracranial hypertension (IIH) - Endocrine disturbances: 20% of adults have subtle laboratory abnormalities Majority (70%) of children with ES have endocrine abnormalities |
| Correct answer |
Correct Answer
Semi-Correct Answer |