Role of secondary empty sella syndrome in the development of erectile dysfunction

2018 ◽  
Vol 6 (3) ◽  
pp. 43-50 ◽  
Author(s):  
T.G. Markosyan ◽  
◽  
S.S. Bolevich ◽  
S.B. Bolevich ◽  
◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Empty Sella ◽  
Empty Sella Syndrome

Primary empty sella syndrome: the role of visual system herniation

2002 ◽  
Vol 58 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Gerardo Guinto ◽  
Ramiro del Valle ◽  
Elisa Nishimura ◽  
Moises Mercado ◽  
Bárbara Nettel ◽  
...  
Keyword(s):  
Visual System ◽  
Empty Sella ◽  
Empty Sella Syndrome ◽  
Primary Empty Sella

scholarly journals Diagnostics and the combined medical tactics at patients with erectile dysfunction at a empty sella syndrome

2020 ◽  
Vol 19 (1) ◽  
pp. 4-12
Author(s):  
Tigran G. Markosyan ◽  
Stefani S. Bolevich ◽  
Sergey S. Nikitin ◽  
Armida G. Markosyan ◽  
Natalia B. Korchazhkina
Keyword(s):  
Erectile Dysfunction ◽  
Hormone Replacement ◽  
Combined Treatment ◽  
Age Groups ◽  
Empty Sella ◽  
Hormonal Status ◽  
Color Flow ◽  
Empty Sella Syndrome ◽  
Complex Therapy ◽  
Transcranial Magnetotherapy

Background.The study of hormonal status in patients with erectile dysfunction (ED), especially the older and senior age groups, is most often limited to the evaluation of testosterone fractions Aim:demonstrate the effectiveness of transcranial magnetotherapy in a combined treatment regimen for patients with empty sella syndrome (ESS). Methods.Results of diagnostics examination and treatment of 118 patients with the ED hormonal form at the age of 2357 are studied. The expressiveness of disturbances of erectile function and signs of androgenic deficiency are estimated by means of questionnaires of AMS and a scale of Morley, the penil color flow Doppler ultrasound with intracavernous pharmacological tests is carried out, the hormonal status is estimated. At suspicion of neuroendocrine pathology MRI of the brain is executed. At all examined patients signs of decrease erectile functions are revealed. In 62 (52.5%) observations during MRI the picture of ESS is revealed. In 22 (18.6%) observations the changes of an eyeground demonstrating increase in intracranial pressure takes place, however loss of fields of vision is not observed in any of patient. Persistent headaches are noted in 19 (16.1%) observations. In 46 (39%) observations at patients with considerable obesity signs of disturbance of tolerance to glucose and insulin resistance are revealed. To patients hormone replacement therapy is appointed, at identification of a hyperprolactinemia agonists of dopamine receptors in an individual dosage under control of level of prolactin are used, therapy of intracranial hypertensia is carried out. In complex therapy transcranial magnetotherapy is used. Results.Therapy is effective, during treatment increase in frequency and duration of sexual intercourses is noted. At control Doppler researches of a penis improvement of a regional hemodynamics is noted. Cancellation of medicines lead to resuming of symptomatology of a disease. Conclusion.Thus, the research shows powerful value of a syndrome of ESS in a pathogeny of ED demanding multidisciplinary approach with involvement of adjacent specialists endocrinologists, neurologists and ophthalmologists. It is important to note that ESS, in most cases, is an accidental tomographic finding, at the same time often is followed by disturbance of tolerance to glucose, obesity, a metabolic syndrome. Introduction in complex therapy of transcranial magnetic influence substantially improves results of treatment of this category of patients, as due to additional stimulation of synthesis of pituitary hormones, and cerebral decompression.

AYURVEDIC MANAGEMENT OF PARTIAL EMPTY SELLA SYNDROME: A CASE REPORT

2021 ◽  
Vol 12 (4) ◽  
pp. 15-18
Author(s):  
Eswara M P Sarma ◽  
Arathi P K
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Pituitary Gland ◽  
Sella Turcica ◽  
Marked Change ◽  
Empty Sella ◽  
Empty Sella Syndrome ◽  
Lukewarm Water

Empty Sella Syndrome is a disorder that involves the presence of Cerebro-spinal fluid in Sella turcica in an excess amount. In empty Sella syndrome the Sella turcica is either partially filled with cerebrospinal fluid and an atrophied pituitary gland lying in the floor of the Sella (Partial Empty Sella Syndrome) or filled with cerebrospinal fluid which pushes the pituitary gland into a side of Sella turcica resulting in non-visualization of the gland. (Completely empty Sella). A 37-year-old female diagnosed with partial empty Sella syndrome was managed with Pathyakshadhatryadi kashayam 15 ml twice daily in empty stomach with 45 ml lukewarm water, Rasnadi choornam tailam application, mahatraiphala ghritam 10 ml at night after food, Kshirabala 7 Avarti tailam pratimarsha nasyam. After completion of the treatment, there was considerable relief in the primary complaint of the patient which was a recurrent headache and the follow up MRI showed a marked change in the condition. This case report highlights the role of Ayurveda in the management of partial empty Sella syndrome and sheds light for further study on the same.

scholarly journals Primary empty sella syndrome associated with visual deterioration salvaged by chiasmapexy: Report of a case and discussion of the literature

2020 ◽  
Vol 11 ◽  
pp. 48
Author(s):  
John Ouma
Keyword(s):  
Visual Fields ◽  
Sella Turcica ◽  
Optic Chiasm ◽  
Empty Sella ◽  
Endoscopic Endonasal ◽  
Gradual Improvement ◽  
Empty Sella Syndrome ◽  
Visual Deterioration ◽  
Neurosurgical Technique

Background: Empty sella syndrome (ESS) is a condition in which there is loss of volume of the pituitary gland, which is the normal constituent of the sella turcica. There may be visual and endocrine deficits associated with this condition, and radiologically, there may be downward prolapse of the optic chiasm. It occurs in a primary ESS, poorly understood form, as well as a secondary ESS form that follows medical or surgical treatment of a pituitary macroadenoma, or else spontaneous hemorrhage into such a tumor. Case Description: A 56-year-old man presenting with deficits of both visual acuity and visual fields in the setting of radiological ESS without associated optic chiasm prolapse is discussed. He underwent endoscopic endonasal chiasmapexy with gradual improvement of his visual function over the following 6 months. Conclusion: ESS is a potentially potent cause of visual deterioration that lends itself to reversal through a relatively simple neurosurgical technique. This case illustrates that actual prolapse of the chiasm is neither a prerequisite for visual deterioration nor its reversal the mechanism of visual improvement after chiasmapexy, raising the question of the mechanisms at play in cases such as this. It confirms the role of chiasmapexy in the management of selected cases of ESS.

Intrasellar cyst masquerading as empty sella syndrome: history repeating itself

2019 ◽  
Author(s):  
Thomas Wright ◽  
Steven Tao ◽  
Joseph Harding ◽  
Sarah Chatharoo ◽  
Pankaj Chaturvedi ◽  
...  
Keyword(s):  
Empty Sella ◽  
Empty Sella Syndrome
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