The empty sella

摘要: Abstract Objective: To discuss the diagnostic imaging findings of an empty sella in a chiropractic patient with emphasis on magnetic resonance (MRI) normal and abnormal pituitary appearances. Clinical Features: A 44-year-old woman started having headache, dizziness, nausea, vomiting, diarrhea after argument her boyfriend. She had been treated for acute torticollis three weeks when new symptoms began. Consultation internist led to MRI examination cerebellopontine angles exclude acoustic neuroma. The demonstrated enlarged sella. There was no history tumor or other sellar disease. Intervention Outcome: complete remission 1 additional dizzy spell that occurred 3 days initial symptom. No intervention performed, but stress levels life reduced. Conclusion: An can be present without represent incidental finding radiography MRI. However, seen lateral cervical spine radiographs should prompt further evaluation rule out has varied appearance signal intensity depending patient's age pregnancy status. (J Manipulative Physiol Ther 1999;22:478–82)