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Scholars Journal of Medical Case Reports | Volume-13 | Issue-10
Empty Sella Syndrome: A Case Report
O. Tounsi, H. Tahiri, Y. Bouktib, A. El Hajjami, B. Boutakioute, M. Ouali Idrissi, N. Idrissi Guenouni
Published: Oct. 22, 2025 | 15 15
DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.059
Pages: 2445-2447
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Abstract
Empty Sella Syndrome (ESS) is a rare condition characterized by herniation of the subarachnoid space into the sella turcica through a defect in the diaphragma sellae, resulting in a partially or completely empty sella on imaging. It may present with neurological, endocrine, or ophthalmological symptoms. We report the case of a 62-year-old man with recurrent meningitis and chronic rhinorrhea. CT and MRI revealed an intrasellar arachnoidocele communicating with the suprasellar cistern. MRI remains the diagnostic modality of choice. Management primarily involves addressing hormonal abnormalities and repairing cerebrospinal fluid (CSF) leaks when present.