Question

When does primary ESS occur?

Answer 1

Empty Sella Syndrome (ESS):

1. Empty sella syndrome occurs when there is an enlarged sella turcica.
2. This is a bony structure whereby the pituitary gland sits at the base of the brain.
3. Symptoms may include: Impotence in men, Less desire for sex, Irregular menstrual cycle in women
4. There are two types of ESS: Primary ESS and Secondary ESS.

Primary ESS:

1. The pituitary gland is usually flattened.

1. Such type is more common in women who are obese & have high blood pressure.
2. It also leads to fluid buildup in the brain.

Secondary ESS:

1. The pituitary gland may be small because of a genetic change (mutation), injury, radiation therapy, or even surgery.