AI Article Synopsis
- Empty sella syndrome (ESS) involves the herniation of cerebrospinal fluid into the sella, leading to pituitary gland compression and symptoms like fatigue and memory issues.
- A 66-year-old woman was hospitalized due to dizziness and fatigue, diagnosed with sick sinus syndrome (SSS) after ECG showed a low heart rate and irregular rhythm.
- After confirming ESS through MRI and addressing hormone deficiencies with hydrocortisone and euthyrox, her symptoms improved and follow-up tests indicated normal hormone levels.
Article Abstract
Empty sella syndrome (ESS) is characterized by the herniation of cerebrospinal fluid into the sella, which results in the enlargement of the sella and compression of the pituitary gland. ESS commonly accompanies pituitary dysfunction and abnormal secretion of one or more hormones, which manifests as symptoms like cold intolerance, fatigue, and memory impairment. However, the occurrence of sick sinus syndrome (SSS) in ESS has not been reported. A 66-year-old female patient was admitted to the hospital with complaints of dizziness and fatigue. Electrocardiogram (ECG) revealed sinus arrest, junctional escape rhythm, and a heart rate of 40 bpm. Then, the patient was diagnosed with SSS. Thyroid function test indicated decreased thyroxine levels and slightly elevated thyroid-stimulating hormone levels. Additionally, hyposecretion of cortisol and insulin-like growth factors was observed. Magnetic resonance imaging of the pituitary gland confirmed the diagnosis of ESS. The patient was treated with hydrocortisone and euthyrox, relieving the symptoms of dizziness and fatigue. Thyroid function tests during the follow-up period showed normal hormone levels, and ECG examination revealed no abnormalities.
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| http://dx.doi.org/10.1536/ihj.23-634 | DOI Listing |
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