Abstract

GARCIA ESCUDERO, Viviana; AGUILA CONSUEGRA, Hamlet  and  ALOMA FORTUN, Dayana. ¨Empty¨ Sella Turcica as the Cause of Severe Hyponatremia. Case Presentation and Literature Review. Rev. Finlay [online]. 2017, vol.7, n.3, pp. 213-218. ISSN 2221-2434.

The primary syndrome of the ¨empty¨ sella turcica or sellar diaphragm herniation appears when one of the layers which cover the outside of the brain protrudes down into the sella and puts pressure on the pituitary. In the case of hypopituitarism, as a cause of arachnoid hernia, clinical manifestations depend on increased or decreased production of hormones, leading to the appearance of severe hydromineral disorders such as hyponatremia. It is presented a case of a patient who came to Dr. Gustavo Aldereguía Lima Hospital with clinical symptoms of vomiting, decay, general malaise, loss of appetite and scarce urination. During admission, the patient had a convulsive status which led to mechanical ventilation. We performed tomography studies that were negative and when analyzing the rest of the laboratory tests, hypothyroidism with severe hyponatremia was diagnosed for which treatment was indicated. A nuclear magnetic resonance was performed where a grade III sellar diaphragm herniation was diagnosed. This report is presented because of the importance of timely diagnosis and treatment of this entity.

Keywords : arachnoid; empty sella syndrome; hiponatremia; signs and symptoms; diagnosis.

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