Open AccessCase report: Primary empty Sella causing secondary adrenal insufficiency and severe yet asymptomatic hyponatremia
Author(s) -
Lah Siehoon,
Wahab Almas,
Wakil Ammar
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.6125
Subject(s) - medicine , asymptomatic , adrenal insufficiency , hyponatremia , primary adrenal insufficiency , empty sella syndrome , magnetic resonance imaging , sella turcica , hormonal replacement therapy , radiology , surgery , hormone
A 61‐year‐old man presented with incidental hyponatraemia to 118 mmol/L, to which he was asymptomatic. Diagnostic workup revealed a partially empty sella turcica on magnetic resonance imaging. He had associated secondary adrenal insufficiency but other hormonal axes were relatively unaffected. Treatment with cortisol replacement promptly resolved the hyponatraemia.